ID card must be brought each time you come to Health Services
You must bring your ID picture card and verify your ID number each time you visit Health Services. This ensures compliance with the double check ID system.
OUT OF BOUNDS
Inmate should not be in the Health Services area unless they:
Have an appointment or scheduled callout.
Have obtained approval from their detail supervisor or unit officer or,
Are making use of the time period set aside for sick call sign up or pill line.
Inmates who come by Health Services without prior approval are out of bounds and may receive an incident report.
CATEGORIES OF CARE
The Bureau of Prisons assigns medical problems to one of five categories of care:
Medically Necessary Acute or Emergent: A condition that, if not immediately treated is life threatening, likely to cause blindness, orirreversible loss of function.
Medically Necessary None Emergent: A condition that, if untreated, will result in premature death, or interfere with the possibility oflater repair; or creates a level of pain or discomfort which impairs the ability to conduct activities of daily living.
Medically Acceptable Not Always Necessary: Medical conditions whose treatment may be delayed without jeopardizing the life,sight, or bodily function of the patient.
Limited Medical Value: Medical conditions in which treatment provides little or no medical value, are not likely to provide substantiallong term gain, or are expressly for the inmate’s convenience.
Extraordinary: Medical interventions are deemed extraordinary it they affect the life of another individual, such as organ transplantation, or are considered investigational in nature.
Triage is for determining what category of care a patient should be placed in. The purpose of triage is to make sure that truly urgent conditions are given priority treatment.
During triage the following will occur: The inmate will provide a brief history by completing the Chronological Record of MedicalCare (Sick-call) form; vital signs will be taken, if indicated; an appointment will be scheduled within a time frame appropriate forthe inmate’s medical needs; or, if no follow up appointment is warranted, the inmate will be advised of other options (e.g. obtaining over the counter medications from the Commissary, submitting an Inmate Request to Staff Member, etc.).
SCOPE OF SERVICES
The Bureau of Prisons will treat all Medically Necessary Emergent & Non Emergent Conditions.
Medical problems falling within the Medically Acceptable Not Always Necessary category are essentially elective procedures.These procedures require approval of the Institution’s Utilization Review Committee. The Committee considers such factors as; the risks and benefits of the treatment; available financial resources; available medical consultant resources; medical treatment received prior to incarceration; prognosis in the absence of treatment; the effect the intervention is likely to have on the inmate’sability to conduct activities of daily living; the likely effect delay in care would have on subsequent treatment, etc.
Medical problems falling within the Limited Medical Value or Extraordinary categories are ordinarily not treated by the Bureau of Prisons.
Consultants and Referrals: All care that is provided by the Bureau of Prisons will be consistent with community standards of care.When available, and when required, community consultants will be contracted from commonly needed services such as cardiology, dermatology, endocrinology, general surgery, ophthalmology, optometry, orthopedics, psychiatry, radiology and urology.Additionally, patients may also be referred to a Bureau of Prisons Medical Referral Centers.
OBTAINING HEALTH CARE
Emergency Care: All emergencies or injuries will be screened for priority of treatment and then will be examined accordingly.Appropriate medical care will be provided by institutional Health Services staff. Medical treatment on evenings, mornings, weekends, and federal holidays is limited to treatment of acute problems only. Treatment needs will be determined by the medicalstaff. Access to emergency medical care is obtained by notifying any staff member or activation of the inmate duress system. Anyemergency or injury, must be reported to Bureau of Prisons staff immediately.
Questions regarding Health Services, Requests for Medical Care, Dental Care, Sick Call, Lab Results, X-Ray Results, Eye Glasses, etc.
All other Non Emergency requests require completion of the CHRONOLOGICAL RECORD OF MEDICAL CARE (Sick-Call) FORM.
These forms are located in the rack on the right hand side of the Exam Room door.
The forms must be turned in between 6:40 a.m. and 6:45 a.m., Monday through Friday, regular work days.
You must turn the form in yourself so the Physician’s Assistant (PA) can ask any questions he/she may have about your problem.
The PA may choose to have you come back at a later date. He/she will give you an appointment slip and also have you put on call out.