The overall Bureau Health Care delivery system includes local medical facilities, as well as the major medical facilities. At USP, Atlanta, the Health Services Department provides routine, urgent and chronic care to the inmates as needed.
For routine care, inmates who wish to be seen on sick call are required to sign-up in the Health Services Unit waiting room between 6:30 a.m. and 7:00 a.m. The inmate will fill out the form and will be triagged by the medical staff. Acute conditions will be seen the same day or as soon as possible. All other routine conditions will be scheduled with their assigned provider. Until the time of his appointment, the inmate will report to his assigned work detail. The inmate will coordinate his movement with his detail supervisor.
EMERGENCY MEDICAL TREATMENT
All medical emergencies or injuries will be given priority for treatment. The appropriate medical care will be provided by the institution medical personnel. Medical coverage for after hours, evenings, weekends and holidays will provide treatment for acute medical problems only. Emergency care is provided twenty-four (24) hours a day, seven (7) days a week.
ADMINISTRATIVE DETENTION/DISCIPLINARY SEGREGATION PROCEDURES
A medical staff member will tour the Special Housing Units at least once every twenty-four hours, to provide medical care and to dispense necessary medications.
MEDICATION – PILL LINE
Controlled substances and restricted medications are administered to the general population inmates during pill line. Additionally, over the counter medications are available for purchase in the Commissary.
An Admission and Orientation physical must be documented upon entry to the Bureau of Prisons. An inmate may have a release physical thirty (30) days prior to release from custody if he has not had one within the past year. A request must be submitted.
Inmate Fact Sheet- Preventive Health Program (Men)
Preventive Health Screening -Initial:
The following health preventive screening is provided shortly after you enter federal prison.
TB skin test : unless you have a previously positive documented skin test.
Chest x-ray: if you have a positive TB skin test or have HIV infection.
Syphilis: At intake physical exam if have HIV infection, or have a history of syphilis, gonorrhea, or chlamydia.
Your health care provider may recommend additional health screens based on your medical history and physical examination.
Preventive Health Screening – Sentenced Inmates
The following preventive screens are routinely provided for sentenced inmates. You can request a prevention visit to review needed preventive health services, every 3 years ( if you are under age 50) or every year (if you are age 50 and over).
Viral Hepatitis: if you are at risk of hepatitis B or hepatitis C viral infections or report prior infection.
HIV: If you are at risk of infection or report prior infection
TB skin test: Every year unless you had a positive test in the past
Colon Cancer: Testing for blood in your stool every year beginning at age 50; colonoscopy if you are at higher risk for colon cancer.
Diabetes: If you are at risk, screening every 3 years beginning age 45
Cholesterol: Beginning at age 35, screen every 5 years ( sooner if you are at risk).
In addition, vaccinations are provided as recommended. Other preventive health services may be available to you based on your age and specific needs.
Take care of yourself while you are in prison:
Eat a healthy diet ( low fat, more fruits and vegetables)
Take medications as recommended by your doctor
Don’t use tabacco or illegal drugs or get a tattoo while in prison
Don’t have sexual contact with others while in prison.
HUMAN IMMUNE DEFICIENCY VIRUS (AIDS) TESTING)
Inmates with risk factors as determined by medical providers will be tested for HIV. An inmate who has tested HIV positive will, prior to release on Parole, participation in an unescorted community activity, or placement in a RRC, will be given reasonable period, ordinarily five to ten (5-10)days, in which to notify his spouse (Legal or common-law) or any other significant identified person with whom it should be assumed the inmate might have contact resulting in possible transmission of the virus. Refusal to make such contacts shall result in denial of Parole, participation in an unescorted community activity, or RRC placement. If the inmate refuses to test or refuses to give notification prior to release, the Health Services Division in the BOP Central Office will be notified. The medical staff shall personally
confirm that these individuals have been notified of the inmates condition.
If you are injured while performing an assigned duty, you must immediately report this injury to our work supervisor who will then notify medical personnel. The work supervisor will also report the injury to the Institutions Safety Manager. An inmate may be disqualified from eligibility for lost-time wages or compensation if he fails to report a work injury promptly to his supervisor.
If injured while performing an assigned duty, and diagnosed as impaired to some degree by medical personnel, the inmate may submit a claim for compensation. A copy of the medical evaluation shall be included in the claim before any compensation can be considered.
Tuberculosis screening is mandatory for all inmates. All newly committed inmates shall receive TB screening by P.P.D. (Mantoux method) or chest x-ray. The P.P.D. shall be the primary screening method unless this diagnostic test is contraindicated. The Bureau of Prisons mandates that all Federal inmates have an annual P.P.D. test documented in their medical record.
An “advance directive” is a written instrument (sometimes referred to as a “living will” or other similar document) by which a patient expresses his/her health care wishes in the event of a terminal or irreversible condition, during which that individual is no longer able to communicate such wishes to the health care provider due to incapacitation. Advance directive may address the patients wishes concerning the withholding or withdrawal of resuscitative, life-sustaining, or other types of medical care. Advance directives may appoint a proxy decision maker for these type health care decisions. Living Will forms are available upon request from medical records via inmate Request to Staff.
Any grievance can be addressed to the Health Services Administrator or his/her designee. An Inmate Request to Staff Member can be initiated by an inmate to address his medical concerns. If not satisfied, the inmate may file through the Administrative Remedy Process.
ROUTINE AND EMERGENCY DENTAL CARE SICK CALL/URGENT CARE
This will be available during dental sick call, held on Monday, Tuesday, Thursday, and Friday. General population inmates with dental emergencies must sign up between 0630 a.m. and 0700 a.m. in the dental clinic. A dental officer will interview those requesting sick call and determine those who need to be treated at that time. Sick call treatment will be provided during the hours of 0700 a.m. and 0800 a.m. Only emergency treatment will be provided at this time to include prosthodtia adjustments and repairs . Should the allotted time be insufficient, patients not treated will be rescheduled later in the day. Inmates housed in the detention center will be seen for emergency treatment Tuesdays and Fridays, 0800-1100 a.m. On other days, they may see a medical provider who will prescribe analgesics or contact a dental officer if deemed necessary.
Medical providers will bring dental complaints from the lockdown areas to the dental staff. The inmate will be screened in the SHU treatment room or a call-out appointment will be made if necessary. Correctional staff will escort inmates with dental or maxillofacial emergencies to the dental clinic.
Should dental emergencies arise during other duty hours, correctional officers and/or supervisors may call the clinic for guidance in referring the inmate for evaluation and treatment if necessary.
By Health Inmate Management (HIM) policy, this institution will provide for twenty-four hours emergency dental care. There is a Dental Officer on call every day. Dental emergencies arising after regular duty hours will be evaluated by the PA on duty, who will then call the Duty Dental Officer if needed.
By HIM policy, inmates in special housing, segregation, and jail units shall received urgent care only. Routine care for these inmates shall be deferred until they are released to general population housing.
This will be provided normal clinic hours (0800 a.m. to 1530 p.m.) for those inmates who have come off the waiting list or have been scheduled after evaluation during sick call on a previous date.
Dental examinations will be completed for all new federal commitments within 30 days of arrival at this institution. Inmates transferring from other BOP facilities will have a new BP-S618.060 initiate prior to receiving routine dental care. Periodic exams will be performed before providing treatment to those inmates whose dental examination is dated over two years prior. Inmates may request a dental examination by means of a cop-out. Modified screening examinations will be completed on all holdover/pretrial inmates within 30 days of incarceration at this facility and documented on SF-88. Comprehensive examinations will be completed prior to providing routine care to designated inmates.
TREATMENT WAITING LIST
Those inmates who request dental treatment by submitting an Inmate request to Staff Member’ (Cop-out) shall be placed on the treatment list after reviewing the record to ensure a recent exam has been done. Patients will be taken from this list in chronological order to provide equitable treatment. Exceptions may be made in cases where there is an existing medical/systemic condition which may be aggravated by poor oral health or impaired masticator function or other administrative reason. Once taken off the list for treatment by a dentist, he will be taken to completion. Should he miss two appointments, he must request to be placed on the treatment list again.
GENERAL POPULATION PILL LINE SCHEDULE
6:30 a.m. – 7:00 a.m. – USP and FPC
11:30 a.m. – 12: p.m. – USP
3:00 p.m. – 3:30 p.m. – FPC
5:00 p. m. – 5:30 p.m. – USP
When on pill line medication, you will be given a medication card stating what time you need to show up for your medication. Pill line medications will have to be taken in the presence of the dispensing medical staff.
Sick call is held Monday, Tuesday, Thursday and Friday between the hours of 0630 and 0700. You must make sick call to obtain an appointment.
SPECIAL HOUSING UNITS
Inmates are seen in the Special Housing Units. Medical staff will administer controlled substances, restricted medication and insulin to Special Housing Units twice a day. Prescribed medications will also be delivered twice a day.