FCI Tuscon Medical Care

Sep, 19 11 Post by: admin | No Comments


HEALTH SERVICES

ID cards are required at all times in Health Services

SICK CALL/TRIAGE



All inmates have the right to access medical and dental care. At FCC Tucson, inmates use sick call to request appointments. You must report in person to sick call triage in the Health Services Unit. Medical and dental staff will triage inmates during sick call sign up and will schedule appointments as clinically indicated. Some will be evaluated immediately; most will be scheduled for appointments at a later date.

FCI Sick Call/Triage: Monday, Tuesday, Thursday, Friday

Yucca Unit: 0600-0630 hours, on your way to the breakfast meal

General Population: 0630-0700 hours, on your way to the breakfast meal

USP Sick Call/Triage: Monday, Tuesday, Thursday, Friday at 0600-0630 and 0630-0700 hours. You will report as your unit is called for the breakfast meal.

Camp Sick Call/Triage: Monday, Tuesday, Thursday, Friday, immediately after Insulin Line and Pill Line, at approximately 0615-0645 hours.

Special Housing Units (FCI & USP) and Cholla Unit: Medical staff will make rounds each day, in the morning. You may submit a written sick call request to medical staff on Mondays, Tuesdays, Thursdays and Fridays.

COPAYMENTS



Since October 3, 2005, all BOP inmates must pay a $2 copayment for patient-initiated health and dental care 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 FCC Tucson follow Program Statement 6031.02, Inmate Copayment Program, dated August 15, 2005. Inmate must pay a fee of $2.00 for health care services, charged to their Inmate Commissary Accounts, if the inmate receives health care services in connection with a health care visit he/she requested, except for services described below.

Copay fees will not be charged 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 approved any of the following, you will not be charged a copay fee:
* blood pressure monitoring
* glucose monitoring
* insulin injections
* chronic care clinics
* TB (tuberculosis) testing
* vaccinations
* wound care
* patient education

Per PS 6031.02, an indigent inmate is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days and will not be charged a copayment. Inmates who are not indigent, but have spent all of their money will incur a debt that will be paid as soon as funds are deposited into their Inmate Commissary Accounts.

If you are found guilty of a fight or assault, you may be charged a copayment for your injury assessment and for the victim’s injury assessment. Missed appointments may be charged a copayment fee!


PHYSICAL EXAMINATIONS



Newly committed inmates will receive a complete physical examination and dental examination within two weeks of arrival at a Bureau institution and a dental examination within 30 days. Medical staff will review the records of transferring inmates to ensure they are complete, immunizations are current and SENTRY information is accurate. Transferring inmates will receive a physical, if needed.

Pre-Release Physical Examinations: Inmates may request physical examinations prior to release by submitting an Inmate Request to Staff (copout) to the Health Services Administrator about 60-90 days prior to your projected release or transfer to residential reentry center (halfway house) date.

Periodic Physical Examinations: Will be offered as clinically indicated. See charts in the back of your A&O Handbook for more details about what is included in Preventive Health Program for Men and for Women. Typically, these studies will be ordered by medical staff during chronic care clinic appointments. If you are not assigned to chronic care clinic, you may request periodic physical examinations through sick call.

Female Inmates Only: Gynecological examinations will be offered to inmates annually. Mammograms will be offered as recommended by the American College of Obstetricians and Gynecologists.


CHRONIC CARE CLINIC



Shortly after your arrival, your assigned physician will evaluate you to determine if you should be placed in a chronic care clinic for regular monitoring of your medical condition (high blood pressure, asthma, heart disease, diabetes, infectious disease, etc.). Inmates in chronic care clinics are evaluated by medical staff at least every 180 days, or more often, if clinically indicated.

MEDICAL AND DENTAL EMERGENCIES



Emergency medical and dental services are available at all times. Emergencies or injuries will be given priority treatment. Life-threatening situations or other medical conditions requiring immediate treatment after sick call sign up (or on non-sick call days) should be reported to a staff member, who will then contact appropriate medical personnel for instructions, depending upon the nature of the emergency. If it’s not a true, life-threatening emergency, you will be charged a copayment!

DENTAL SERVICES



The Commissary sells all necessary supplies for you to perform self dental hygiene and dental care as recommended by Dental Services staff. During your A&O dental examination, Dental Services staff will evaluate you and inform you about the condition of your oral health, including what work needs to be performed. Per Bureau policy, you must then request routine dental care by submitting an Inmate Request to Staff addressed to Dental Services. Our goal is to perform a complete dental prophylaxis for each newly committed inmate within his/her first year of incarceration. At the time of the cleaning, you will receive complete instructions about proper dental care/oral hygiene.

IMMUNIZATIONS



Routine immunizations (tetanus, pneumococcal, influenza, measles, mumps, and rubella) are given according to recommendations of the Centers for Disease Control.

Hepatitis B vaccinations are offered to inmates assigned to certain work details, such as blood and body fluid spill clean up crew and plumbing detail workers.

COMMUNITY MEDICAL SERVICES and UTILIZATION REVIEW COMMITTEE



A wide range of health care services, diagnostic tests and contract specialty consultant services are available at FCC Tucson. When a patient requires medical services not available in the institution, he will be referred to a community medical facility for care.

If a healthcare provider refers an inmate for medical care outside the scope of what is available at the institution and by institution staff, his case will be referred to the Utilization Review Committee to ensure the referral is appropriate. If approved, the inmate will be scheduled for services by the consultant. The Utilization Review Committee will notify the inmate in writing whether the consult was approved or denied.


PHARMACY, PILL LINES & INSULIN LINES



Normally, when you receive a prescription, you will pick it up during the Prescription Pick Up Line and be able to take it to your room. Some medications must be administered dose by dose at pill line. You must present your identification card and state your name and register number or date of birth or other identifier to receive medications.

Inmates in Special Housing Units (SHU) and Cholla Unit will receive insulin and medications as staff make rounds each morning and evening. Self-carry medications may be more limited in SHU than in general population housing units.

Weekdays Weekends

FCI: Insulin Line, followed by Pill Line & Pick Up
Yucca Unit 0600-0630 hours 0700-0730 hours
General Population 0630-0700 hours 0730-0800 hours
Yucca Unit 1630-1700 hours 1630-1700 hours
General Population 1700-1730 hours 1700-1730 hours
Camp: Insulin Line, Prescription Pick Up & Pill Line
0600-0615 hours 0615-0630 hours
1530-1545 hours 1530-1545 hours
USP: Insulin Line, followed by Pill Line & Pick Up
Side 1* 0545-0615 hours 0615-0645 hours
Side 2* 0615-0645 hours 0645-0715 hours

*As your unit is released for the meal, report first to insulin line, then Food Services. Diabetics will receive insulin before pill line only inmates receive medications. North side and South side units alternate monthly for meal rotations.

Insulin Line

Side 1* 1630-1700 hours 1630-1700 hours
Side 2* 1700-1730 hours 1630-1700 hours
*As your unit is released for the meal, report first to insulin line, then to Food Services.

Pill Line

Side 1* 1930-2015 hours 1930-2015 hours Side 2* 2030-2115 hours 2030-2115 hours
*As your unit is first recalled from recreation, report directly to Pill Line.

Prescription Pick Up at the USP: Pick up self-carry (keep-on-person) medications from the pill line window as you leave the dining hall from the mid-day meal, weekdays only. This window will stay open for 10 minutes after inmates are recalled from Food Services.
1045-1100 hours
1115-1130 hours
1215-1230 hours

OVER-THE-COUNTER MEDICATIONS (OTC)



OVER-THE-COUNTER MEDICATIONS (OTC) are available for purchase from the Commissary for acute, minor ailments, such as occasional constipation, seasonal allergies, gastro-intestinal upset, dandruff, Athlete’s foot, acne, chapped lips, dry skin and muscle ache from physical exertion. Health Services staff have consulted with Commissary staff to identify OTC medications stocked in the Commissary. The Health services Administrator and/or Pharmacy Services staff serve on the institution’s Commissary Committee and monitor medications sold by Commissary.

We encourage each inmate to plan in advance for future OTC needs. However, FCC Tucson’s Commissary allows inmates to purchase OTCs at any Commissary shopping time. Remember, if you buy OTC medications during a Commissary Line that is not your normal assigned shopping time and you include other items on your order, your whole order will be denied.

Indigent inmates (as defined previously under the copayment section) may obtain certain OTC medications through Pharmacy Services. Pick up form BP-S788 Inmate Request for Over-the-Counter Medication from the Pill Line window. Complete the form and return to Pill Line staff (at the USP, place in the box by the Pharmacy window) by 0800 hours on your unit’s designated day and pick up the indigent OTC medications during the next day’s Pill Line or Prescription Pick Up Line.

FCI: Drop off completed indigent OTC requests to morning Pill Line on Tuesday. Pick up OTC medications on Wednesday.

FCI SHU and Cholla Units: Give indigent OTC requests to medical provider conducting sick call triage on Tuesday day and receive them on Wednesday

Camp: Give indigent OTC requests to medical provider conducting sick call triage on any day and pick up the next business day.

USP: Drop off indigent OTC requests on Wednesday. Pick up OTC medications on Thursday.

USP: Give indigent OTC requests to medical provider conducting sick call triage on Wednesday day and receive them on Wednesday.
Indigent inmates may receive a maximum of two OTC medications per week. OTC medications available to indigent inmates include only:

Name of medication Monthly Maximum Quantity Allowed
Acetaminophen, 5 grams 100 tablets
Aspirin, 5 grams 100 tablets
Chlorpheniramine, 4 mg 96 (24 tablets per request)
Hydrocortisone cream 0.5% 1 tube
Mylanta II/Maalox Plus Liquid 12 ounces
Milk of Magnesia 12 ounces
Psyllium Muciloid Powder SF 14 ounces
Selenium 1% shampoo 4 ounces
Simethicone 80 mg 100 tablets
Tolnaftate 1% cream 15 grams

HIV TESTING



Testing for the Acquired Immune Deficiency Virus (HIV) is available at your request. You will receive and HIV test if you are a new commit or there is no documentation in your medical record for transferred inmates. HIV testing is required prior to your release from Bureau of Prison’s custody.

MEDICAL RECORDS



All medical records are the property of FCC Tucson and the Federal Bureau of Prisons. If you desire to review or obtain a copy of your releasable health records, please submit an Inmate Request to Staff (copout) to Medical Records. If large volumes are requested (more than 240 pages a year), you may be charged. Medical Records staff will discuss charges with your before making copies. Medical Records needs a minimum of 30-90 day turnaround time for processing records requests, due to the huge volume of requests.

IDENTIFICATION



You are required to present your identification card as a means of positive identification when receiving medications, making a sick call appointment or reporting to the Health Services Unit for any reason. For many medical services, you will also be required to state additional information, such as your date of birth, register number, middle name or housing unit.

DRESS CODE



You are required to be in inmate uniform for all scheduled appointments in Health Services.

CALL OUTS



Most Health Services appointments (except sick call/triage) will be listed on the Call Out. Be on time! If you have not reported to Health Services at the end of the correct movement, based on your appointment time, you may receive an incident report.

If you have conflicting Call Out appointments, it is your responsibility to notify Health Services staff in advance, so alternative arrangements can be made. You may notify Health Services staff by informing your Unit Officer, detail supervisor or other staff member to contact Health Services staff for instructions.

There are two different Call Outs for Laboratory Services.

LAB


No special instructions. Report to the appointment on time.

LABFAST


This appointment requires you to fast before the test, meaning do not eat or drink anything after midnight the night before your Call Out appointment.

MEDICAL DUTY STATUS/MEDICAL RESTRICTIONS


Health Services staff do NOT assign inmates to work details. Only the Unit Team can assign work. During your initial physical examination or other medical appointment, healthcare providers will determine if you have medical restrictions, such as a lower bunk, weight lifting restriction, etc. We will inform your Unit Team through SENTRY medical duty status assignments and will give you a copy of the BEMR medical duty status to keep.

Sometimes, healthcare providers will determine an inmate should not be allowed to work for an extended period of time. Medical staff may place the inmate on Medical Idle or Medical Convalescence status.
Medical Idle: Maximum of three calendar days for recuperation from an acute illness or injury. The inmate is restricted to his/her quarters except for meals, religious services, and medical call-outs or pill lines.

Medical Convalescence: Maximum of 30 calendar days for extended recuperation from an illness, injury, or surgery. Convalescence is specifically indicated to facilitate recuperation by not subjecting the inmate to the rigors of his/her job assignment, or to minimize the risk of injury to the inmate, other inmates, or staff at the work site due to the inmate’s medical condition.
Inmates on convalescent status may attend other programs including education classes, drug awareness programs, etc. Restrictions on recreational activities may be written on a case-by-case basis. (For example, an inmate who is rehabilitating from orthopedic surgery may need access to the recreation facilities to walk, or to do specific exercises prescribed by their health care providers.)

EYEGLASSES



Prescription eyeglasses will be provided by the BOP, after examination by a consultant optometrist. To request an optometry examination, you may report to sick call to request to be scheduled or you may submit an Inmate Request to Staff to the Health Services Administrator. Contact lenses are approved only for eye conditions that REQUIRE contact lenses and must be approved by the Clinical Director.

Inmates may request to receive prescription eyeglasses from outside of the BOP at their own expense by:

Request an Authorization to Receive Package form from the Medical Department.

When you receive the pink and goldenrod copies of the approved package authorization form, send both copies to the person or company who will mail you prescription eyeglasses.

It is your responsibility to make arrangements with someone on the outside to purchase and to send you prescription eyeglasses at your own expense.

When the prescription eyeglasses arrive, they will be inspected by Health services staff to ensure they meet BOP guidelines. If so, they will be issued to you.


EYEGLASS REPAIR



If your BOP eyeglasses need repair, report to sick call. Inmates wishing to repair their personal (not from the BOP) eyeglasses must contact the Medical Department to assist them with sending their personal eyeglasses out for repair and back to the institution at the inmate’s own expense.

ADVANCED DIRECTIVES



You have the right to initiate an advance health care treatment directive, health care proxy or Do Not Resuscitate (DNR) order, which inform medical providers of your treatment wishes, should you be incapacitated and unable to express your wishes. Advance directives only become effective when you are diagnosed with a terminal illness. They will not be invoked while you are housed at FCC Tucson, but could be initiated if you are transferred to a community hospital or BOP medical referral center.

The Institution Supplement for Inmate Living Wills and Advance Directives is located in the Inmate Law Library. It includes a thorough explanation about health care proxy, advances directives, living wills and DNR orders. It also includes a copy of Arizona State Law and sample forms to use.

OPEN HOUSE



Medical Managers (HSA, AHSA) are available during Main Line (the noon meal in Food Services) most normal business days, so you can address medical concerns there. At the camp, Medical Managers visit Main Line once a week.

If you are still not satisfied, you may submit an Inmate Request to Staff (cop out) to resolve your concerns. Then, you may file an informal grievance (sometimes called a BP-8) or a formal grievance, called an Administrative Remedy or BP-9, which Unit Team staff will explain in detail.


HEART HEALTHY MEAL OPTIONS



Heart healthy selections are available in Food Services. You must request the heart healthy selection when you get your tray. Nutritional information is usually available to assist you in choosing healthy foods.

HEALTH PROMOTION, DISEASE PREVENTION AND FITNESS OPPORTUNITIES



The Recreation Department offers numerous opportunities for health promotion, including physical activity and exercise. Health Services staff encourage you to participate in regular physical activity.

Endurance (aerobic) activities, such as walking, jogging, basketball, exercise bikes, etc. should be performed at least 5 times a week for 30 minutes to prevent heart disease.

Strength activities, such as calisthenics, yoga and weight lifting should be performed once or twice a week to maintain strength and bone density.

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