FMC Rochester Medical Care

Sep, 19 11 Post by: admin | No Comments


Health Services



FMC Rochester’s mission as a Medical Referral Center is to provide competent and appropriate medical, dental, and behavioral health care to inmates while protecting society by confining offenders in a humane, secure, and cost-efficient environment.

Inmates



You have the right to receive health care while in the custody of the Federal Bureau of Prisons. Please see Attachment H, Health Care Rights and Responsibilities.

Staff



Health Services staff at FMC include physicians, a dentist, dental assistants, nurse practitioners, physician assistants, nurses, pharmacists, pharmacy technicians, a radiological technician, physical therapists, laboratory technologists and a respiratory therapist. Administrative and support services staff complement the professional healthcare staff.

Physical Examinations



All newly committed general population inmates receive a complete physical examination within 14 days of admission. Behavioral Health D&O, Forensic and Residential Services inmates receive a physical examination within 7 days of admission. Long Term Care and Behavioral Health inpatient inmates receive an appropriate physical within 24 hours of admission. This exam consists of clinically needed laboratory testing, HIV screening, hearing and vision screening exams, a tuberculosis skin test (TST) and a physical examination. Diagnostic procedures relating to potential communicable diseases are mandatory for the protection of the patient as well as to determine the need for testing.

An inmate who refuses these tests will be isolated for an appropriate clinical period of time as determined by the medical staff. Inmates who are being referred here from other BOP institutions may have most of the above testing already done. Your medical records will be reviewed.

In addition to the regular exam, inmates age 50 and over will be offered a glaucoma test, an electrocardiogram, testing for rectal bleeding, and a prostate exam.

Periodic health examinations will be available based on age specific guidelines. This preventive assessment can be requested through the sick call triage process. You may request a medical evaluation if you have not had one, within one year prior to your release date. It should be conducted two months prior to your release date.

Immunizations



Routine immunizations are given according to the Center for Disease Control (CDC) recommendations. Influenza vaccine will be offered annually for all inmates. Health records will be reviewed for Tetanus and Pneumovax vaccines. Inmates with certain job assignments or health risks will be offered the Hepatitis B vaccine. Upon request you will be furnished with a copy of your immunization record for your use following release.

Sick Call Triage



You have the right to have access to Sick Call Triage. With this right you have the responsibility of signing up for Sick Call Triage. Sick Call Triage is held Monday – Thursday (except holidays) for Work Cadre Inmates. You must sign up at the 9-1 Ambulatory Care Department from 7:00 a.m. – 7:30 a.m. You will be assessed and assigned an appointment on that day or a subsequent day. If you show up after 7:30 a.m. you will not be seen and must report back to your work detail. Ambulatory Care inmates (Building 10) may sign up for Sick Call Triage Monday – Thursday from 6:00 a.m.- 7:00 a.m. at the 10/1 nurse’s station. They will also be assessed and assigned an appointment date and time. Behavioral Health inmates may sign up for Sick Call Triage 7:00 a.m. – 7:30 a.m. at the Physician Assistant’s (PA) office Monday – Thursday (except holidays).

Dental Triage


Inmates with acute dental problems should sign up for Dental Triage at the Dental Clinic in Building 9, first floor, between 7:00 a.m. – 7:20 a.m. Routine dental care requests should be submitted by an Inmate Request to Staff Member form to the Chief Dental Officer.

Urgent and After Hours Medical Care: Urgent and after hours medical care is available at all times. Contact your unit officer or detail supervisor if you feel you need emergency care. Ambulatory Care inmates (Building 10) will report to the nurse’s station between 6:00 a.m. and 4:00 p.m. for acute illness. You will then be referred to a MLP or a physician. After hours, contact your unit officer.

If you are injured while performing your work assignment, no matter how minor it may seem, report the injury to your work supervisor. You then should report to the 9-1 Ambulatory Care Department so your injury can be treated. Your detail supervisor will notify the MLP or Nurse of your injury. If after regular scheduled MLP work hours, the detail supervisor will notify the Ambulatory Care Nurse or Nurse Supervisor.

Medication



Medication in the Long Term Care Units (9/2 and 9/3) and Behavioral Health Units are given in single doses by nursing staff. The schedule for pill times in Behavioral Health is posted. In Long Term Care, all medications will be administered by the nurses.

Self-administered medications for all other inmates are given at the Pharmacy window located in Building 9, first floor during pill line.

Pill line times on weekdays: 10:30 a.m. – 11:00 a.m.
3:00 p.m. – 3:30 p.m.

Inmates on restricted or controlled medications will be given single doses on weekdays at the 9-1 Ambulatory Care Pill Line, at the following times:

6:00 a.m. – 6:30 a.m. – Diabetic inmates on insulin
6:30 a.m. – 7:00 a.m.
10:30 a.m. – 11:00 a.m.
3:00 p.m. – 3:30 p.m.
7:00 p.m. – 7:30 p.m. (or when announced)

On weekends and holidays, all medications given at pill line will be dispensed from the 9-1 Ambulatory Care area at:

6:45 a.m. – 7:15 a.m. – Diabetic inmates on insulin
7:15 a.m. – 7:45 a.m.
11:00 a.m. – 11:30 a.m.
3:00 p.m. – 3:30 p.m.
7:00 p.m. – 7:30 p.m.

You must show your picture Commissary Card and state your full name and number.

Medication List



A copy of your current medication list is available from Pharmacy and medical staff upon request.

Over-the-Counter (OTC) Medication for Outpatients



A variety of OTC medication is available in the commissary. Indigent inmates may submit a Pharmacy OTC Medication Requisition through their correctional counselor to obtain OTC medications. In order to qualify as indigent, you may not have had more than $6.00 in your inmate trust fund account within the past 30 days.

Health and Wellness Programs



FMC offers a wide variety of Health and Wellness programs to inmates throughout the institution.

Some programs are limited to specific units, although most are open to all inmates. Inmates can be enrolled into a Health Education Class by a referral from clinical staff, unit team, or by self-referral via an Inmate Request to Staff.

Health education classes are available on a varied schedule through Health Services and Recreation such as Wellness Group, Cardiac Education, Diet Counseling, assessment and education (AntiCoagulation Therapy, Hypertension, Lipids, Cardiac, Diabetes, General Diet Modification and use of the nutrition board in the inmate dining area), Foot Care Clinic, Communicable/ Infectious Disease Education, Medication Education, Disease Prevention Group, Diabetes Education, Sports and Occupational Injury Prevention, Chronic Pain Management, Stress Management, and Spiritual Wellness. Other available programs include Outpatient Chemical Dependency and Native American Alcoholics Anonymous. Some wellness programs are offered through psychology services.

Preventive Health Care Clinic



The Preventive Health Care Clinic is being offered to you to promote healthy living; prevent disease; provide screening for infectious diseases, cancer and chronic diseases; and update immunizations. If you are interested in participating in the clinic, please fill out the Preventive Health Care Clinic Request form and send it to the clinic via the inter-office mail system. The request forms are located in the 9-1 Ambulatory Care Area.

Clinics and Specialists



General population inmates will be evaluated through routine Sick Call Triage procedures. If the medical staff determines that you need further evaluation by a medical specialist, then you may be referred to an outside consultant. It is your responsibility to watch the call-out list for all medical appointments and to be on time. Missed appointments may result in an incident report being written.

Other requests such as eyeglasses, hearing aids, etc., should be pursued through the routine Sick Call Triage procedures and must be reviewed and approved by appropriate medical staff.

Reading Glasses



You may purchase reading glasses (similar to those sold at drug stores on the street) from the commissary. You may try reading glasses of various strengths at the Central Supply area during their posted open house hours, 10:15 a.m. – 11:15 a.m. and 1:30 p.m. – 2:00 p.m.

Medical Duty Status – Medical staff may determine that due to illness or injury you are not able to continue to perform your regular duties. The following categories may be assigned:

“Medical Idle” – Restricted to quarters except for meals, religious services or visits. Used for a maximum of three days, generally for acute minor illness (flu, etc.).

“Convalescence” – For recovery from a serious illness or injury. Generally limited to 30 days but may be renewed by medical staff. Restrictions on activity will be specified as needed.

“Medically Unassigned” – Due to a medical condition, you are unable to perform in full work status. Specific activities permitted will be noted. This category may be permanent depending on the condition.

Medical Duty Status Forms (Idle) may also be used for the purpose of authorizing you to have medical equipment which has been specially ordered for you by a medical staff member. You are required to have a copy of this medical idle whenever you are using the piece of equipment. This decision will be reviewed by the Medical Idle Committee.

Health Records



You may request to have a copy of your medical record by forwarding an Inmate Request to Staff to the Health Information Management Department. Allow 20 working days for your request to be processed. Please specify what portions of your medical file you wish to receive copies of. Open house is held from 10:15 a.m. to 11:00 a.m. Monday through Friday, excluding holidays.

Health Care Directive



A Health Care Directive is designed to allow you the opportunity to make decisions concerning the refusal of medical care or your preference in end of life decisions. If you currently have a Health Care Directive, forward it to your clinician for review. If you would like information regarding a Health Care Directive forward an Inmate Request to Staff to the Social Work Department.

Ethics Committee



Access to the Ethics Committee can be achieved through an Inmate Request to Staff addressed to the Ethics Committee or through discussion with your primary care provider team.

Resolving grievances related to health care concerns: If you have a concern related to your health care, contact your primary care provider team (physician, mid-level provider, or nurse) to resolve your issue. You may complete an Inmate Request to Staff form. If you are unable to resolve your health care concern, you may file a formal request via the Administrative Remedy process.

Reporting Faulty Equipment and Unsafe Acts: Notify a staff member immediately if you see an unsafe patient care act or need to report a faulty piece of equipment.

Joint Commission Accreditation



FMC Rochester is accredited by the Joint Commission for Long Term Care, Ambulatory Care, and Behavioral Health Care. The Joint Commission standards deal with organization quality, safety-of-care issues, and the safety of the environment in which care is provided. If a concern regarding such matters cannot be resolved through the established processes, you may send correspondence to the following address.
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