HI Tracey

I don't see how 3 alternate days can help - no guarantee of being symptom free on days in work or out i would think.

I'd suggest sticking the basics in the report:

diagnosis not yet confirmed
employee still experiencing symptoms on a regular (how regular - ?daily) triggered by...(is there a specific trigger at work or just general workload pressure?)
symptoms likely to continue until effective treatment occurs
fit for work however risk of recurring symptoms impacting on performance and attendance on a frequent basis if required to respond to normal work demands
reduced hours may support more regular attendance by reducing the general duration of the working day and inherent stress in that but would again depend on if required to respond to normal work demands

then let the manager decide if he can facilate alternative work arrangements.

Carr

On 04/01/2008, Tracy Bluestone <[log in to unmask]> wrote:

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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