USP Beaumont Medical Care

Aug, 21 11 Post by: admin | No Comments


Medical Services


FCC Beaumont Medical Services are provided by The University of Texas Medical Branch (UTMB). The UTMB Managed Care Contract is most like a Health Maintenance Organization (HMO) in the community. Only medically necessary, immediate, urgent or emergency care is offered. Services that are not covered are those determined to be medically acceptable, but not medically necessary.

Medical Services are provided by UTMB physicians, mid-level practitioners, nurses, and other health care ancillary staff. Specialty consultations are available as required. UTMB is contracted to provide a level of health care consistent with community standards, in a timely fashion. Emergency medical care is available 24 hours a day, seven days a week.


Sick Call


Any inmate in the general population desiring medical attention is responsible for making his own sick call appointment. Sick-call triage is available each morning; it opens prior to the morning meal and will remain open for at least one hour; Monday, Tuesday, Thursday, and Friday (except on holidays) at the Health Services Unit.
Routine sick call will not be provided on official holidays. On those days, emergency services, insulin clinics and pill windows are provided.

Sick-call triage slips are provided on the unit. An inmate may fill out the slip at his convenience and take it with him to sick-call triage. This allows for privacy and it speeds up the sick call sign-up process in the mornings.

Inmates working during the triage who desire access to sick call will inform their supervisor of their illness, and the supervisor will make arrangements with the health services staff. A sick-call appointment will be made and the inmate will be responsible for attending the appointment. It is the responsibility of the inmate to seek dismissal in sufficient time to attend sick call. Inmates should report to the Health Services Unit prior to their appointed time, or have their supervisor notify health services staff of the reason for the delay. The inmate is required to present his inmate identification card as a means of positive identification when utilizing any service provided by the HSU, i.e., medications or other medical care.

Inmates who become ill after the sick-call triage period should request that their work supervisor or Unit Officer call the HSU for an urgent appointment. Inmates will not be seen without staff advising the Health Services Unit that an emergency exists. Inmates in the Special Housing Unit (SHU) are provided routine sick call once daily by a member of the health services staff.


Eyeglasses


Evaluation for glasses is available by means of an Inmate request to staff. A visual acuity worse than 20/40 will be referred to the Optometrist. Glasses are furnished by UTMB as prescribed by the Optometrist, and are similar in style to that of the BOP. Normally, glasses will be furnished every two years, if there has been a significant change in visual acuity. If you break your glasses, and they have been furnished by the BOP or UTMB, there will be an attempt to repair the glasses. All prescription eyeglasses issued by the health care provider or purchased by the inmate will be obtained through institution channels. Inmates are not allowed to purchase or receive prescription eyeglasses from outside sources. Inmates requiring a prescription for eyeglasses will need to request to be seen by the optometrist. The local health care provider will purchase one pair of eyeglasses once a valid prescription is established. Inmates are entitled to a new pair of eyeglasses every two years, if necessary.

Emergency Medical Treatment


Emergency services are available at all times. Emergencies or injuries are given priority for treatment. Contracts for Emergency Services are in place with local EMS and hospitals. Medical coverage on evenings, weekends, and holidays, is for the treatment of acute medical problems only. 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 Health Services Unit so your injury can be treated and documented. Your work supervisor will call ahead to inform the HSU staff of your injury. Failure to immediately report a job related injury to your work supervisor may disqualify you from eligibility for lost-time wages or compensation.

Advance Directives


In accordance with Institution Supplement6000.05.2G, an inmate may request to have an advanced directive filed in his medical record. The required forms can be located in this supplement for completion. It should be noted that although the advanced directive is on file, all life sustaining methods will be used while at the institution.

Physical Examinations


All newly committed inmates will receive a complete physical examination within 14 days of admission. Diagnostic procedures relating to potential communicable diseases are mandatory for the protection of the inmate, as well as other inmates and staff. Any inmate who refuses these tests will be isolated for an appropriate period of time as determined by medical staff, to ensure the absence of any communicable diseases. Testing for tuberculosis will be performed within 48hours of admission.

A complete physical examination is available every two years for all inmates less than 50 years of age, and yearly for those inmates more than 50 years of age. You should send a cop-out to request a physical. You may request a release medical evaluation, if you have not had one within one year prior to your release date. Submit your request at least two months prior to your release date.


Medications/Pill Line


Pill line is provided to issue prescriptions and to receive individual doses of medication that cannot be issued to the inmate to carry back to the housing unit. Inmates receiving medication on the pill line will be required to present their inmate identification cards as a form of positive identification prior to receiving medications. Pill line will be open during established times or as announced, seven days a week, unless specifically directed. Medications issued to the inmate must be taken according to the instructions written on the prescription label. Medications found not being utilized correctly will be confiscated, and health services will be notified. Expired medications will be confiscated as well.

Over-the-counter medications are available for purchase at the commissary. Inmates should follow the instructions found on the medication packaging.
Immunizations -Routine immunizations are given according to recommendations of the Center for Disease Control (CDC). Upon request, you will be furnished with a copy of your immunization record for your use following your release from prison. Some testing is mandatory to prevent the spread of airborne diseases, and will be given on a yearly basis.


Dental


Dental care begins with a comprehensive examination to determine what dental care is needed and includes X-rays of the teeth. This examination is followed by cleaning of the teeth by a dental hygienist together with instructions in maintaining cleanliness of the teeth. If the plaque is severe, cleaning will require two appointments. Restorative work, such as fillings in carious teeth, follows the teeth cleaning. Many fillings require more than one appointment. After the restorative work is completed, partials can be fabricated, or dentures provided. Between these appointments there is a waiting time of several months. Send your cop-outs to the Dental Department to be added to the waiting list for dental care. Inmates with acute dental problems such as severe dental pain and/or swelling should sign up for dental sick call at the same time as regular sick call. Routine dental requests such as cleaning, fillings, dentures and partials, should be submitted by cop-out to the Chief Dentist. The comprehensive exam, fillings, and all restorative work needs to be completed prior to prosthetic fabrication.

Inmate Copayment Program


You must pay a fee of $2.00 for health care 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. These requested appointments include sick call and after-hours requests to see a health care provider.

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. If you are considered indigent, which is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days, you will not have the co-pay fee deducted from your Inmate Commissary Account.


Over-the-Counter Medications Program


Inmates will have access to over-the-counter (OTC) medications in the institution commissary. Inmates will use personal resources to obtain OTC medications that are indicated for cosmetic and general hygiene issues or symptoms of minor medical ailments.

During institution sick-call triage, medical staff will refer inmates to the commissary in response to complaints related to cosmetic and general hygiene issues or symptoms of minor medical ailments.

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