Sick Call Appointments
Any inmate in general population who wishes routine medical, dental or mental health care must come to the Health Services Unit between the hours of 6:00 a.m. – 6:30 a.m., Monday, Tuesday, Thursday or Friday to obtain an appointment. Wednesday is reserved for A&O physical. Yuma ANNEX inmates will sign with the Unit officer from 6:30 a.m.-7:00 a.m., Monday, Tuesday, Thursday and Friday. Yuma ANNEX inmates will remain in the unit until the health care provider (Physician Assistant/Nurse) reviews the sick call list. Appointment times will be prioritized according to the seriousness of the problem. No routine appointments will be given after this hour.
Acute illnesses and injuries will be attended as they occur.
Emergency Medical Treatment
All emergencies or injuries will be attended to as they occur. Outside emergency medical care is available for those cases beyond the scope of the institution Health Services Unit. Inmates who become ill after the sick call appointment sign up period should request the Detail Supervisor or Unit Officer to call the health care provider (Physician Assistant/Nurse) at Health Services for an appointment.
Evening, Weekend and Holiday Schedule: Medical coverage on evenings, weekends, and holidays is for the treatment of acute medical problems only. Medical staff are on duty from 6:00 a.m.- 11:00 p.m., on weekdays, and from 6:30 a.m.-10:15 p.m. on Saturdays, Sundays, and Holidays. Any medical problems during off hours, the inmate will notify the operations lieutenant who will notify medical staff on call.
Medications – Pill Line: Pill line (controlled/restricted medications) will be dispensed at the following times:
6:00 a.m. – 6:30 a.m. (Breakfast movement time)
11:45 a.m. – 12:15 p.m. (Noon meal movement time) Insulin Line – after the 4:00 p.m. count is cleared
8:15 p.m. – 8:30 p.m.
Over-the-counter (OTC) items (aspirin, Tylenol, cold pills, antacids, lozenges, etc.) may be obtained from the commissary four days a week. All inmates are allowed to purchase OTC medications on: Monday, Tuesday, and Thursday, between 2: p.m. to 2:30 p.m., on Fridays, between 10:45 a.m., and 12:00 p.m., or until the mail line is secured. Once a week, inmates can also purchase OTC medications on their shopping days after the 4:00 p.m. count.
Dental examinations and treatment will be provided as outlined for sick call appointments in addition to call-outs. For a dental emergency after regular sick call, your Work Detail Supervisor or medical staff will respond accordingly.
All inmates received at FCI Phoenix will be given a medical screening during the time they are processed into the institution through R&D. Full physical for new commitments will be administered during your first two (2) weeks at FCI Phoenix. Repeat physical examination may be requested (via COP OUT) every 2 years for inmates younger than 50 years, and once a year for inmates older than 50 years. Release physicals will be offered and should be requested via COP OUT (Inmate Request To Staff Member) at least two months prior to the release date.
INMATE SMOKING CESSATION PROGRAM
The purpose of the Inmate Smoking Cessation Program is to help inmates stop smoking. In order to advance to the goal of becoming a clean air environment and protect the health and safety of inmates, the Bureau of Prisons does restrict areas and circumstances where smoking is permitted within the institution.
Medical and public health authorities have demonstrated the hazards of tobacco smoke. Of particular concern are the risks posed to nonsmokers by passive inhalation of environmental tobacco smoke. (ETS) The Surgeon General has concluded that scientific research indicates that secondhand tobacco smoke is a cause of lung disease in otherwise healthy nonsmokers.
Inmates wishing to sign up for the Smoking Cessation Program may do so during sick call. Nicotine Replacement Therapy (NRT) patches will be sold in the commissary only to inmates who possess a NRT Approval form issued from Health Services. This authorization allows an inmate to purchase a 14 day supply of NRT patches at a time, over a six to ten week period, after counseling and a review of the inmates medical history. Inmates may initiate or continue patch therapy while housed in SHU unless medical or correctional information suggests the inmate will not use the patches appropriately while house in SHU.
Recommendations will be made for expanded support services such as self help workbooks, reading materials, and/or audio visual aids which promote smoking cessation. These materials will be made available from Psychology Services and/or the institution Smoking Cessation Coordinator, and through Unit based group counseling sessions.
Request eye examinations through the sick call process. If eye glasses are deemed needed, a prescription is obtained and the BOP sends the prescription to UNICOR at Butner. Those wanting to have their family fill the prescription may obtain a package request through their unit team, fill out properly and with a value less than $100.00, and medical services will attach a copy of the prescription to the request. All eye glasses sent to the inmate without the properly filled request form will be returned to the family.
Living Wills/Advanced Directives
If you should wish to make advance directive and/or a living will, make an appointment with the Legal Department so the form can be filled out. A copy of this document will be placed in the inmate’s medical records and sent with the inmate when admitted to the contract hospital. Living wills and advanced directive cannot be honored in our institutions, but the outside hospitals and medical centers will follow their guidelines on executing your living wills and advanced directives according to their by-laws. You may cancel your living wills and advanced directives at any time.
INMATE COPAYMENT PROGRAM
The inmate copayment 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. A fee of $2.00 for health care services, charged to the inmate Commissary Account, per health care visit that the inmate requested.
SPECIAL PROCEDURES AND TESTS
Should you have any questions regarding a laboratory or x-ray procedure, contact the individual who ordered the test or schedule a routine sick call appointment to discuss the results.
There is an increased personal risk factor of being exposed to the Human Immunodeficiency Virus by behavior which includes: I.V. drug use, tattooing, and homosexual behavior. You are discouraged from engaging in such activities. All inmates who have engaged in any of these high risk behaviors are encouraged to have an HIV test performed. This can be requested during your physical examination or on routine sick call.
ACTIVITY OR DUTY RESTRICTIONS
Restrictions applying to your level of activity or work are authorized by the medical staff at the time of your appointment. This same method is used in acquiring or maintaining orthotics, such as braces, crutches, canes, prosthesis, etc. Any questions regarding duty status assignments/restrictions or the use of orthotics should be directed to the authorizing medical staff member or via a sick call appointment. The fitting of regular institution shoes is addressed by Laundry. Due to security concerns, certain limitations will apply for those inmates housed at SHU or Yuma ANNEX.
CONSULTANTS AND NON-BUREAU STAFF
Referrals to specialty consultants are reviewed by the Utilization Review Committee. Specialty consultants provide the Clinical Director with recommendations. The final decision to act upon their recommendations rests with the Clinical Director.
MEDICAL RECORDS REVIEW OR COPIES
Any inmate wishing to review or have copies made of his medical record should submit a cop out to the Medical Records Office. You will be advised of any other action that you must take or the time frame in which this will occur. If the amount of copies exceeds the allowable limit, the inmate will be charged for the requested copies (in accordance to Program Statement 6090.01 Health Information Management).
If you are not ill, but have questions concerning routine health care, you may direct your questions to the Health Services Staff during mainline or request the information via cop-out.
Commissary items: There are a number of over-the-counter medications on the commissary list that you can purchase 4 days a week at 3:30 p.m. All you have to do is tell them you are buying over-the-counter medications and the items should be sold to you. These items are antacids, Tylenol, aspirin, vitamins, hydrocortisone creams, etc.
The International Association for the Study of Pain defines pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.
The purpose of this policy is to provide guidelines for the education, assessment, management, and reassessment of pain. FCI Phoenix supports the patients’ right to have pain assessed and managed appropriately.