FCI Sheridan Medical Care

Sep, 19 11 Post by: admin | No Comments


HEALTH SERVICES



It is the policy of the Bureau of Prisons to provide all care and medical treatment during incarceration which is necessary and needed to maintain the health status of the individual. The decision as to appointment time and treatment lies solely with the Medical Staff.

Sick Call Procedures



Routine sick call is held Monday, Tuesday, Thursday and Friday between 6:30 a.m. and 7:00 a.m. Cop-outs will not be accepted in order to be seen for sick call. You must sign up for sick call in person. Sick call is not held on Wednesday. Medical providers use this day to complete scheduled appointments, surgical procedures and specialty clinics. If an urgent or emergent need should arise, medical staff will remain on call and available.

In order to receive any type of medical or dental care you must bring your ID card to with you to Health Services. You will not be seen for sick call or treated without your ID card. Be advised, the provider signing up sick call, depending on the number of inmates requesting to be seen that day, may need to prioritize the requests and limit the number of sick call seen on a given day. Inmates will be triaged and those individuals with non-urgent conditions will be scheduled to be seen at a later date.

All inmates going to sick call whether it’s dental or for medical, must notify his work supervisor prior to sick call. Inmate accountability will be followed at all times. Inmates who fail to keep their sick call appointment or a call-out are subject to an incident report. All other visits to the medical department will be by appointment only (except for emergencies). Should an inmate become ill or injured, a staff member must call Health Services and give details concerning the illness or injury prior to the inmate going to Health Services. Health Services staff will determine whether or not the inmate will be seen at that time or instructed to sign up for sick call on the next scheduled sick call day. If it is an emergency, Health Services will be notified and appropriate care will be provided, including transport to the hospital, if necessary.

Dental Sick Call



Dental sick call is held on Tuesday and Friday at 7:00 a.m. DO NOT send cop-outs requesting a sick call appointment for a toothache, swelling or infection. You must sign up for dental sick call in person. All information outlined in the sick call procedures for Health Services is applicable to seeking dental care.

Co-pays will be charged for all dental sick call services.

If you are interested in receiving routine dental care (which includes hygiene services, permanent fillings, and evaluation for partial or full dentures) you must first fill out a cop-out and send it to the Dental Department. Your name will be placed on the routine dental care list and you will be seen in the order in which it was received. All other complaints or concerns are addressed through sick call.


Fogline Procedures – Medical and Dental



If fogline should occur on a scheduled sick call day and the census count clears BEFORE 8:30 a.m. Sick Call will be announced immediately thereafter. If the count does NOT clear by 8:30 a.m. sick call will NOT be held for that day and you will need to make the next scheduled sick call.

Inmate Copayment Program



Application: 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, except inmates in inpatient status at a Medical Referral Center (MRC).

Health Care Visits with a Fee



You must pay a fee of $2 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 below. 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 below, you will be charged a $2 co-pay fee for that visit. You must also pay a fee of $2 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.

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 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,
Insulin injections,
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.


Indigency



An indigent inmate is an inmate who has not had a trust fund account balance of $6 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 service fees through the Bureaus Administrative Remedy Program (see 28 CFR part 542).

Examination by a Physician



The most efficient way to obtain an examination by a physician or an outside specialist, if necessary, is to sign up for sick call, explain your problem to the P.A. or nurse, and they will refer you to a physician, if your condition warrants it. The Utilization Review Committee must approve all evaluations and procedures by outside specialists. Pre-existing conditions are treated, if they are determined to be medically necessary.

Chronic Care Clinics



Chronic Care Clinics are regular call-outs with a Physician or Physicians Assistant (P.A.) to assess and/or monitor conditions such as high blood pressure, heart disease or diabetes. If you take medications on a daily basis for a chronic disease or condition, you may be placed in a chronic care clinic. If you are not on a clinic list, but feel you should be, please submit a Cop-Out to the Clinical Director or the Health Services Administrator.

Medication Line



Medications will be dispensed at the Pharmacy window two times per day. Inmates who are receiving pill line medications, insulin injections or picking up prescriptions must do so at this time. Medication Line (pill line) will be announced as follows:

Monday-Friday: 6:30 a.m. (when mainline opens) Weekends/Holidays: 8:30 a.m.
4:45 p.m. (when mainline opens) 4:45 p.m. (when mainline opens)
Insulin Line: 6:20 a.m. Weekends/Holidays: 8:20 a.m.
4:30 p.m. (after count clears) 4:30 p.m. (after count clears)
As soon as medication (pill lines) are announced you are expected to go directly to Health Services/Pharmacy. If you arrive late and pill lines have been completed – you will NOT be seen.


Pharmacy



Prescription refills will be requested utilizing the Prescription Refill Request form (Prescription bottles will not be accepted). The request should be submitted 2-3 days before your prescription runs out to permit processing of the request by Pharmacy Staff. Incomplete or inappropriately completed forms will not be processed. Your Request for Refill forms need to be placed in the mailbox outside of Health Services. If you have a medication that has no refills or has expired, you must sign up for sick call and be seen by a provider in order to have your prescription renewed. NO EXCEPTIONS.

Pharmacy Medication Counseling Services



If you have questions concerning your medications, the Pharmacist is available for counseling services during morning pill lines only, Monday – Friday, excluding holidays. Health services staff conducting evening and weekend pill lines are not pharmacists. It is important, if you have questions, to direct them to the Pharmacist for expert advice on your prescription medications.

Routine Physical Examinations



A history and physical exam is performed on all new commitments to the Bureau of Prisons, whether the inmate is a self-surrender or transferee from a county jail or state facility. Routine screening procedures for tuberculosis on a yearly basis using the PPD skin test. Other procedures are done based upon clinical findings during your physical examination.

Inmates over 50 years old may request a yearly health screening. Labs performed include a chemistry panel, complete blood count, thyroid stimulating hormone, free T 4, and a lipid panel. An electrocardiogram (EKG), a screening test for glaucoma, a rectal examination with Hemoccult (a test for blood in the stools), and a Prostrate Specific Antigen (PSA) tests will also be performed. Requests for PSA testing without a rectal exam will not be honored.

Many people request a “complete physical” when they have only one specific concern, or have no concerns or symptoms at all. An examination is only as good as the history you give to the practitioner. If you are under age 50 and have no health problems or concerns, the likelihood of a general physical exam revealing a significant problem is very low. Any inmate scheduled for release may request a physical exam, regardless of age, if they have not had one within the past 12 months of incarceration.

Infectious diseases, such as colds, flu, and skin infections, are easily spread within a crowded environment. Good hygiene is very importantkeep your body, clothes, and areas clean. Wash your hands frequently. Cough into your elbow or upper arm. If you cough or sneeze into your hands, wash your hands. Keep scratches and open areas clean and covered. Dispose of soiled bandages appropriately and wash your hands. Flu vaccinations will be offered each fall.


Infectious Diseases



The Bureau will manage infectious disease in the confined environment of a correctional setting through a comprehensive approach which includes testing, appropriate treatment, prevention, education, and infection control measures.

Inmates may voluntarily request testing for infectious diseases (Hepatitis B, Hepatitis C, and HIV) and sexually transmitted diseases (syphilis, gonorrhea, Chlamydia, herpes, genital warts, etc.). Inmates may request testing via an Inmate Request to Staff Member (BP-S148) form addressed to Health Services. If it is an emergency, inmates are encouraged to present to medical sick call for evaluation.

Mandatory testing is performed when there are risk factors and the test is clinically indicated and/or surveillance testing is required. Inmates must participate in mandatory HIV testing programs.

All inmates will be assessed by a health care professional for clinical signs and symptoms of active pulmonary tuberculosis during intake screening, (i.e., weight loss, chronic cough, spitting up blood, night sweats). Inmates are advised to report to Health Services should they experience any of these signs and symptoms while at FCI Sheridan. These may indicate active tuberculosis, which is a contagious infection and needs to be identified and treated promptly.

Tuberculin skin screening is mandatory for all inmates and is performed at least annually, more often, if clinically indicated. The only exception to mandatory testing are individuals who have tested positive and have verifiable Bureau of Prisons documentation or documented completion of treatment.

Disease Prevention: Influenza, Pneumococcal, Tetanus/Diphtheria, and Measles/Mumps/Rubella immunizations will be provided routinely to inmates in accordance with CDC guidelines and guidance from the Federal Bureau of Prisons Medical Director.

Programming, Duty and Housing Restrictions



Any inmate with an infectious disease will be evaluated for programming, duty and housing. Inmates with infectious diseases that are transmitted through casual contact will be prohibited from work assignments in any area, until fully evaluated and cleared by a health care provider.

Inmates with infectious diseases that are not food borne or transmitted by casual contact; i.e., HBV, HCV, HIV, will not be prohibited from assignment to Food Service based solely upon the diagnosis of the infectious disease. The primary care provider will determine the inmate’s suitability for Food Service.

Over-The-Counter-Medications



Commissary has a wide range of over-the-counter medications. Stock up on those items you routinely need.

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