HEALTH SERVICES DEPARTMENT
The Health Services Unit at FCI Milan functions asan ambulatoryoutpatientclinic.Some ofthe servicesavailable to inmates are: Medical Sick call / Chronic Care / Specialty Clinics, X-rays, Lab, Dental, Pharmacy, Medical Records, etc. The Medical Staff consists of physicians, dentists, mid level practitioners and medical / administrative ancillary supporting staff. The clinic is open twenty four hours daily. Regular working hours are Monday thru Friday from 7:30 am to 4:00 pm. A staff member is on emergency call for any problems that develop after 4:00 pm or weekends. To obtain after hours emergency services, notify a staff member of your emergency immediately. Emergency medical or dental care may be administered if an injury or illness requires emergency treatment.
Sick Call Procedures
F.C. I. Milan: Regular Sick call sign-up will be conducted on the days and times specified below. This arrangement will afford ample time for each inmate to sign up. Each inmate must present his identification card to the Mid-Level Practitioner (MLP) before allowed to sign the sick-call list. Only under special circumstances will an inmate be authorized to sign up after specified hours (e.g., institutional emergencies, lock downs, emergency sick-call, others).
Monday thru Friday (Except Tuesdays) 6:30 am to 7:00 am Tuesdays – Administrative tasks / A&O Physical evaluations only
Special Housing Unit: Monday thru Sunday Sick Call rounds starting at 8:00 am.
Emergency care is available 24 hours /7 days a week. (You must notify the Detail or Unit Officer )
Inmate Co-Payment Program: Effective October 3, 2005, Inmates will be charged a fee for health care services, in connection with a health care request that you, or other non-medical staff, may request on your behalf.
(Review attached memorandum on Inmate Co-payment program).
You may approach the Health Systems Administrator (HSA) or designee, during weekday mainline, or send a written request via an Inmate Request to Staff Member form to any Health Services Staff for any medical or administrative questions or concerns. You may request an appointment with the physician, (send an Inmate Request to Staff Member form). Your request will be honored if the physician feels it is necessary and as his schedule allows or you will be given an appointment for a future date.
Health Services Department will also hold an Open House every Thursday from 11:30 a.m. til 12:30 p.m. You can pick-up (copies, glasses) or bring any request or issues to the Medical Record staff during the aforementioned times.
Physical Examinations: are offered every two (2) years for inmates less that 50 years of age. Those over the age of 50 are offered yearly. If you are interested in a physical examination, please send a copout to Medical Records in the Health Services Department.
Request for prescriptions will be done by turning in empty medication containers during Early Morning pill-line 6:00 am – 6:30 am (it is mandatory that you turn in the labeled medication container for use by the pharmacist). Distribution of refill or new prescriptions will be at the afternoon pill-line. Any prescription that is necessary due to a medical appointment will be filled and dispensed to you. To Pick up prescribed medication, you must present your Identification (Inmate ID).
Idle and Convalescence
You are restricted to your dorm room, unless you are at meals, religious services, or authorized visits. An idle cannot be written for more than 3 days without being reevaluated by the medical staff. You are not allowed recreational activities of any kind while on “IDLE” status. To lay in bed during the work day, you must have a signed medical idle slip indicating that you will be allowed to stay in bed under your covers. If you are allowed to be out and about the unit, you may not participate in any recreational activities other than walking. A convalescence may not be written for more than 7 days without being reevaluated by the medical staff. You will be on sports restrictions if you have been placed on any MEDICAL OFF-DUTY STATUS or WORK RESTRICTIONS.
Medical / Dental Evaluations
You will receive a complete medical/dental evaluation within the first 14 days of your admission into FCI Milan. You will not need one if it was performed at another BOP facility or if you were out of BOP custody for less than 30 days.
You may request a medical evaluation if you have not had one within one year prior to the expected date of release. Such an examination can be conducted within two month prior to release. You must request this physical examination via Inmate Request to Staff Member (cop-out). Please watch the call-out sheet posted in the unit for your medical appointment. The following medical procedures will be covered in the medical evaluation, if indicated:
Physical Examination – Dental Examination – Vision Screen – Immunizations.
Other tests or procedures will be ordered depending on your health condition and/or age.
Prior to leaving FCI Milan for a halfway house, or furlough, you will be tested for the HIV virus. This is a mandatory test. Failure to permit the testing could result in loss of program activities and result in an incident report. You may also be included in a random HIV test group. This again is a mandatory test. You may also request an HIV test once a year by using the sick call routine. Occasionally, the medical staff may determine that an HIV test is clinically indicated and you will be asked to allow us to test you. If you refuse testing, you will be required to sign a refusal form. Results from this test will be discussed with you by the provider, you may not obtain copies of this test while you are incarcerated.
Due to your enclosed housing conditions, it is imperative that you observe strict UNIVERSAL PRECAUTIONS when handling any body fluids (hand washing, hygiene, etc.). While you are in our facility, you are prohibited from getting a tattoo or engaging in body piercing. You are discouraged from using any personal items of toiletry, (such as : combs, razors, tooth brushes, toilet paper, etc.), other than the ones issued to you.
Public Law 106-546 requires the BOP to obtain DNA samples from inmates convicted of qualifying federal offenses. If you are convicted, you may be notified by your unit team that your are required to provide a sample. The unit team will provide information regarding the qualifying current of past offense, the collection process, consequences of noncompliance and address any concerns regarding the implementation of this law.
Other Medical Services
An optometrist make regular visits to the clinic. You will need to complete an Inmate Request to Staff Member form to be placed in the evaluation list to see the optometrist, (you will be scheduled and placed in the call-out). You may also be referred to the optometrist by a medical staff member if clinically indicated. The medical staff at FDC Milan will make the necessary referral. The Health Services Department will order your prescribed glasses or you may choose to have your glasses sent from home, in that case, you need to request thru your counselor the package authorization form and a copy of your glasses prescription (BOP Prescription) from medical records dept.
This non-BOP glasses must meet the Optometrist requirements and the Institution regulations. Glasses that do not fulfill the criteria will not be accepted and returned to the sender. No inmates will be allowed to order contact lenses from home, nor will they be issued contact lenses through the institution unless medically indicated. Contact lenses care items (unless medically indicated) are not provided by the Health Services Unit or by the Commissary.
A dentist is on duty Monday through Friday. If you are designated to our institution, you will receive a complete dental screening during the first 14 days of arrival. Until you are designated, only dental emergencies are treated. If you have a dental care requirement, you need to sign up for sick call. You will be examined and an appointment will be given as required. For routine care such as a dental cleaning, it is necessary to complete an “Inmate Request to Staff Member Form” to the Dental Department. Your name will be placed on a waiting list and the appointment date and time will be notified through the use of a Call Out system. For urgent dental care, you must see a medical staff member who will notify the dentist of the emergency.
An “Advance Directive” is a legal document in which competent adults write their decisions concerning medical care, including the right to accept or refuse medical or surgical treatment, or to appoint someone to make these decisions for them if they are no longer able to do so. In Michigan , there are a number of Advance Directives: Living wills, nominating a guardian, power of attorney; and mental health directives. If you are interested in completing an advanced directive, please see your Unit Counselor for direction.
To summarize, the Health Services Staff at FCI Milan is here to serve your medical, dental, and psychiatric needs. Our philosophy is to provide every inmate with professional health care as comparable to the general public. Your cooperation, patience, and most of all, courteous and honest behavior is always expected.