The overall Bureau health care delivery system includes local medical facilities and the medical referral centers. On-site emergency medical care is available 24 hours a day, seven days a week.
Hospital Administration offices are located on the 2nd floor of the “B” building. These include the office of the Associate Warden of Clinical Programs, Health Services Administrator, Assistant Health Services Administrator, Director of Nursing, Director of Quality, and the Clinical Director. Access to this area is by pass/appointment only. Inquiries to these individuals may be made through the “cop-out” system.
considered “Out of Bounds,” and disciplinary action may be taken.
After your complaint has been addressed during the sick-call sign-up process, your health care needs will be evaluated by a health care provider. You will then be placed on the call-out to be seen within a time frame based on your health care needs. Inmates will be allowed to report for their appointments in Central Clinic during the appropriate time of movement.
Inmates in detention or segregation are unable to sign up for this procedure. For that reason, a medical staff member makes rounds on the special housing unit at least once every day.
Only medical emergencies will be seen after normal sick call hours. A staff member must contact the medical staff for their approval prior to your arrival in the Central Clinic. A medical emergency is a condition that threatens life, limb, or sight. It is not a house call for a minor problem that can wait until sick-call.
If you are a new commitment to the Federal Bureau of Prisons, you will receive a physical examination within 14 days of arrival.
Inmates under age 50 can request a physical examination every two years, those over 50 can request a physical examination annually. At a minimum of two months prior to being released, you may request a physical examination; however, if you had a physical within less than one year of your release date, we will not do another.
Distribution of medical supplies is every Wednesday from 11:30 a.m. until 12:30 p.m. located in the corridor across from the library.
The pharmacy is located in the main corridor of the “B” building, directly opposite the Lieutenant’s Office. There are designated times for “pill line,” and these times are posted outside the pharmacy window. Weekend and holiday pill-line times are different than on weekdays. Inmates in the Special Housing Unit are provided their medications daily by medical staff staff making rounds.
Inmate identification is required to pick up medications. Over the counter medications are available in the commissary. If you are not indigent, you are expected to buy them and be prepared in case you become ill. If you are indigent, you can request “Inmate Request for Over The Counter Medication” form from the clinic or pharmacy. The form can be dropped off at pharmacy and the pharmacy will provide these medications at no charge, as stated on the form.
Physical Therapy/Occupational Therapy
The Physical Therapy Department (PT) is located on the first floor of the “B” building directly opposite the Dental Clinic. Inmates are referred to the PT department through the physician and physician assistant. This area is off-limits unless on Call-Out.
The Medical Laboratory is located on the third floor of the “B” building. As in other areas, this is a restricted access area to those inmates who do not possess an appointment or a pass.
All laboratory tests must be ordered by an authorized clinician, such as a Physician or Physician’s Assistant. Inmates with lab tests ordered will be placed on call-out in the a.m. in one of two categories. Call-outs with a category of LAB FAST must be fasting (nothing to eat or drink except water) for 12 hours prior to testing. Please drink plenty of water so you do not become dehydrated during the fast period. The other call-out category is CENT LAB. You DO NOT have to fast for this category of testing, as eating
will not interfere with testing ordered for this day.
It is your responsibility to check for Laboratory call-outs on a daily basis; all scheduled call-outs are to be kept. Failure to report to a call-out may result in disciplinary action. If you want to refuse testing, report at the scheduled time and request a Refusal of Treatment Form from a member of the lab staff.
The Radiology Department (X-Ray) is located behind the Central Clinic on the second floor of the “B” building. This is a restricted access area to those inmates who do not possess an appointment or a pass.
Health Information Management (Medical Records)
The Health Information Management Department (Medical Records) is located behind the Central Clinic on the second floor of “B” building. The office is open to inmate inquiries on each regular activity movement, Monday through Friday, 8:00 a.m. to 3:00 p.m. This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
This notice describes the practices of all health services employees and any health professional allowed to enter information into your inmate health record.
Our Pledge Regarding Health Information: The Federal Medical Center at Lexington uses health information about you for treatment, for administrative purposes, and to evaluate the quality of care that you receive. Your health information is contained in a medical record that is the physical property of the Federal Bureau of Prisons. Medical reports must be exchanged freely between Federal and non-Federal health care professionals and other organizations to contribute to a fuller understanding of your physical and mental status. Except as required by law, any record maintained by Health Services Staff that contains your clinical, social, financial, or other data will be treated in a strictly confidential manner and will be protected from loss, tampering, alteration, destruction, unauthorized duplication, and unauthorized or inadvertent disclosure of information.