FCI Safford Medical Care

Sep, 19 11 Post by: admin | No Comments

HOURS OF OPERATION


HOURS OF OPERATION:
The Health Services Department is located behind the Institution Laundry.
ON-SITE MEDICAL COVERAGE
Week Days 6:00 a.m. – 6:00 p.m.
Weekends & Holidays 9:00 a.m. – 5:00 p.m.

Sick call sign-up
6:30 – 7:00 a.m. Mon, Tues, Thurs, Fri

PILL-LINE HOURS

Week Days
7:00 – 7:30 a.m. 11:00 – 11:30a.m. 4:30 – 4:45 p.m.
Weekends & Holidays
4:30 – 4:45 p.m. 9:30 – 10:00 a.m.

HEALTH SERVICES STAFF

HEALTH SERVICES STAFF: The Health Services Staff consists of a Clinical Director, Dentist, Health Services Administrator, Physician Assistants, Registered Nurses and Health Information Technician. Outside consultants are also available and referrals to those consultants will be determined by the Clinical Director.

Each inmate, upon arrival, will be assigned a Primary Care Provider, who will be responsible for their medical care throughout their stay at FCI Safford.

Health Care FEE

Health care visits with a fee: 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, exceptions will be listed below. You will be charged a fee for 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 below, you will be charged a $2.00 copay fee for that visit. 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. You will not be charged a fee for: Health care services based on health care staff referrals, health care staff-approved follow-up treatment for a chronic condition, preventative health care services, emergency services, diagnosis or treatment of chronic infectious diseases, mental health care, or 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 and chronic care clinics, TB testing, vaccinations, wound care or patient education. Your health care provider will determine if the type of appointment scheduled is subject to a copay fee. If you are considered indigent, you will not have the copay fee deducted from your Commissary Account. An indigent inmate is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days.

SICK CALL (Medical and Dental)

SICK CALL (Medical and Dental): A physician and/or other qualified health care practitioner shall provide routine sick call on four regular work days per week, unless there is a holiday involved. Inmates who attend sick call will be triaged or wait to be seen if indicated. Emergency services will be available at all times, 24 hours a day, seven days a week.
For those inmates whose custody status precludes attendance at regular sick call, Health Services Staff shall provide sick call services seven days a week.

Inmates who attend sick call will be triaged and then given an appointment for the scheduled return visit to the Health Services Unit if indicated. The inmate will present this appointment time to his housing officer or detail supervisor to validate the need for returning to the Health Services Unit.

Individuals who become sick or injured after routine sick call, on weekends, holidays, or evenings should request that their unit officer or work supervisor call the Health Services Department for an appointment or the Operations Lieutenant if no Health Service Staff are available. DO NOT GO DIRECTLY TO THE HEALTH SERVICES DEPARTMENT WITHOUT PRIOR APPROVAL BY THE MEDICAL STAFF.

ROUTINE DENTAL TREATMENT

ROUTINE DENTAL TREATMENT: Routine dental treatment is available for sentenced inmates as resources of staff, time, and materials are available. Routine dental care is elective and an inmate may request the care through oral health instruction, indicated prophylaxis and other periodontal treatment, endodontic and restorative treatment. Inmates must submit a cop-out to the Health Services Department. Copayment fees are assessed for dental services according to policy.

PHYSICAL EXAMS

PHYSICAL EXAMS: Health Services Staff will complete physical examinations within 14 days of your arrival. This examination includes medical and mental health evaluation, dental examination and ordering of appropriate laboratory tests or diagnostic tests as clinically indicated. The Admission and Orientation (A&O) physicals are routinely performed on Wednesdays. It will include pertinent history, eye testing, dental examination and hands on physical examination. Periodic Health Examinations will be available for age specific inmates as determined by individual patient clinical encounters and Preventative Healthcare Guidelines. An inmate being released from the system may request a medical evaluation if he has not received one within one year prior to the expected date of release. Release physicals should be conducted within two months prior to release.

MEDICAL RESTRICTIONS

MEDICAL RESTRICTIONS: Occasionally, it is necessary to restrict an inmate’s work and activities for health reasons. The following categories are used:

A. Medical idle/quarters – The patient is required to stay in his cubicle, leaving the area only for meals, bathroom, required pill lines, count, and scheduled religious services. ALL OTHER AREAS AND ACTIVITIES ARE RESTRICTED. ABSOLUTELY NO RECREATIONAL ACTIVITY IS ALLOWED.

B. Medical convalescence – The patient is not required to work, but must remain in the dormitory during NORMAL working hours, except for medications, meals, and scheduled religious services. Recovery period for operation or injury not to exceed 14 (fourteen) days. ABSOLUTELY NO RECREATIONAL ACTIVITY, unless specified by the clinician.

C. No duty – This is a recovery period for an operation or injury not to exceed 30 (thirty) days. Full institution privileges are allowed. Recreational activity may or may not be allowed.

D. Restricted duty – Inmate is restricted from certain types of work or work areas due to medical limitations. Restrictions will be specific. When placed on restricted duty, the Medical Staff will provide copies of the status report to the work detail, unit staff, and the control center.

E. When placed on lower bunk, an automatic athletic restriction will occur.

MEDICATIONS

MEDICATIONS: Medications prescribed by the Health Services Personnel are dispensed at the Pharmacy (pill line) at the posted pill line times. YOUR I.D. CARD IS REQUIRED FOR MEDICAL PICK UP.

During institution triage/sick call, medical staff will refer inmates to the commissary in response to complaint related to cosmetic and general hygiene issues or minor medical ailments. Inmates without funds can obtain an OTC (over-the-counter) request through referrals by the health care provider. However, most OTC’s must be purchased at the Commissary.
IMMUNIZATIONS: The Bureau of Prisons follows the recommendations of the Centers for Disease Control for immunization schedules and doses. The Preventative Health Care Program Statement outlines all immunization recommendations for inmates. Health Services Staff shall maintain the immunization record in each individual health record. Upon request, the Medical Department may provide inmates with records of the immunizations which they received during their commitment for their use following release. The hepatitis vaccine is offered to all inmates who work in high-risk identified areas.

SPECIALTY CLINICS

SPECIALTY CLINICS: The Health Services Unit shall conduct specialty clinics as necessary and appropriate. Clinics will be conducted on an as needed basis, but at least quarterly. A physician/physician assistant will evaluate a patient requiring ongoing medication and follow-up at least every 180 days. The Health Unit Staff will identify those inmates with specific chronic disease requiring follow-up specialty care.

EYEGLASSES

EYEGLASSES: The Bureau of Prisons shall furnish prescription eyeglasses to any inmate requiring them. Inmates may retain eyeglasses possessed by them at the time of admission. Contact lenses will not be allowed unless on the recommendation of an ophthalmologist in consultation with the Clinical Director and the Health Services Administrator when medically necessary. Health Services Staff shall determine whether an inmate possessing contact lenses on admission may retain them for use. Maintenance supplies will be provided if the inmate requires contact lenses due to a medical condition.

RISK & UTILIZATION COMMITTEE

RISK & UTILIZATION COMMITTEE: This committee is chaired by the Clinical Director and includes the Health Service Administrator. The committee reviews all outside diagnostic studies, consultant referrals and surgeries, both elective and medically necessary. A written response will be forwarded to the inmate notifying the inmate as to the decision. The response will include the estimated completion time and if denied the reason for denial.

ADVANCE DIRECTIVES/LIVING WILL

ADVANCE DIRECTIVES/LIVING WILL: Inmates will be offered the option of signing an Advance Directive. A copy of this declaration will be made part of the health record. The advance Directive will follow the guidelines of the Arizona Living Will Act and accompany the inmate to an outside health care facility and will be honored in that facility.
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