FPC Pensacola Medical Care

Sep, 19 11 Post by: admin | No Comments


Program Objective



The expected result of this program is that health care will be delivered to inmates in accordance with proven standards of care without compromising public safety concerns inherent to the agency’s overall mission.

Availability and Accessibility: The FPC provides primary health care for acute and chronic conditions including diagnosis, treatment, education, and counseling for inmates. Our staff includes: physicians, mid-level practitioners, nurses, dentists, a pharmacist, and administrative support staff. Most radiological procedures are done offsite with the support of a consultant radiologist. All laboratory specimens are sent to referral laboratories for analysis, except for finger sticks for blood glucose and urine dip sticks. Consultants from optometry evaluate patients at the institution on a regularly scheduled basis. Any additional care needs as determined by the Clinical Director will be provided in the local community or by a Federal Medical Center.

Primary Care Provider Teams



Health care is delivered by an assigned team of medical providers. Upon arrival to FPC Pensacola, each inmate is assigned to a team consisting of a primary mid-level provider(PAlARNP), nurse (RN/LPN), and a physician. Inmates are assigned to a team by their register number. Specifically, the last two digits of the first five numbers of their register number (i.e.00025-000)

YOU MUST PRESENT YOUR INMATE IDENTIFICATION CARD TO RECEIVE ANY SERVICES AT THE HEALTH SERVICES DEPARTMENT. NO EXCEPTIONS.

Inmate Copayment Program



In accordance with Program Statement P6031.02 you must pay a fee of $2.00 for health care services (includes medical and dental 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:

We will not charge a fee for the following:
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 not charge a fee:

Blood pressure monitoring;
Glucose monitoring;
Insulin injections;
Chronic care clinics;
TB testing;
Vaccinations;
Wound Care; or
Patient education.

Requested appointments which qualify for a fee assessment 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 above, you will be charged a $2.00 co-pay fee for that visit. You must pay a fee of
$2.00 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. Your health
care provider will determine if the type of appointment scheduled is subject to a co-pay fee.
If you are considered indigent at the time of your appointment, you will not have the copay
fee deducted from your Inmate Commissary Account. An indigent inmate is an inmate
who has not had a trust fund account balance of $5.00 for the past 30 days. If you are NOT
indigent, but you do not have sufficient funds to make the copay 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.

Sick Call Hours


Medical sick call hour appointments are routinely scheduled from 7:30
a.m. until 2:30 p.m. daily with the following exceptions:

Wednesday’s are administrative days when only physical examinations, speciality services, and emergencies are seen. All A & 0 processing is routinely performed on this day.

On week-ends and holidays, only emergency cases will be evaluated.

Appointments



Requests for medical sick call or routine medical care should be written out indicating your sick call/routine care complaint and submitted on an INMATE REQUEST TO A STAFF MEMBER FORM (blank forms are available in the unit). All requests should be placed in the appropriate metal box located next to the Pharmacy window. All requests for sick call or routine medical care received prior to 7:30 a.m. will be processed the same day and returned to you via the evening institutional mail call with your scheduled appointment time/date noted. Those received after 7:30am will be processed the next work day. Appointments will be given in accordance with sick call triage guidelines (i.e. same day, 1-2 days, 3 days, 7-14 days). Patients arriving late for appointments will not be seen and are subject to disciplinary action. It is your responsibility to check the call-outs (appointment system) on a daily basis to include week-ends and report for your appointment at the proper time. Inmates may report to Medical Services from 0500-0515 to request sick call appointments if they feel their problem is urgent and they feel they can not go to work that day and need to be seen. Medical staff will evaluate your complaint and schedule you an appointment.

After-Hour Treatment

Only emergencies will be evaluated.

Normal Duty Hours



7:30 a.m. until 4:00 p.m., Monday through Friday, with the exception of weekends and holidays. Week-end duty hours are 8:00 a.m. until 6:00 p.m.

Emergencies



The following procedure will be followed in the event of a medical emergency. First, notify your work supervisor/correctional officer. Then a staff member will notify the medical practitioner on duty who will assess the urgency for treatment.

Medical Personnel



Names and titles are posted in the front lobby of the Health Services Department. When addressing or requesting the attention of a staff member you are to use their title or Mr., Mrs., Dr., etc. followed by their last name. The practice of first name usage is not allowed.

Temporary Medical Classifications



IDLES: These are generally short-term, not to exceed 72 hours, for acute injuries or illnesses. This is a non-working status. You must remain in your unit with the following exceptions: You may attend meals, religious services and sick call. You will be fully clothed in uniform during the entire work day, whenever leaving the unit.

CONVALESCENCE: These are generally long-term, not to exceed 30 days, for surgical procedures or rehabilitation. This is a non-working status. You may leave the unit after clearance of the Unit Officer. You will not be allowed to participate in any sports unless otherwise indicated by the practitioner. You will be clothed in full uniform during the entire work day, whenever leaving the unit. Appropriate recreation attire will be worn if going to a recreation area.

Pharmacy Services



Prescriptions written for you during sick call visits or follow-up appointments are to be picked up by you no later than 72 hours after your appointment. Refills are to be turned in during the first pill-line of the day. Pill line hours are clearly posted at the pharmacy window. Over the counter medications such as aspirin, Tylenol and common cold preparations are available at the commissary for your purchase. An evaluation is required for all medications dispensed at the pharmacy that require a prescription.

Physical Examinations



All newly committed inmates, halfway house failures and parole violators will have a physical examination in accordance to criteria set forth in Program Statement 6031.01. As an inmate in this category you may not refuse any part of the initial physical or testing. Routine medical assessments will be completed following the Medical Director’s established criteria for Preventive Health Care. Inmates preparing to be released may have an exiting physical upon written request to the Health Information Department. The request cannot be more than six months prior to release or less than one month prior to release.

Immunizations



Unless otherwise documented, all inmates are required to receive a tetanus and PPD upon arrival at the institution. Yearly influenza vaccine is offered to the population with emphasis placed on those “at risk”. Hepatitis B vaccine series will be offered to those inmates working in potentially hazardous areas, and Pneumococcal vaccine is offered when clinically indicated only.

Health Promotion/Disease Prevention Program



This facility fully supports patient education, disease prevention programs and your active participation in your health care. In order to facilitate these programs your unit team, psychology department, recreation department and health services unit has joined efforts to provide you with a variety of written material, videos, audio tapes, oral presentations, workshops, and exercises to assist and guide you in your total body care.

Medical Record Copies



Requests for copies of your medical file should be submitted on an INMATE REQUEST TO A STAFF MEMBER FORM and sent via the institutional unit mail to the Health Services Department, specifically addressed to the Medical Records Department. The cop-out should provide the specific items that you are requesting copies of from your file. You will then be placed on institution call out when your copies are ready.
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