Thank you for your advice.
The Consultant has
Dear All,
Thank you for your advice.
The Consultant has got back to me, his advice is that the staff nurse
may return to work in a reduced capacity whilst awaiting the report.
Also advised to write to the consultant again to clarify issues of
'stress' and to have their view on the nature of the working
environment. To have a face to face review with client to discuss their
ideas of what is stressful? particular shift, aspect of work or role, ?
not to be in charge etc.
So I have written back to the manager incorporating all advice given,
again many thanks for your help.
Tracy Bluestone, RGN, SCPHN (OH)
Deputy Head of Occupational Health
Ext 3982
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Wilkes Mary
Sent: 04 January 2008 14:38
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] return to work
Your consultant may have felt that by separating out the days worked by
the staff nurse it would enable her to have a longer interval of rest
before she next had to work; thereby possibly reducing a contributory
factor to her condition - rather than thinking she would have chest pain
on alternate days.
I would contact the cardiologist's secretary to find out how long it
might be before a report is forthcoming. If it is likely to arrive soon
I would ask the nurse to be patient and wait until you get it. However
if it is likely to be a long time in coming you could consider allowing
her to return to work on your consultant's previous terms; or
alternatively you could ask her to wait until your consultant is back
from holiday so that they can review their previous advice in the light
of recent events.
Mary
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Tracy Bluestone
Sent: 04 January 2008 13:07
To: [log in to unmask]
Subject: [OCC-HEALTH] return to work
Hello again,
Case - staff nurse, recurrant chest pains, aged 33 ? aortic stenosis.
Seen
by cardiologist, OH waiting for report back. Verbal information from
client, who is very keen to return to work, advised to avoid stressful
situations, but can work.
Client works on an acute assessment unit, which is very busy, they have
had
chest pains at work and at home. Advice from OH consultant prior to last
epoisode of chest pains was to work three 7.5 hours shifts on alternate
days. when client had chest apins at work again, was sent off sick until
seen by cardiologist, but I have no report back yet.
dilemma, am I being over cautious? if client is at work and has chest
pains, they can go to A&E, but this disrupts the ward. Client has 45 min
train journey to work, stress ful, ward environment, stressful, but if I
keep them away from work they are stressed beacuse they want to be at
work! OH consultant on holiday..... Thanks Tracy
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