BOP Program Statement 6010.06 § 1

OSE AND SCOPE

To

deliver medically necessary health care to inmates effectively in accordance with proven

standards of care without compromising public safety concerns inherent to the overall mission of

the Federal Bureau of Prisons (Bureau).

a. Pr

ogram Objectives.

 Staff will be guided in the development and operation of Bureau health care programs.

 Administrative policies, procedures, and controls will be established, implemented, and

reviewed.

 Appropriately trained, skilled, and credentialed staff will be employed.

 Lines of authority and accountability will be established to provide for appropriate

personnel supervision.

 Inmate medical care will be delivered efficiently and cost-effectively within the levels of

care established by Bureau policy.

b. Institution Supplement. The Clinical Director (CD), Health Services Administrator (HSA),

or designee will develop and implement an Institution Supplement approved by the Warden that

establishes standard procedures for responding to emergencies 24 hours a day. When developing

its procedure, each institution should consider its authorized staffing complement, local

Emergency Medical Services (EMS) resources, and proximity to local hospital emergency

departments for medical and trauma care. The CD, HSA, or designee should periodically consult

local EMS resources to discuss the institution’s needs and become familiar with the available

scope of EMS services. The Institution Supplement will address:

 Arrangements for on-site first aid and life-saving interventions.

 Provision and use of one or more Health Services Unit (HSU) urgent treatment rooms,

and an alternative urgent treatment area for overflow or if the HSU becomes inoperable.

 Provision and use of an HSU emergency medical vehicle for transporting inmates across

the compound. All facility staff will be trained in the use of transport equipment

(stretchers, wheelchairs, etc.) and any HSU medical emergency transport vehicles (e.g.,

medical emergency cart) for transferring inmates from any location on the compound to

HSU.

 The plan for the contents and locations of all emergency equipment and transport devices,

including the plan for monthly maintenance/safety checks, and the schedule for periodic

reevaluation of contents and locations based on local trends and experience.

 Arrangement for transfer and escort of the inmate from the institution to a community

medical facility to include procurement considerations (e.g., notification, funding,

commitment, etc.).

 Provision of EMS services when no Bureau healthcare providers are on site, including

standard procedures for custody staff to contact on-call providers for guidance or

Telehealth Emergency/Triage Service where available for medical assessment and

direction.

New HSU staff will review the Institution Supplement on Emergency/Urgent Care during initial

orientation to the HSU; all staff will review it annually thereafter. Annual review of this

supplement by all HSU staff may be documented as in-house continuing professional education.