FMC Carswell Medical Care

Sep, 19 11 Post by: admin | No Comments


HEALTH SERVICES



The Health Services staff will provide necessary medical, dental, and mental health services to the inmate population consistent with acceptable community standards. For information regarding specific health concerns, examinations, and medical services, please refer to the supplemental Health Services Admission and Orientation Handbook you received during intake screening.

SICK CALL



All inmates have the right to access health care through sick-call procedures. Any inmate desiring medical or dental attention will be responsible for making her own medical or dental sick-call appointment. Sick call is normally held four days a week on Monday, Tuesday, Thursday, and Friday, excluding federal holidays. Patients receive appointment dates and times based on the evaluation of a medical provider. By scheduling sick-call appointments based on medical need rather than inmate request, serious health needs are addressed first and non-urgent health concerns are scheduled for timely, but not necessarily same-day, evaluations.

Medical Sick Call

Hospital and General Population Units: 6:15 – 6:45 a.m., Outpatient Clinic, 2nd Floor

Dental Sick Call

Hospital and General Population Units: 7:00 – 7:30 a.m., Dental Clinic, 1st Floor
You will be required to present your Commissary/I.D. card as a means of positive identification when signing up for a sick-call appointment. After receiving an appointment date and time, you
will report to your assigned work detail. You are responsible for giving the sick-call appointment slip to your work detail supervisor. Incident reports will be written for missed appointments.
Requests for vision examinations should be pursued through sick call. Inmates in the Administrative, Special Housing and Psychiatric Observation Units will be visited daily by medical staff for sick call.

INMATE CO-PAYMENT PROGRAM



Inmates (*except as noted below) must pay a $2.00 co-payment fee per health care visit for requested health care services, which is charged to your Commissary account. 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, you will be charged the co-pay fee.
If you are found responsible, through the disciplinary process, to have injured an inmate who, as a result of the injury, requires a health care visit, you will pay the $2.00 co-pay fee for that inmate.
Co-payment 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
You will not be charged a co-payment fee if a health care provider orders or approves any of the following:
 blood pressure monitoring
 glucose monitoring
$ insulin injections
$ Chronic Care clinics
$ TB (tuberculosis) testing
$ vaccinations
$ wound care
$ patient education
* Indigence : An indigent inmate is an inmate who has not had a Commissary account balance of $6.00 for the past 30 days. If you are considered indigent, you will not have the co-pay fee deducted from your Commissary account. If you are NOT indigent, but do not have sufficient funds to pay 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 Commissary account.

*Inpatients : Patients admitted to inpatient units, such as Unit M1 or the Medical/Surgical I or II Units, will not be charged co-payments for health care services while they are inpatients.

PILL LINE



Most medications prescribed by the medical staff are not restricted and can be picked up at the Pharmacy during the Prescription Pick-Up times listed below. You are required to present your Commissary/I.D. card as positive identification prior to receiving any medications.

Three insulin and pill lines are conducted on a daily basis for the administration of restricted medications, and two Prescription Pick-Up lines are conducted Monday – Friday for the dispensing of medications for self-administration.

FMC (Hospital) Pill, Insulin, and Prescription Pick-Up Times
Weekdays Time Location
Insulin Line 6:00 – 6:30 a.m. Pill Line Room, 1st Floor, Hospital
Pill Line 6:45 – 7:45 a.m. Pill Line Room, 1st Floor, Hospital
Insulin Line 10:45 – 11:15 a.m. Pill Line Room, 1st Floor, Hospital
Pill Line 11:15 a.m. – 1:00 p.m. Pill Line Room, 1st Floor, Hospital
Prescription Pick Up 11:00 a.m. – 12:00 p.m. Pharmacy, 1st Floor, Hospital
Prescription Pick Up 3:00 – 3:45 p.m. Pharmacy, 1st Floor, Hospital
Insulin Line **4:30 – 5:00 p.m. Pill Line Room, 1st Floor, Hospital
Pill Line 5:15 – 7:15 p.m. Pill Line Room, 1st Floor, Hospital
Weekends & Holidays Time Location
Insulin Line 7:00 – 7:30 a.m. Pill Line Room, 1st Floor, Hospital
Pill Line 7:45 – 8:15 a.m. Pill Line Room, 1st Floor, Hospital
Pill Line 11:30 a.m. – 12:00 p.m. Pill Line Room, 1st Floor, Hospital
Insulin Line **4:30 – 5:00 p.m. Pill Line Room, 1st Floor, Hospital
Pill Line 5:30 – 7:30 p.m. Pill Line Room, 1st Floor, Hospital
**4:30 p.m., or after count is cleared.
Inmates may purchase over-the-counter (OTC) medications from the Commissary.

DENTAL SERVICES



Dental Emergencies : Dental emergencies are considered as conditions involving acute pain, infection, swelling, or bleeding. Inmates who develop acute dental issues outside of normal Dental sick-call sign-up times are instructed to report to their work supervisor, a member of their Unit Team, or the Unit Officer. The staff member will then call Dental staff, who will determine what further action should be taken.

After normal business hours (7:30 a.m. – 4:00 p.m., Monday – Friday), institution staff may call a Mid-Level Practitioner or Nurse on duty for further guidance.

Scheduling : After an initial examination, inmates with oral health problems will be offered treatment. If you desire treatment, your name will be placed on the Dental treatment list.

Appointments are scheduled in the chronological order that treatment is requested unless a more urgent need exists. You may also request treatment by making sick call or sending an Inmate Request to Staff Member addressed to Dental Services. Inmate appointments will be printed on the institution=s daily Call-Out.

Oral Health Supplies : Oral health supplies may be obtained through the unit or purchased in the Commissary.

EMERGENCY MEDICAL TREATMENT



Medical emergencies or injuries are seen at any time, and are given priority for treatment.
If you become ill after the regular sick-call appointment sign-up time, or on days when there is no sick call, you should report to a staff member (such as your work supervisor or Unit Officer), who will contact appropriate medical personnel.

NOTE



Inmates should not report to the Outpatient Clinic without an appointment. The Outpatient Clinic is an OUT OF BOUNDS area without an appointment.

ADVANCE DIRECTIVES



All inmates have the right to execute an advanced health care treatment directive or Do Not Resuscitate (DNR) order. For more information concerning advance directives, refer to Institution Supplement 6000.05, Inmate Living Wills and Advance Directives , or contact a staff Social Worker.
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