Confused Company Nurse

Only thing I can tell you is LBM and stomach pain , has been going around !. Sorry I couldn't be more of help

Could you elaborate on the nurses required to wear heavy make-up ... I'm not understanding.

Clearly you are holding a role that is for more than what is expected of an Occupational Nurse in America. Normally any intervention requiring attempts at blood pressure reduction is the realm of an MD, Nurse Practitioner (PA), or Physicians Assistant (PA). Catapres and Serc here are not over-the-counter drugs but are rather prescription drugs. In RP (Republic of Philippines) you have access to a greater array of meds that you can give as a nurse. Here, we would lose our license for distributing them without an order. Meclozine was only recently released here as an over-the-counter medication, and even there we need standing orders to dispense. It sounds like a rough job and all you can do is to do the best that you can.

You clearly fear your supervisor and probably for good reason. Considering this, I might wonder if the dizzy fellow with numbness in the extremities was experiencing a panic attack due to stress, and may have been hyperventilating. BikerNurse's comment runs true, though I'm not sure if she noticed that you were in RP. GI disturbances in New York do not necessarily translate to the Philippines. Still, perhaps you can ask around, or even call the local hospital to see if gastrointestinal disturbances have been on the rise.

Perhaps after keeping the #1 rule in mind: 'Do no harm,' you can 'fake it till you make it', and in time, you'll develop confidence and the stress level will hopefully drop. As far as employee's faking it, indeed some will and over time you'll get a feel of who's a faker and who isn't. RP's attitude towards work is likely to be much, much stricter there than here. Quantifiable symptoms are easy, subjective ones aren't, and also in America Supervisors are not privy to symptoms and to your results, here they are fit to work, and returned to work or not--nobody except my Clinical Doc can question my decisions or find out what symptoms the employee had, or what my findings were. But in RP I suspect that you do not have the privacy law that we do called HIPAA, and I suspect that you are expected to tell supervisors what you found. That is a tough place to be. Do your best, that is all you can. It sounds like you know your stuff. Carry on the good work.

Hi, I'm a company nurse here in Bicol. I have read your post and I think I understand what you're going through.. Regarding your patient with the dizziness, I think it would have been appropriate to have advised him to come back after 30 minutes or an hour for reassessment.. But nevertheless, since the initial assessment was fine, I think there's nothing wrong with what you did. Also, keep in mind that since we have the power to send patients home, be careful of malingering patients. I think you are doing a great job there, so keep up the good work

uhm, would you mind telling me what company you're working for? thank you very much

This is all fine and good but I really am curious about "why" employees are "required" to wear heavy face make-up. Please elaborate.

Maybe it's a mall or a department store? I don't know. I'm just presuming.