FCI Oxford Medical Care

Sep, 19 11 Post by: admin | No Comments


MEDICAL SERVICES



A. FCI:

1. A Clinician is on duty from 6:00 a.m.-9:00 p.m. every day. There is a Physician
and a Physician Assistant on call 24 hours a day, every day, on an emergency call-back basis only.
2. Medical and Dental sick-call sign up is from 6:30 a.m. – 7:00 a.m.
It is the inmate=s responsibility to go to sick call first and be triaged. If the morning meal is over by the time you are triaged, Health Services= staff will call Food Service and will make arrangements for a meal.

Sick-call sign up is done through the triage system. Inmates are responsible for completing a sick-call triage form prior to being medically evaluated. The Clinician will conduct a quick triage of the patient, review the inmate’s sick form, and assign a date and time for a scheduled appointment. All medical appointments will range, under normal circumstances, from that day to two weeks.

It is the responsibility of the inmate to watch the call out for his scheduled appointment. If you do not show up for your call-out, you will be issued an incident report for not showing up on time.

Inmates may sign up for sick-call on Monday, Tuesday, Thursday and Friday. There is no sick-call on

Wednesday, Saturday, Sunday, or Holidays. Wednesdays are reserved for physical examinations.

3. Emergencies will be seen anytime. During the day inmates should contact their Job Detail Supervisor or Unit Officer. The Unit Officer will contact the Health Services Unit. The inmate’s supervisor must contact the duty clinician to insure someone is available in the hospital to provide care prior to the inmate coming to the hospital, during the day or after regular working hours and on weekends.

After normal hours, inmates need to contact their Unit Officer in an emergency. No triage forms are needed for emergencies. The Unit Officer will call the Lieutenant=s Office and a Clinician will be contacted.
4. Segregation sick-call starts at approximately 6:30 a.m. each day of the week. At least once a day a health care provider will visit any inmate confined in a lock-down unit, the Special Housing Unit (SHU). The Clinician will attempt to establish verbal contact with each inmate.

Segregation Medical and Dental sick-call

Appointments are made by requesting a sick call form from the unit officer. The Clinician will conduct a quick triage of the patient, review the inmate’s sick form, and assign a date and time for a scheduled appointment. All medical appointments will range, under normal circumstances, from that day to two weeks.

A. Inmate Request Form “Cop-Out”: The inmate request form is the vehicle used by an inmate to initiate dental treatment other than acute care. After reviewing the inmate’s dental records, or by examination of the inmate, the inmate is placed on the appropriate list to begin treatment. Inmates are scheduled from cop-outs or from one of the priority waiting lists. Once an inmate is scheduled he is continually rescheduled if further treatment is indicated; and until treatment is completed. However, each priority list is treated separately. Cop-outs for Dental should be addressed to Dental.

B. Dental Emergencies: Emergency dental care is available on a 24 hour basis. Follow the same procedures as with Emergency Medical Care.

CAMP



1. Sick-call at the Camp will be held Monday, Tuesday, Thursday and Friday. There will be no sick call on Wednesday, Saturday, Sunday, or Holidays. Wednesday is set aside for physical examinations. Sick-call sign-up will be held starting at 6:00 a.m.
2. The Clinical Director/Staff Physician will see referral patients at appropriate intervals.
3. Emergency cases will be addressed immediately. The inmate will notify the work detail supervisor or unit officer of a medical problem. The officer will call the on call Clinician to initiate the treatment process.

4. Dental Sick Call as follows:
a. Fill out a sick call form and present it at triage visit.
b. Dental Sick-Call inmates will be seen at medical triage if inmate suspects infection or dental priority. Routine or non-emergent dental requests can be placed on a cop out to Health Services Unit.

Pill Line Scheduled Times are as follows:
Monday Through Friday- Excluding Holidays.

CAMP FCI
AM PILL LINE 06:00 06:30-07:00
AFTERNOON PILL LINE N/A 11:15-12:00
Drop off / Pick up refills.
EVENING PILL LINE 6:00-6:30 pm 4:45-5:30 pm
Drop off /Pick up refills.
Weekends and Holidays
AM PILL LINE 07:00-07:15 07:30-08:10
AFTERNOON PILL LINE N/A 11:15-12:00.
Drop off/ Pick up refills.
EVENING PILL LINE 6:00-6:30 pm 4:45-5:30 pm
Over-the-counter items may be purchased at the Commissary.
C. Clinician CALL-OUTS:
1. A call-out will be posted for those inmates referred to a Clinician. Inmates will be held responsible for reviewing the call-out sheets daily and being on time for their appointment. If you miss your scheduled appointment or are late an incident report will be written.
2. Inmates who specifically request to see a physician shall be permitted to do so after evaluation by a Clinician. The Clinician will refer the inmate to the physician after review of medical issue. The physician shall schedule the patient for an appointment, as soon as practical in his/her professional judgment.

MEDICAL CONSULTANTS



1. Inmates scheduled to see a medical consultant will be placed on a call-out sheet. Inmates will be held responsible for reviewing the call-out sheets daily and being on time for their appointment. If you miss your scheduled appointment or are late an incident report will be written. If you are housed in a lock-down unit, you will be escorted to the appointment.

PHYSICAL EXAMINATIONS



The Medical Director will ensure the availability of age-specific preventive health examinations (e.g., cancer screening) for the inmate population. Information regarding these examinations will be made available through the A&O process, posted information in the HSU, and individual patient education associated with clinical encounters. The Bureau is not responsible for the cost of physical exams performed by non-Bureau health care staff prior to release from a halfway house.

1. Inmates under 50 years old are eligible for a physical exam every 3 years. Inmates must submit a cop-out to be scheduled by call-out.
2. Inmates 50 years old and older are eligible for an annual physical examination. Inmates must submit a cop-out to be scheduled by call-out. EKG and rectal exam are offered.
3. Inmates may submit a cop-out to receive a physical exam if they are being released and have not had an exam within 1 year of their release date. Clinicians should perform this exam within 2 months prior to the release date.

HEALTH PROMOTIONS and DISEASE PREVENTION PROGRAM



1. Available Programs: The following programs are available:
a. Drug Education (Pharmacy)
b. Wellness Program (Recreation)
c. Chronic Disease Education (Health Services)
d. Preventive Health Care Program (Health Services)
2. Please see a member of the relevant department for more information on these programs.
G. LIVING WILLS and ADVANCE DIRECTIVES:
1. In some circumstances the inmate may decide, when competent to make health care decisions, whether some or all medical treatment modalities which serve only to prolong selected physiological functions should be terminated or not initiated when recovery or cure has ceased to be a possibility.
2. An inmate may make a declaration (living will or advance directive) determining which life sustaining procedures are objectionable to him or her. Living Wills will not be used at FCI Oxford to withhold resuscitative services.
3. Inmates seeking to implement a Living Will and/or Advance Directive shall send a request “cop out” to the Health Services Administrator.

SEXUALLY TRANSMITTED DISEASE/INFECTIOUS DISEASE



1. Inmates will be educated about Sexually Transmitted Disease during A&O and also during the Merry Go Round phase when being released.
2. An Educational HIV videotape will be shown to all participants during the A&O class.
3. A medical staff representative will discuss the Infectious Disease topics of:
a. TB
b. Hepatitis A, B, and C
c. HIV
d. MRSA
4. If you have any questions regarding any of the above topics please place a copout to see your Clinician and they will answer any of your questions.

INMATE CO-PAY



NOTICE TO INMATES
INMATE CO-PAYMENT PROGRAM
Pursuant to the Federal Prisoner Health Care Co-payment Act (FHCCA) of 2000 (P.L. 106-294, 18 U.S.C. ‘ 4048), The Federal Bureau of Prisons and FCI Oxford will provide notice of the Inmate Co-payment Program for health care, effective October 3, 2005.
A. Application: The Inmate Co-payment Program applies to anyone in an institution under the Bureau’s jurisdiction and anyone who has been charged with or convicted of an
offense against the United States, except inmates in inpatient status at a Medical Referral Center (MRC). All inmates in outpatient status at the MRCs and inmates assigned to the General Population at these facilities are subject to copay fees.
B. Health Care Visits with a Fee:
1. You must pay a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you receive health care services in connection with a health care visit that you requested, except for services described in section C., below. If you have questions regarding the fee please see hospital staff. The Trust Fund department has no connection with the fee.
These requested appointments include Sick Call and after-hours requests to see a health care provider. If you ask a non-medical staff member to contact medical staff to request a medical evaluation on your behalf for a health service not listed in section C., below, you will be charged a $2.00 copay fee for that visit.
2. You must pay a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you are found responsible through the Disciplinary Hearing Process to have injured an inmate who, as a result of the injury, requires a health care visit.
C. Health Care Visits with no Fee:
We will not charge a fee for:
$ Health care services based on health care staff referrals
$ Health Care staff-approved follow-up treatment for a chronic condition
$ Preventive health care services
$ Emergency services
$ Prenatal care
$ Diagnosis or treatment of chronic infectious diseases
$ Mental health care
$ Substance abuse treatment
If a health care provider orders or approves any of the following, we will also not charge a fee for:
$ Blood pressure monitoring
$ Glucose monitoring
$ Insulin injections
$ Chronic care clinics
$ TB testing
$ Vaccinations
$ Wound Care
$ Patient education
Your health care provider will determine if the type of appointment scheduled is subject to a co-pay fee.

D. Indigency: An indigent inmate is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days.

If you are considered indigent, you will not have the co-pay fee deducted from your Inmate Commissary Account.

If you are NOT indigent, but you do not have sufficient funds to make the co-pay fee on the date of the appointment, a debt will be established by TRUFACS, and the amount will be deducted as funds are deposited into your Inmate Commissary Account.

Complaints


You may seek review of issues related to health care concerns through the Bureau=s Administrative Remedy Program (see 28 CFR part 542).

Eyeglasses


The following are the steps you may take to receive prescription eyeglasses:
1. Fill out cop out request to optometry.
2. Your name will be added to the consultants list by date received.
3. Watch for call out (this could be several months)
4. Prescription eyeglasses will be provided by policy.
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