FCI Petersburg Medium Medical Care

Sep, 19 11 Post by: admin | No Comments


STATEMENT



The Health Services Unit at FCC Peterburg is available for:

“Sick Call” Emergency Aid Limited Hospitalization (Observation) Routine Medical Care and Consultant Referral Follow-up by assigned Medical Staff


MEDICAL AND DENTAL SICK-CALL



Inmates wanting a “Sick-Call” appointment must be present to the clinics on Monday, Tuesday, Thursday, and Friday. Check your facility for the appropriate times.

A member of the medical staff will request your ID card as proof of identification and verification. An appointment will be given at the time of sign-up.

There will be no routine “Sick-Call” on Wednesday, since this had been reserved for
A&O examinations, which includes: Physical examination Dental Examination
Required Laboratory Tests

Sick calls have a $2.00 co-pay for each visit. Co-pay is automatically deducted from the inmate’s account. There is no co-pay for follow-ups, emergencies or chronic care. Over the counter medications are to be purchased through the Commissary.


PILL LINE OPERATIONS



Only those medications approved by the FBOP will be dispensed at this facility. No personal medications may be sent into either facility. Regular Pill Lines are as follows:

FCC Medium/Low:
A.M. Pill Line 7:00 – 7:30 a.m. Noon Pill Line 11:30 – 12:00 noon or Last Call for the Noon Meal
P.M. 7:00 – 7:30 p.m. Weekends/Holidays A.M. pill line — 8:00 a.m.

FCC Insulin Lines:

A.M. Insulin Line 6:00 – 6:15 a.m.
P.M. Insulin Line 4:30 p.m. or immediately after the 4:00 p.m. Count

***NOTE***The 8:00 p.m. pill line is not for refill/renewal or new prescription pick-up. It is for the administration of pill line medication only*****

Insulin Line – Weekdays: 6:00 a.m. – 6:30 a.m.
4:30 p.m./after count clears
Camp Insulin/Pill Line:
6:15 a.m. – 6:30 a.m.
5:15 p.m. – 5:30 p.m.

Sick call sign up is Monday, Tuesday, Thursday, Friday from 6:30 a.m. – 6:45 a.m. Sick call hours for the Camp are from 6:15 a.m. – 6:25 a.m.


NO SHOWS AND REFUSALS



a.
Although inmates are not required to take any pill line medication or insulin, they are required to report at the appropriate time to the respective line.
b.
An incident report is written for each missed pill/insulin line and the incident report is
taken to the Lieutenant’s Office for further processing.
c.
If an inmate comes to pill or insulin line but refuses his medication, he will need to sign a refusal form.
d.
Inmates should bring their medication bottles for refill during one of the pill line times. Inmates SHOULD NOT leave their medication bottles on the pharmacy window ledge.

MEDICAL EMERGENCIES



Medical emergencies will be determined by the medical staff, but are not limited to “loss of life or limb” situations. Inmates who become ill during the working day, weekends, or after normal sick-call hours, should report to their unit officer or their work supervisor, who will notify medical staff.

Inmates cannot simply appear at the clinic or they will be considered “Out-of-Bounds”, which is a disciplinary offense.


DENTAL SICK CALL



Dental Sick-Call sign-up is available daily, except Wednesdays and weekends, at 6:30 a.m.- 6:40 a.m. at the Medium and Low Clinic and 6:15 a.m.- 6:25 a.m. at the FPC Clinic. Sign up with the Physician’s Assistant and request to be placed on Dental Sick-Call. Do not make both Medical Sick-Call and Dental Sick-Call as your chart must be available during the examination.

Urgent or Emergency Dental Care is a high priority at FCC Petersburg. After normal work hours or on weekends, emergency care will normally be evaluated by the Physician’s Assistant. After normal Sick-Call sign-up, should an emergency occur, the inmate’s supervisor or housing unit officer must call Health Services to explain why treatment wasn’t obtained using prescribed procedure during normal Sick-Call hours. An inmate may not simply appear at the clinic, this is considered “Out-of Bounds”.

Emergency Dental Care implies evaluation of a problem area, placement of a temporary restoration (fillings), extraction of a hopeless tooth, and/or treatment of infection with adequate antibiotic medication.

Emergency Dental Care does not include cleaning or permanent fillings.


ROUTINE DENTAL CARE



Routine Dental Care is provided as staff, time, and resources are available. Routine Dental Care includes radiographs, oral health instruction, dental prophlaxis (cleaning), amalgam or composite restorations, and fabrication of dentures.

Access to Routine Dental Care is controlled through a treatment list. Inmates will be taken from the chronological Dental Treatment Waiting List. Inmates will request placement on the Waiting List by submitting a Cop-Out to the Dental Program. The Dental Program will place the inmate on a chronological list, maintain a copy of the Cop-Out and return a copy to the inmate for his records.

Your name will be placed on Call-Out as it comes to the top of the list. It is very important that you carefully check the Daily Change Sheets. If you miss an appointment following your cleaning you will be removed from the Treatment Waiting List. You will be replaced on the list at the bottom only after submitting another Cop-Out.


MISSED APPOINTMENTS



Due to the number of inmates requesting “Sick-Call”, any inmate who fails to arrive during open movement will be considered “Out-of-Bounds”, have their appointment cancelled and be subject to disciplinary action. In addition, inmates on a “Waiting List” will be removed, and/or placed at the end of the list. Change Sheets (Daily Call-Outs) are to be checked on a daily basis and it is the responsibility of the inmate to check these daily. Your dormitory officer or work supervisor should call the clinic to indicate why you have missed your appointment or failed to arrive during open movement.

SPECIAL NEEDS: EYEGLASSES



Due to safety and sanitation concerns, contact lenses are prohibited by FBOP unless “Opthalmologic” clearance is indicated in the medical record. All inmates needing eyeglasses must be seen on “Sick-Call” and placed on the “Eye Doctor” (optometry) waiting list. All exceptions to this policy must have the clearance of the CD, HSA, or AHSA.

SPECIAL NEEDS: FOOTWEAR



The FBOP and OSHA has established that all inmates will wear steel-toed shoes at work and on the weight pile. Inmates with specials medical needs will be evaluated by the medical staff or placed on “Foot Doctor” (Podiatry) waiting list for evaluation for alternative foot wear. All exceptions to this policy must have the signature of the CD, HSA, or ASHA.

SPECIAL NEEDS: PHYSICAL EXAMINATIONS



All inmates arriving at FCC Petersburg will receive a medical screening during the Intake Screening Procedures at R&D. All newly incarcerated inmates at the FBOP or inmates who do not have a current documented physical examination will be scheduled for an A&O Physical Examination.

A complete physical examination requires:

Laboratory specimens of blood and urine
Chest x-ray (if indicated)
PPD testing for exposure to TB
Dental examination
Eye test
Other testing deeming necessary

The purpose of these examinations is to ensure the health and safety of the general population and to identify and contain the possibility of communicable disease.

INMATES WHO REFUSE TO COMPLY WITH MEDICALLY-INDICATED TESTING OR EXAMINATION WILL BE HOUSED IN SEGREGATED AREAS (CCX) UNTIL IT IS DETERMINED BY THE MEDICAL STAFF THEY ARE FREE FROM ANY HEALTH RISK.

Inmates under the age of fifty years of age may request a physical examination every two (2) years from their last physical examination by submitting an “Inmate Request to Staff Member” to Health Services.

Inmates over the age of fifty are eligible for a physical examination every year by submitting an “Inmate Request to Staff Member” to Health Services. This physical examination may include the above procedures including:

Electrocardiogram (EKG)
Tonometry (Glaucoma Testing)
Rectal Examination
Sigmoidoscope (Internal rectal exam) if indicated

Inmates being released from federal custody may request a physical examination if he has not had one within one (1) year prior to the expected date of release. This request should be submitted at least sixty (60) days prior to the expected date of release.

SPECIAL NEEDS: DUTY RESTRICTIONS



The FBOP’s primary goal is to provide a healthy and safe working condition for inmates and staff. To meet this goal, inmates are required to wear institutionally prescribed clothing, footwear and/or headgear. Inmates with documented medical problems MAY receive a written waiver from the CD, HSA, or AHSA from the institutionally prescribed clothing or footwear. Inmates with multiple medical problems or certain physical limitations may be considered for medical transfer to a facility that can meet their special needs.

EVERY INMATE WILL BE REQUIRED TO ATTEND ESTABLISHED PROGRAMS. INMATES WILL NOT BE MEDICALLY EXCUSED FROM AN ASSIGNED PROGRAM WITHOUT WRITTEN AND DOCUMENTED APPROVAL FROM THE CD, HSA, OR ASHA.

Inmates with Limited-Duty Restrictions, due to an illness or injury, will be issued a Duty Limitation Form. This document will have four (4) copies: 1) maintained in the medical record; 2) maintained by the Unit Officer; 3) maintained by Work Supervisor; 4) maintained by the inmate. Duty limitations must be dated and contain the following:

Type of limitation (s)
Period of time limitation is in effect
Signature of medical staff

Inmates found in violation of limitations will be held responsible and subject to disciplinary actions.

CONSULTANTS AND NON-BUREAU MEDICAL STAFF



Referral to medical consultants are made through the facility medical staff, generally through “Sick-Call.” Consultants provide the Clinical Director (CD) with recommendations only. The final decision to act on any recommendation rests with the CD and the FBOP. Any questions regarding consultant visits should be addressed with the medical staff, CD, HSA, or ASHA.

HIV Information:

HIV testing is for the purpose of evaluating an inmate’s exposure to the AIDS Virus. This testing is required for all inmates prior to furlough, half-way house placement, parole or release. Inmates may request an HIV test due to concerns about previous lifestyles. Submit an Inmate Request To Staff Member to Medical Records, ASHA or the HSA.
Advanced Directives (Living Will):

During life-threatening situations, an inmate can express whether he wants care to be given which will preserve or extend life. Inmates have the fundamental human right to make a decision relating to their own care, including the decision to have life-sustaining procedures withheld or discontinued. However, the Bureau of Prisons remains committed to the principle to provide resuscitative measures within the correctional setting.

Because the institution does not have in-patient services, any inmates wishing to have a Living Will (notarized Advanced Directive), will be provided with the proper paper work to complete and the information will be forwarded in their medical records and transferred with them on any outside visit to a contract hospital. The local hospital may also request their forms to be completed.

The declaration shall be signed by the inmate in the presence of two witnesses. This directive may be revoked at any time.

Administrative:

If you have any questions about the level or type of medical care received at this facility, you may submit a “Inmate Request To Staff Member” or direct your questions to the CD, HSA, or ASHA.

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