Mrs. X has gotten fever, cough with phlegm and cold for five days. Her temperature increases.

She
goes to hospital for check the condition. After arriving in the hospital, she is in admission room to
register. Then, she meets a nurse.

Nurse 1 : “Welcome to Mitra Hospital. Can I help you Mrs. ?”

Mrs. X : “Yes. I’d like to register my self. I has gotten fever for three days.”
Nurse 1 : “Have you ever been hospitalized or visited doctor here?”
Mrs. X : “Never.”
Nurse 1 : “Okay. Because that we need to fill in the admission form for the patient’s medical
record.”
Mrs. X : “Sure. No problem.”
Nurse 1 : “What’s your full name?”
Mrs. x : “My name is xxxxxx.”
Nurse 1 : “When were you born?”
Mrs. x : “I was born on 21 September 1999.”
Nurse 1 : “Where is your address?”
Mrs. x : “I live in Melati street, number 3.”
Nurse 1 : “May I have your phone number?”
Mrs. x : “Sure. My number is 082119808890.”
Nurse 1 : “Okay. So the complaint is fever. Anything else?”
Mrs. x : “I have cough with phlegm and cold too.”
Nurse 1 : “Okay, now I will check your vital sign first”
Mrs. X : “How is the result?”
Nurse 1 : “The result is normal 120/80 mmHg”
Nurse 1 : “I will to measure your body temperature. Can you open your arm? I will put this
termomether in your armpit.”
Mrs. X : “Okay no problem.”
Mrs. X : “How about My body temperature?”
Nurse 1 : “Wait, I can see.”
Nurse 1 : “Your body temperature is 38.2˚C, that is quite high.”
Mrs. X : “Hmm okay.”
Nurse 1 : “Do you feel shortness of breath?”
Mrs. X : “yes my breath feels a bit tight”
Nurse 1 : “Okay. Wait. I want ask the doctor about it.”
Mrs. x : “Okay.”

Mrs. X is waiting when the nurse goes to doctor room.

Nurse 2 : “Excuse me doctor, there are patient with complaints of fever 5 days
accompanied by cough with phlegm and her breath has been assessed 24x/minute”
Doctor : “what is her name?”

Nurse 2 : “Mrs. X”

Doctor : “Provide inhalation to Mrs. X with phentolin medicine and train for effective
coughing so that phlegm can be removed”

Nurse 2 : “Okay doctor, will I prepare for inhalation, thank you”

Nurse 2 : “Mrs. X. I discussed with the doctor about it. So you will be inhaled by giving a
drug through steam that aims to restore the disturbed breathing to normal. If you are
willing?”
Mrs. X : “Yes, iam willing”
Nurse 2 : “okay, I will prepare the equipment first”
Nurse 2 : “After the inhalation machine I turn it on, you can inhale the medicine that I have
entered here”
Mrs. X : “Okay nurse”
Nurse 2 : “Wait for a few minutes”

The nurse wants to talk about the patient’s illness to one of her family
Nurse 2: “Excuse me ma’am, I have something to talk about the patient illness”

Nurse 2 : “Already completed, I took off the inhalation hose”

Mrs. X : “okay nurse”
Nurse 1: “after I discussed with the doctor earlier, that today you can go home, but before that, I
will teach you to cough effectively”
Mrs. X: “what is an effective cough? “
Nurse 1: “Effective coughing is a practice of deep breathing and coughing up your phlegm so it is
easy to expel”
Mrs. X : “How to do it? “
Nurse 2: “Let me demonstrate first”
Nurse 2: “inhale … exhale, inhale … exhale, inhale … exhale, breathe … hold ready to cough.
Yes cough“
* Nurses practice cough effectively*
Nurse 2: “Now you do as I demonstrated”
*Mrs. X does as the nurse example does”
Mrs. X: * coughs up her phlegm *
Nurse 2 : “Yeah good, let’s try one more time”
Mrs. X: “okay nurse”
*Nurses teach coughs effective once more in patient*
Nurse 2: “yeah it’s good, phlegm has come out a little bit* (while giving Mrs. X sputum)
Mrs. X: “thank you nurse”
Nurse 2: “how does it feel after an effective cough?”
Mrs. X: “My breath felt easier than before”
Nurse 2: “well, if it is like that, is there anything you don’t understand in a way?”
Mrs. X: “How many times a day?”
Nurse 2: “3 times a day”
Nurse 2: “so, can you do it yourself at home?
Mrs. X : “yes, I can”

Nurse 2: “you must be hospitalized to the situation is improved”

The patient must be hospitalized until the situation improves

Then, comes the nurse who will check vital sign.

Nurse 2 : “Hello, you’re Mrs. X, aren’t you?”
Mrs. X : “Yes, that right.”
Nurse 2 : “Okey, Mrs. X, how are you feeling today?”
Mrs. X : “I feel limp today.”
Nurse 2 : “I’m sorry to hear that. Anything you want to talk about?”
Mrs. X : “I feel dizzy, nausea and sore throat.”
Nurse 2 : “Oh dear, I see. Okey Mrs. X, in here I want to observation include temperature,
pulse, blood pressure and respiration rate. The purpose of this action to know your
condition now.”
Mrs. X : “Okay.”
Nurse 2 : “Can I start it?”
Mrs. X : “Sure.”
Nurse 2 : “I will to measure your body temperature. Can you open your arm? I will put this
termomether in your armpit.”
Mrs. X : “Okay no problem.”
............
Mrs. X : “How about My body temperature?”
Nurse 2 : “Wait, I can see.”
............
Nurse 2 : “Your body temperature is 38.2˚C, that is quite high.”
Mrs. X : “Hmm okay.”
Nurse 2 : “Okay, I want check your pulse. Your pulse is 89x/minutes. And your respiration
rate is 23x/minutes. Are u feel hard to breath, right?”
Mrs. X : “Yes.”
Nurse 2 : “Okay, the last I’ll check your blood preassure. Your blood preassure is 120/80
mmHg. Alright, okey Mrs. X, I’ve already finished check your vital signs. Is there
anything else your need?”
Mrs. X : “ No, Thank you.”
Nurse 2 : “Okay. See you.”

Then the nurse 3 comes to interview Mrs. X because ordered by the doctor and to know the next
treatment.

Nurse 3 : “Good morning, you’re Mrs. X, aren’t you?”

Mrs. X : “Yes, that’s right.”
Nurse 3 : “Okay, My name is Fida. In here I will ask some question to you.”
Mrs. X : “Okay, no problem.”
Nurse 3 : “What’s your occupation?”
Mrs. X : “I’m housewife.”
Nurse 3 : “Do you have children?”
Mrs. X : “Yes, I have 2 children.”
Nurse 3 : “What brings you to here today?”
Mrs. X : “I’m got fever and cough with phlegm.”
Nurse 3 : “When did it start?”
Mrs. X : “This has happened since two days ago.”
Nurse 3 : “Did you take medicine before to relive body temperature?”
Mrs. X : “Yes. I did. I used paracetamol.”
Nurse 3 : “Do you have allergies?”
Mrs. X : “No. I don’t have allergies”
Nurse 3 : “Do you have a good appetite?”
Mrs. X : “No. Because I’m nausea.
Nurse 3 : “Okay, thank you for your information Mrs. X. I will discuss with doctor about
your treatment. Is there anything question?”
Mrs. X : “No, thank you.”
Nurse 3 : “If you need some help? Just press the bottom in here.”
Mrs. X : “Okay.”
Nurse : “See you.”