English For The Professional Nurse

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FOREWORD

Nowadays, competence in English has become an urgent need for nurses who are involved in medical services. It is due to the fact that they are required to have the ability to communicate with the other people in their field including doctors and patients. English for Professional Nurse Book 1 is prepared for the demands of professional nursing also include English Competence. This book provides nurse students to improve their English skills in listening, reading, speaking and writing.

The contents of this book are based on the standard and fundamental nursing procedures taught in previous year, so that the contents are not something strange for the nurses. This course book is certainly help to facilitate the student to acquire the ability to perform their duties in an environment where English is used and needed. I wish that this book will be studied and practiced easily to achieve the competence of Nursing English.

I hope that by the use of this book, the nursing students will be able to learn and practice English according to their professional skills. By mastering English for Professional Nurse Book 1, it will improve their quality of human resources and they will have added value so that job opportunities will be widely open for them to reach a bright future.

AuthorCONTENT

Page

Foreword

2

Content

3

Chapter 1: Describing Parts of The Body

4

Chapter 2: Using medical equipment

9Chapter 3: Giving Direction in and around the hospital

13Chapter 4: Observation Chart and checking vital sign

19Chapter 5: Welcoming a patient on admission

Chapter 6:Checking a patients identity (ID)

Chapter 7: General Assessment

Chapter 8:Dimension of symptom

Chapter 9: Asking health problems

Chapter 10: Sharing observation

Chapter 11: Physical Examination

Chapter 12: Taking and recording patient observation

Chapter 13: Giving instruction to a patient

Chapter 14: Talking about pain

Chapter 15: Checking an IV Prescription and using IV infusion

equipment

After completed this chapter, students will be able to:

1. Describe how important taking patient observations2. Record patient observation in hospital setting3. Describe about a new approach taking and recording patient observations

Read the passage then answer the question below.Recording patient observations is an important part of nursing routine and an essential skill to be able to detect changes in the patients condition.A one-off or isolated observation is of little use unless compared to recent trends in clinical status.If a nurse is concerned about a patient enough to be motivated to carry out four hourly observations then that patient should be woken to have those observations recorded. However, nurses should also feel empowered and confident enough to be able to adapt their routine to reflect a patients progression towards recovery.

Sleep is an important component of patient recovery and one of the most essential activities of daily living.Sleep deprivation is associated with delirium, which in turn has a negative effect on patient rehabilitation. This leads to increased length of stay in hospital, which corresponds with increased cost and, most importantly, is unpleasant for the patient. Nurses should be able to carry out an end of bed observation without waking a sleeping patient.That is, be able to assess whether the patient has a patent airway, observe respiratory pattern and count the respiratory rate and be able to detect whether the patient is well perfused and, therefore, whether the patient has a adequate cardiac output.Nurses should also trust their instinct and if they feel the patient is deteriorating the question they should ask themselves should be whether four hourly observation is enough or should the patient be monitored more regularly or even continuously.At this point medical or critical care intervention should be sought.

Source: David Jones, Charge Nurse, Critical Care. 2011. www.nursingtimes.net1. Recording patient observations is an essential skill to be able to give medication (True/False/Not given)

2. Sleep is one of the most important ADLs. (True/False/Not given)

3. Nurses should ask the doctor whether patient observation should be monitored more regularly or even continuously.(True/False/Not given)

4. Nursing observation includes airway patency, respiratory pattern and the respiratory rate (True/False/Not given)5. Sleep deprivation is associated with delirium, which in turn has a positive effect on patient rehabilitation (True/False/Not given)

Listen to Bessie, the Ward Nurse, taking Samira, a young patients, Admission Observations and record the information on the Observation Chart below.

Fig. 12.1 Observation Chart. Reproduced with permission from Allum and McGarr, Cambridge English for Nursing. Cambridge University Press, 2010.

Listen again to Bessie taking patient observation. While you listen, complete the conversation below.

Bessie: Hello, Samira. Im Bessie. Im your nurse for today. __ __ __ (1)?

Samira: OK. Thanks.

Bessie: Thats Good. Im going to __ __ __ (2) now.

Samira: whats that?

Bessie: Its your ___ (3), ___ (4) and ___ (5)- thats how many breaths per minute- and your ___ (6). I need to check your ___ (7) and your ___ ___(8), tooSamira: OKBessie: Right. Ill just take your ___ (9) with this special ____ (10) in your ___ (11) and wait for the ___ (12).

Samira: Whats my temperature?Bessie: Your temps ___ (13). Thats good.Samira: Now what?Bessie: Ill get the ___ (14) of the information from this machine. Lift up your arm for me, please. Thats it. Ill wrap the ___ (15) around your arm.Samira: Is that OK?Bessie: Yes thats fine. Now, Ill just clip this lead on your ____ (16).Samira: Whats that for?Bessie: It measures the amount of ____ (17) in your ___ (18).

Samira: OK.

Bessie: Ill turn on the machine now.

Samira: What does it say?

Bessie: Mmm your blood pressures _____ (19). Thats fine. Your pulse is ___ (20). Thats OK, too. Your oxygen sats are ___ (21). Thats the ____ (22) of oxygen in your blood.

Samira: Is that good?

Bessie: Yes, its fine. Thats all from this machine. I ____ (23) your respirations while you were watching the _____ (24). Your resps are ____ (25) breaths a minute.

Samira: I didnt even know you were doing it.

Bessie: I know. OK, Ill weigh you know. Samira, can you ___ __ (26) these scales for me, please?

Samira: OK.

Bessie: Thats a good ___ (27).

Samira: how much do I weigh?

Bessie: Lets see. You weigh __ (28) kilos.

Samira: Am I ____ (29) now?

Bessie: Yes, __ __ (30).

Bessie and Fay, another Ward Nurse, are talking about Samiras 10.00 Obs. Look at the chart below and listen to the conversation. Did Fay chart all the Observations correctly? Correct any incorrect information on the Observation Chart. Fig. 12.2 Observation Chart. Reproduced with permission from Allum and McGarr, Cambridge English for Nursing. Cambridge University Press, 2010.

Look at the video about a new approach recording patient observations. In small groups, discuss the video then make a summary in a piece of paper individually.REFERENCES

Allum and McGarr. 2010. Cambridge English for Nursing. Cambridge: Cambridge University Press.

Hogue, Ann. 1996. First Step in Academic Writing. New York: AddisonWesley Publishing Company.

Jakeman and McDowell. 2005. Cambridge Practice Tests for IELTS 1. Cambridge: Cambridge University Press.

_____________________. 2005. Step Up To IELTS. Cambridge: Cambridge University Press.

Silvestri, LA. 2006. Saunders Q&A Review for the NCLEXRN Examination. Missouri: Elsevier Saunders.

English

For

The Professional Nurse

Book 1

Indah Dwi P.

Risa Herlianita

M. Muslih

Dewi Baririet B

Editor

Risa Herlianita

School of NursingUniversity of Muhammadiyah Malang

2012

Chapter

12

Learning Objectives

ACTIVITY: TASK 1

ACTIVITY: TASK 2

ACTIVITY: TASK 3

ACTIVITY: TASK 4

ACTIVITY: TASK 5