The overall Bureau health care delivery system includes local medical facilities as well as the major medical referral centers (MRC).
Each inmate is assigned a provider when coming into the facility. On-site emergency medical care is available 24hours a day. Inmates assigned to the cadre unit who wish to be seen by their provider should write a Cop-Out to their provider with the issues that need to be addressed. For more pressing issues, they may be seen in sick call, for evaluation of medical problems. Sick call is in the 1-2 clinic from 7:00 -7:30 a.m., Monday, Tuesday, Thursday, and Friday. There is a $2.00 co-pay assessed per visit.
Inmates assigned to the hospital unit who wish to be seen by their provider should write a Cop-Out to their provider with the issues that need to be addressed. For more pressing issues, they may talk with the ward nurse and she/he will send the information to the provider. A co-pay of $2.00 may be assessed per visit if indicated by policy.
Inmates must bring their commissary card for identification purposes when reporting to sick call or to their provider.
Inmates who become ill after the regular sick call appointment sign-up period should ask their work supervisor or unit officer to call the hospital for an appointment.
Inmates in detention or segregation are unable to sign up for this procedure. For that reason, a medical staff member tours each such housing unit at least once every work shift or three times a day.
Annual and Biennial Examinations
All Work Cadre inmates will receive a physical exam, routine lab, chest x-ray, and appropriate immunizations, if indicated.
Inmates may request, through the Health Services Department, a physical exam every two (2) years.
Examinations for Inmates Age 50 and Over
As part of the admission and annual physical exams for inmates over the age of 50, each inmate may received an electrocardiogram, tonometry, and a rectal exam. If symptoms or signs indicate, a sigmoidoscopy will be offered. Inmates may refuse any procedure and the refusal will be documented on the physical examination form.
An inmate being released may request a medical evaluation if he has not had one within one (1) year prior to the projected date of release. A medical examination will be conducted within two (2) months prior to release.
Emergency Medical Treatment
All emergencies or injuries will be given priority for treatment. Appropriate medical care will be provided by institution hospital staff.
Restraints and Seclusion Policy
The institution s policy and procedures do not permit the use of restraints or seclusion for purposes such as coercion, discipline, convenience, or retaliation of staff. Restraints or seclusion are only used when non-physical interventions would not be effective. They are only used in emergency situations in which there is an imminent risk of an individual physically harming himself or others.
Medical coverage on evenings, weekends, and holidays is for the treatment of acute medical problems only. Medical staff are on duty 24-hours a day and seven (7) days a week.
Medications -Pill Line
Controlled medications are dispensed at a prescribed location (the “pill line”) during specified time periods. You must verbally identify yourselves and present your commissary ID at pill line for identification purposes. Inmates in detention or segregation are provided their medication by staff in their cells. Inmates will pick up new non-controlled medications at the Pharmacy on weekdays 4:30 -5:15 p.m. and continuous medication renewals can be picked up at the Pharmacy on weekdays 11:30 a.m.-12:15 p.m.
The pill line times are posted. Failure to report for pill line at the posted time may result in the medication
not being dispensed.
Inmates in 10 Building and Long Term Care units are not allowed to purchase or carry OTC medications.
Dental Sick Call
All new admissions to the Bureau of Prisons will be scheduled for a dental examination soon after their arrival.
To request routine dental treatment (this includes cleaning, fillings, false teeth, etc.), sentenced inmates need to submit an Inmate Request to Staff Member (Cop-Out) to the dental clinic and their name will be placed on a waiting list. Unsentenced inmates are eligible for emergency treatment only.
The dental clinic has a dental sick call/open house from 12:00 noon to 12:30 p.m., Monday through Friday. Patients must report no later than 12:15 p.m. to be seen. Dental treatments and visits may result in a $2.00 co-pay. Emergency problems will be addressed and questions regarding dental treatment or waiting lists will be answered.
On the Job Injuries
If an inmate is injured while performing an assigned duty, he must immediately report the injury to their work supervisor. The work supervisor will then report the injury to the institution Safety Manager. The inmate may be disqualified from eligibility for lost-time wages or compensation if he fails to report a work injury promptly to the supervisor.
If injured while performing an assigned duty, and the inmate expects to be impaired to some degree, he may submit a claim for compensation. A medical evaluation must be included in the claim before any compensation can be considered. (See Inmate Injury Compensation Handbook for details)