---
kind: "section"
citation: "28 C.F.R. § 549.63"
title: "28"
number: "549.63"
heading: "Initial medical evaluation and management."
url: "https://uscodex.org/cfr/28/549.63"
---

# §549.63. Initial medical evaluation and management.

- (a) Medical staff shall ordinarily perform the following procedures upon initial referral of an inmate on a hunger strike:
  - (1) Measure and record height and weight;
  - (2) Take and record vital signs;
  - (3) Urinalysis;
  - (4) Psychological and/or psychiatric evaluation;
  - (5) General medical evaluation;
  - (6) Radiographs as clinically indicated;
  - (7) **Laboratory studies as clinically indicated.**
- (b) Medical staff shall take and record weight and vital signs at least once every 24 hours while the inmate is on a hunger strike. Other procedures identified in [paragraph (a)](#a) of this section shall be repeated as medically indicated.
- (c) When valid medical reasons exist, the physician may modify, discontinue, or expand any of the medical procedures described in paragraphs [(a)](#a) and [(b)](#b) of this section.
- (d) When medical staff consider it medically mandatory, an inmate on a hunger strike will be transferred to a Medical Referral Center or to another Bureau institution considered medically appropriate, or to a community hospital.

## Notes

### Amendments

[45 FR 23365, Apr. 4, 1980, as amended at 59 FR 31883, June 20, 1994]

### Source

Source: 45 FR 23365, Apr. 4, 1980, unless otherwise noted.

### Authority

Authority: 5 U.S.C. 301; 10 U.S.C. 876b; 18 U.S.C. 3621, 3622, 3524, 4001, 4005, 4042, 4045, 4081, 4082 (Repealed in part as to offenses committed on or after November 1, 1987), Chapter 313, 5006-5024 (Repealed October 12, 1984 as to offenses committed after that date), 5039; 28 U.S.C. 509, 510.

### Amendments

[45 FR 23365, Apr. 4, 1980, as amended at 59 FR 31883, June 20, 1994]