Chapter I

Introduction
1.1 Back ground
There may come a time when you or a loved one may need to be admitted to a hospital.
Today's large urban hospitals can be confusing and somewhat frightening for someone not
familiar with how they work. In general, there are two major types of hospital admissions,
emergent and elective. Emergent usually happens when a patient seen in the emergency
department is subsequently admitted to the hospital. Hospitals as one of the health care facilities
have a very strategic role in efforts to accelerate the increase in degrees health of Indonesian
people. Today the strategic role is increasingly stand out considering the emergence of
epidemiological changes in the disease, changes in demographic structure, development of
science and technology (science and technology), changes in the socio-economic structure of the
community and better quality, friendly and able to meet the needs community or patient against
demands for changes in health care patterns in Indonesia (Aditama, 2002). The main purpose of
hospital activities is serve patients and their families in various forms of service including
medical record services. Definition of medical record (RM) in Permenkes Number: 269 /
MENKES / PER / III / 2008 is a file containing notes and documents about patient identity,
examination, treatment, other actions and services that have been given to patients (MOH RI,
2008) Various relatively simple services need to be considered between another part of the RM
that records and re-displays recording documents medical (DRM) patients. The RM part plays a
very important role, because associated with first impressions and a sense of comfort in the
process.

1.2 Problem
1. What is Admission ?
2. How to Useful Expression ?
3. Dialogue
4. How to Vocabulary (ward in hospital)?
5. What is Grammar Focus (demonstrative)?
6. How to Practice ?

1.3 Waiter Purpose

1. To know Admission
2. To know Useful Expression
3. To know Dialogue
4. To know Vocabulary (ward in hospital)
5. To know Grammar Focus (demonstrative)
6. To know Practice
 Chapter II
Discussion

1. Admission

There may come a time when you or a loved one may need to be admitted to a hospital.
Today's large urban hospitals can be confusing and somewhat frightening for someone not
familiar with how they work. In general, there are two major types of hospital admissions,
emergent and elective. Emergent usually happens when a patient seen in the emergency
department is subsequently admitted to the hospital. Elective hospital admissions occur when a
doctor requests a bed be reserved for a patient on a specific day. The patient then checks in at the
admissions office and does not go to the emergency department. Elective admissions make up
the majority of hospital admissions, but this percentage varies markedly with some hospitals. To
get the most out of your hospital stay, the following article provides you information on these
vital issues:

Factors that influence whether you will be admitted to the hospital

 What happens once you are admitted

 Your rights as a patient
 How to improve your or a family member's care during and after the admission process

Sometimes when people are admitted to the hospital they need extremely close
observation that can only be given in specialized care called an intensive care unit.
Because of the severity of their condition, visiting hours are more restricted than in the
regular rooms. It may be that only one or two people can visit at a time, and only for a
few minutes at a time. Once the person's condition improves, they may then be
transferred to a room with a less rigid visitation policy. If an individual has a surgical
procedure performed, they will spend a few hours in a recovery area. This is to make sure
that the person's condition is stable before returning to the regular room. Visiting is
limited in the recovery area, and the person may spend most of the time sleeping, as the
effects of the surgical anesthesia wear off.

2. Useful Expression

useful expressions to express your opinion

In my opinion, ...

To my mind, ... As far as I am concerned, ...

From my point of view, ... As for me / As to me, ...

My view / opinion / belief / impression / conviction is that ...

I hold the view that ... I would say that ...

My impression is that ... I am under the impression that ...

It is my impression that ...

useful words to express your agreement

I agree with you / him ... I share your view. I think so.

I really think so.

(The author / the narrator / the protagonist / etc.) is right
He is quite right / absolutely right He may be right.
I have no objection. I approve of it. I have come to the
same conclusion I hold the same opinion. We are of one mind / of the same
mind on that question.
I am at one with him on that point. It is true. That is right.

That's just it ! Fair enough ! Quite so !

Just so ! Yes of course !

useful words to express your disagreement

I don't agree. I disagree. I don't think so.

You are / he is wrong. I think otherwise. I don't think

that's quite right.
I don't agree with you/him. I don't agree with what you say. I am afraid
that is not quite true.

I take a different view. I don't share his/her/your view.

This argument does not hold water.

3. Dialogue

Nurse Dewi : “Good morning. Welcome to Cut Meutia Hospital. I am nurse Dewi. Can I Help
you?”
Mrs. Anne : “Good Morning. Yes, I want to have medical check-up.”
Nurse Dewi : “What is your name, Mrs.?
The Kin : “My name is Mrs. Anne.”
Nurse Dewi : “Please sit down, Mrs. Anne. What is your problem?”
Mrs. Anne : “I think I have no serious problem but, I want to know my condition exactly.”
Nurse Dewi : “I appreciate the awareness of health you have. Have you come here before?”
Mrs. Anne : “It is the first time I come to this hospital.”
Nurse Dewi : “Alright. We always provide the best service to our patient. What Kind of medical
check-up do you want?”
Mrs. Anne : “I don’t know, can you help me to choose?”
Nurse Dewi : “Sure. We Have many kind of medical check-up. They are basic package, standard
package, essential package, and executive package. For women, we have additional examination.
I recommend to you to choose executive package, it has complete examination, and the additional
examination is pap-smear, to check the existence of cervical cancer.
Mrs. Anne : “Can you mention the services?”
Nurse Dewi : “You will get the physical examination from specialist in internal medicine, eyes
examination, thorax X-ray, ENT examination, ECG and treadmill test, hearing test, lung function
test, laboratory test for blood examination, urine examination, Lipid profile, hepatitis test, renal
function and liver function. You also get a free lunch.”
Mrs. Anne : “How about the fee?”
Nurse Dewi : “For this package the cost is IDR 980.000,- .”
Mrs. Anne : “I think that’s not expensive. I pick your recommendation, Nurse.”
Nurse Dewi : “Before you have any examination, you should fill the registration from, Mrs.”
Mrs. Anne : “Alright.”
A few minutes later.
Nurse Dewi : “Have you done Mrs.?”
Mrs. Anne : “Not yet. May I asking?”
Nurse Dewi : “Of course.”
Mrs. Anne : “Do I have to choose one of the internist?”
Nurse Dewi : “Sure, anything else?”
Mrs. Anne : “No, thanks, I have done.”
Nurse Dewi : “Ok, I will check first. So, your name is Mrs. Lucia Anne, your date of birth is
15th of July 1980, you are an executive employee, you choose executive package, and your internist
is dr. Hanna Vania, Sp.PD, is that right?”
Mrs. Anne : “Yes, right.”
Nurse Dewi : “I will input your data to the computer. You can wait in the waiting room, in front
of this admission department, until your name called by nurse again. Is there anything I can help
again?”
Mrs. Anne : “How long the examination will run? What should I do after this?"
Nurse Dewi : “Usually about five to seven hours. You will give an ID bracelet by the nurse, then
you should change your clothes with patient’s shirt and do the examination. If you have any
question while waiting, you can go back here. Relax for the examination. I hope you always
healthy, Mrs.”
Mrs. Anne : “Thank you, Nurse.”
Nurse Dewi : “Your welcome.”

4.Vocabulary

A vocabulary is a set of familiar words within a person's language. A vocabulary, usually

developed with age, serves as a useful and fundamental tool for communication and acquiring
knowledge. Acquiring an extensive vocabulary is one of the largest challenges in learning a second
language.

Definition and usage

Vocabulary is commonly defined as "all the words known and used by a particular
person".Knowing a word, however, is not as simple as merely being able to recognize or use it.
There are several aspects of word knowledge that are used to measure word knowledge.

Here we will look at common reasons people go to the hospital:

I have a headache – an ache or pain in the head. The word “ache” means pain, so we can say we
have toothache, backache, stomacache… see how easy?

I have a broken wrist (or ankle, etc) – separated into parts or pieces by being hit, damaged, etc.

I have a sprained wrist (or ankle, etc) – to injure (a joint) by twisting it in a sudden and painful
way. A joint is a point where two bones meet in the body.

I have a twisted wrist (or ankle, etc) – to hurt (your ankle, knee, wrist, etc.) by turning it too far.

I have a flu – a common disease that is caused by a virus and that causes fever, weakness, body
aches, and breathing problems.

I have a cold – a common illness that affects the nose, throat, and eyes and that usually causes
coughing, sneezing, etc.
I have a runny nose – having a thin flow of liquid flowing out. This is what we say when we
have mucous coming out of our noses.

I have a fever – this means you have a high temperature.

I have a sore throat -the throat is the tube inside the neck that leads to the stomach and lungs
and when it feels sore, it is feeling or affected by pain.

I feel sick. I’m feeling nauseous – feeling like you are about to vomit.

I have a bruise – a dark and painful area on your skin that is caused by an injury.

I have a cut – to make a hole or wound in (a person’s skin).

I have a graze – an injury on your skin that is caused because it moves against something.

I have a wound – an injury that is caused when a knife, bullet, etc., cuts or breaks the skin.

What should you take?

If you have been to the doctor and they have recommended some medicine, it might be:

Eye drops – drops are liquid medicine that is measured in drops and put into your eyes, ears, or
nose.

Cream – a very thick liquid or soft substance that is rubbed into the skin to make it softer or is
used as a medicine for the skin.

Syringe – a device made of a hollow tube and a needle that is used to force fluids into or take
fluids out of the body.

Bandage – a covering (such as a strip of cloth) that protects or supports part of the body that has
been hurt.

Dose (of medicine) – the amount of a medicine, drug, or vitamin that is taken at one time.

Drugs – a substance that is used as a medicine.

Shot (or injection) – the act or process of forcing a liquid medicine or drug into someone or
something by using a special needle.

Medicine – a substance that is used in treating disease or relieving pain and that is usually in the
form of a pill or a liquid.
Pain-killer – a drug that decreases or removes pain that you feel in your body.

Pill – a small, rounded object that you swallow and that contains medicine, vitamins, etc.

Plaster – a piece of material that is put on the skin over a small wound.

Tablet – a small usually round piece of medicine.

Tranquilizer – a drug that causes a person or animal to become very relaxed and calm.

What type of appointment do you need?

When you call the doctor’s office you can ask for…

Check-up – an examination of a person made by a doctor to make sure the person is healthy.

Diagnosis – the act of identifying a disease, illness, or problem by examining someone or

something.

Operation – a process in which a doctor cuts into someone’s body in order to repair or remove a
damaged or diseased part.

Surgery – medical treatment in which a doctor cuts into someone’s body in order to repair or
remove damaged or diseased parts.

Prescription – a written message from a doctor that officially tells someone to use a medicine,
therapy, etc.

5. Grammar Focus (Demonstratives)

Demonstratives show where an object,Event,or person is in relation to the speaker. They

can refer to a physical or a psycological closeness or distance. When talking about evens, the
near demonstratives are often used to refer to the present while the far demonstratives often refer
to the past. Demonstratives (abbreviated DEM) are words, such as this and that, used to indicate
which entities are being referred to and to distinguish those entities from others. They are
typically deictic, their meaning depending on a particular frame of its reference. Demonstratives
are often used in spatial deixis (using the context of the physical surroundings of the speaker and
sometimes the listener), but also in intra-discourse reference - so called "discourse deixis"
(including abstract concepts) or anaphora, where the meaning is dependent on something other
than the relative physical location of the speaker, for example whether something is currently
being said or was said earlier.

I’m going to see the doctor this morning.

The only thing he wants to do these days is play on the computer.

When used as determiners, this and these can be used to refer to people as well as things, e.g.

These children were first in the queue.

This woman needs urgent treatment.

When used as pronouns, this and these can only refer to things, not people, e.g.

6.Practice

In these settings, physicians work in practices or departments that are managed and
owned either outright or partly by the hospital. Physicians serve as employees and are
compensated by the hospital. Benefits of this arrangement include predictable income, a steady
patient base, and the built-in referral network via the other hospital-based practices. Also, many
physicians enjoy the setting’s camaraderie and its proximity to “the action.”

Heavy committee work is often expected of hospital-based physicians. Find out what those
expectations are and how it would affect patient hours.

Potential downsides are the limited autonomy and the possibility that a decline in the hospital’s
overall financial condition could affect the practice. And as hospital-system mergers continue to
occur, physicians sometimes find themselves caught in the crossfire as the merging institutions
attempt to meld long-established programs and cultures
 Chapter III
Closing

3.1 Conclussion

There may come a time when you or a loved one may need to be admitted to a hospital.
Today's large urban hospitals can be confusing and somewhat frightening for someone not
familiar with how they work. In general, there are two major types of hospital admissions,
emergent and elective.
In these settings, physicians work in practices or departments that are managed and owned
either outright or partly by the hospital. Physicians serve as employees and are compensated
by the hospital. Benefits of this arrangement include predictable income, a steady patient base,
and the built-in referral network via the other hospital-based practices. Also, many physicians
enjoy the setting’s camaraderie and its proximity to “the action.”

3.2 suggestion
To ensure the implementation of a new inpatient admission information system,
management must be committed to facilitate and monitor the implementation of the information
system inpatient admission

REFERENCES
Definition of medical record (RM) in Permenkes Number: 269 / MENKES / PER / III / 2008
G. Srinivasarao et al. / A Hospital Admission System Based On Nursing Work Load / IJMA- 5(12),
Dec.-2014.
https://www.researchgate.net/publication/281319325_A_HOSPITAL_ADMISSION_SYSTEM_BASED_ON_
NURSING_WORK_LOAD

US English website article on Demonstrative Pronouns. Accessed July 6, 2009