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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 ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EDUCATIONAL EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk