4 Unit LANGUAGE 1 Grammar Choose the correct option to complete the sentences. 1. Surgeons performs / performing / perform operations 2 Tmamidwife, delivers /'m delivering / deliver babies. 3 The paramedic is unavailable, He responds /’s responding / respond toan emergency. 4 ADoyou work ina hospital? B Yes,1 work / do / does. 5 Lwant / wanting / wants to qualify asa physiotherapist, 6 Tike to working / working / work with people. 7 Doyou/ Youare / Are youtaking the patient to surgery? 8 Ido /'mdoing / todoa night shift this week. 2 Key words from the unit Complete the sentences with the words frorn the list. anal 1 are onthe bottom grade nursingofficers 2 often work in administration, promotion 3 Thenewjobisa, forher eaters 4 Poychiatricnurses__in mental health. auxiliary nurses 5 Youcan doa ‘course while you work, rewarding 6 YouncedtosendaCVwhenyou____ specialize 7 Contact with patients can be very 8 Weare looking for well staff READING AND VOCABULARY Abig hospitals lie a small town; it needs thousands of people to make it work All these people are organized into teams and each person in each team hasa rank and often a specialism. Inthe past, the health care team’s chain of command was simple: doctors made decisions and gave senior nurses orders, Senior nurses then instructed junior nurses, and so on. Things are changing, In mary countries nurses have much more responsibility than they once had ‘One thingis not changing; itis stilla doctor who is in charge ofa patient’s treatment In Britain, that doctoris called a consultant. Next in line tothe consultant isthe registrar. Consultants and registrars, ‘rain the junior doctors who are called house officers or interns. Junior doctors work the same long, ‘unsocial hours that nurses do on the wards. The most senior nurses are nursing officers; they are administrators. Then come ward managers who supervise staffnurses and students tis not only doctors and nurses who deliver treatment and care; there are many other specialists too. For example, there are physiotherapists who specialize in exercises to treat injury or dysfunction and cccupational therapists who help patients manage every-day living. There are also many people the patient does not meet like lab technicians doing the tests and pharmacists dispensing medicines. Like any town, a hospital has teams of office staff and ancillary workers such as porters, orderlies, ‘technicians, drivers, cleaners, receptionists and cooks. Everyteam is essential for the delivery of ‘reatrnent and cate. This includes the volunteers who, without pay, raise money forthe hospital and run shops, cinemas, libraries and restaurants. Oxford English for CareersNursing 1 Practice File © Qxfard University Press 2012,2 Unit 1 3 Comprehension Use the information in the text to complete the sentences with a,b orc. 1 Ahospital islikea small town because 2 its busy. bb it’s full of differentkinds of people. ¢ there areso many buildings. 2 The difference between now and the past isthat__. a nursingis easier. D murses make more decisions © nurses work harder. 3 Consultants and nursing officers are both__ a senior staff. b house officers ¢ incharge ofa patient’s treatment 4 Ward managersare__ 2 nurses. b office workers © senior doctors 5 Tabtechniciansand pharmacists __. a delivertreatment and care. workin the background. © helpthe specialists 6 Hospital volunteers are__ a sometimes needed b paidwell. essential. 4 Words from the text Match each verb1~71oa suitable phrase a-g The first one is done foryou. 1 specialize —_ a newstaff 2 train \ unsocial hours 3 make ) ¢ abusy department 4 dispense { 4. injuries and dysfunctions 5 rn \ © quickéecisions 6 work “i inpaediatrics 7 treat g medicines 5 Further vocabulary practice Underline the correct words in italics to cornplete the sentences. The first one is done for you. . 1 The nurse understands the treatment / to treat. 2 You can consult / consultant the doctor about it. 3. Iwantto see a specialist / specialize / specialism. 4. rmworkingin reception / receptionist. 5. The director manager / management / manages the hospital. 6 Aregistrarhelps to trainer / train / training junior doctors. 7 Heis nursing / nurse fulltime now Oxford English for Careers Nursing 1 Practice File © Oxfard University Press 20114 Unit2 LANGUAGE 1 Grammar Choose the correct option to complete the sentences. Walk into /over/ through the doors at the end of the corridor. Tum left /away /on after Pathology. There’sa sign under /over /at the door It’seasiest to take the lift up to /on the top /into Surgery. The Pharmacy is the second door on /at /oppositethe right. ‘The car park:isin front /inside /opposite the main entrance Gostraight at the bottom of /under /towardsthe stairs Your ward is by /opposite /next to Physiotherapy. eI Oke N 2. Key words from the unit Complete the sentence with the words below. aura 1 Thepharmacy. medicines waste 2 Take the. togettothe next floor. ii 3 Goalongthis andthrough the doors. mately 4 Weuse___forpatients who can't situp. reception 5 isnext tothe main entrance ae 6 Bach bed produces 45 kilos of each day 7 Dead patients are taken to the 8 Porters heavy equipment READING AND VOCABULARY ‘Some hospitals specialize in particular conditions like cancer or psychiatric illness. Other hospitals specialize in particular types of patients lke geriatrics, children orthe terminally ill. However, the best known type of hospital isthe general hospital which deals with almost everything, has ambulance ‘rews and beds for both intensive care and long stay. Abig general hospital has many different specialist departments. Identifying departments can be confusing because different hospitals use different names forthe same thing For example, ‘one hospital may have a ‘children’s unit’ whicha different hospital calls Paediatrics: Accident and Emergency’ (A&E) in one hospital is called Casualty’ in another. There are many other examples. The department that specializes in heart problems, is sometimes called’Coronary Care’ Others cal it ‘Cardiology’ or‘Cardiovascular medicine’ Nephrology, the department that treats illnesses ofthe kidney is sometimes called ‘che Renal Unit: Gastroenterology (Cigestive system) is sometimes ‘the Department of Hezatology.. Hospital staff often use abbreviations for departments, For example, they refer to’ Obs and Gynae’ Thisis a department combining Obstetrics (pregnancy), and Gynaecology (women’s reproductive organs). They call Otolaryngology, ENT’ (ears, nose & throat), mostly because itis much easierto say. Oxford English for CareersNursing 1 Practice File © Oxfard University Press 20115 Unit 2 3 Comprehension @ What three types of hospitals are mentioned in the text? b Whichis the most common type of hospital? ¢ Why are hospital department names confusing? Which two departments mentioned in the text, deal with the gastrointestinal tract? How many departments is‘Obs & Gynae’? ‘any dep; f What isa common name forthe Otolaryngology Department? 4 Vocabulary Find terms in the text that meanthe same as a-g. The first oneis done for you a mental health problems ___ psychiatric itiness b elderly people © people who are dying paramedics © treatment for critically ill patients £ stomach and intestines uterus ovaries and fallopian tubes 5 Further vocabulary practice ‘Match department names 1-6 with parts of the body a-f, Department name Parts ofthe body 1 Coronary Care a tonsils 2 Gynaecology b cervix 3 Obstetrics © bowel 4 Gastroenterology d heart 5 ENT e kidneys 6 Nephrology f placenta Oxford English for Careers Nursing 1 Practice File @ Oxford University Press 20127 Unit3 LANGUAGE 1 Grammar Choose the corrert option to complete the sentences. The patient is arriving / arrives / arrived at 9.45 p.m. last night We didn't called / didn’t call/calting an ambulance, because it wasn't necessary Did you catch / catched / caught your cold at school? walked / am walking / was walking whenthe dogattacked me ADid she interview the patient? B Yes, she did / interviewed / do. What were you doing while / when / during you broke yourleg? She didn’t / wasn’t / were concentrating while she was driving. They were / was / been ina fight. 2 3 4 5 6 7 8 2 Key words from the unit Complete the sentences with the words from the list anne 1 Atriagenurse makes an initial life-threatening 2 Asnake ite canbe prescriptions 3 Sometimesitis difficult tread ene Ay Receptions yoake, forpatients eee 5. Arms and legs are called appointments 6 The doctor decides on the correct a 7 Thepatientis. to certain antibiotics. 8 Gointothe ‘to get undressed READING AND VOCABULARY ‘There are three ways to admit a patienttto hospital: eitheras an outpatient, a day patient or an inpatient. An outpatient needs treatment but not a bed. A day patient needs a bed fora few hours, but doesn't needto stay overnight. An inpatient needs t least one overnight stay. Hospitals need to plan for patient admissions. They have to predict how many beds they will need Itis quite easy to predict referrals from doctors like General Practitioners, but a larger number of patients come through A&E, and its more diffcultto plan for therm. Itis very important to keep accurate records of patients'treatment, from admission through to discharge and follow-up. These include personal details such as marital status, occupation and next ‘of kin, as well as medical history such as past illnesses andtreatments, family history and lifestyle. Medical staff record alltreatments, test results and correspondence. They tryto record these things at the time they happen. This s important, and not only to ensure the correcttreatment. Medical records are sometimes used for research, orin a court of law. Oxford English for Careers Nursing 1 Practice File @ Oxford University Press 20112 Unit 3 3 Comprehension According to the text, are the following staternents are true (T) or false (F)? 1 Admissions tohospital arcall inpatients. 2 There are more emergency admissions than referrals. ___ 3. Hospital records stop at discharge. 4 Personal details are part of medical records. __ 5 Staff should recordtreatments at the end of their shift. __ 6 Only medical staff canlook at medical records. 4 Vocabulary Match the words or nhrases 1-7 toa suitable definition a-g. The first ones done for you. 1 overnight stay ——. a whenapatientissent tohospital 2 admission \ > normal, everyday behaviour 3 referral \ ¢ treatment aftera patient has been discharged from hospital 4 discharge “N= d timeasan inpatient 5 follow-up € letters,emails and messages 6 comespondence £ themoment when a patient enters hospital 17 lifestyle g whenapatientistold they can eave hospital 5 Further vocabulary practice Underline the correct words in italics to complete the sentences, The first oneis done for you. 1 We don’t need beds for out /in / day patients. 2 Whois your farnily history /next of kin / occupation? 3 What is your marital status / past ilitesses / personal details ? 4. Thenew patientis a referral/ admission / discharge from Cardiology. 5 Wenneed you to come back tothe hospital for discharge / follow-up / admission tests. 6 Ifyou don't stop smoking and drinking so much, your lifestyle / test results / medical history may killyou, 7 Afteryousign the discharge / comespondence / record form, you can gohome. Oxford English for Careers Nursing 1 Practice File © Oxford University Press 201110 Unit 4 LANGUAGE 1 Grammar Choose the correct option to complete the sentences. 1 Take /get /doyourmedication three times a day with food, 2 Dol should / have to / shouldn't bandage the wound? 3 Shall /you / hetake his pulse? 4 Don't toremove / remove / removing burnt clothing. 5 Makesure / Make / Make you sure the patient is comfortable. 6 Don't let him leaves /let him leave / to let him leave the hospital until the doctor sees him. 7 Don't toforget / forget / forgetting to sterilize the needle. 8 How/do /are/ doTapply the pads? 2 Key words from the unit Complete the sentences with the words from the list. = 1 Youshouldpuncturea_____withaneedle shock 2 Youcan____equipment with alcohol. hypodermic 3 First check thereareno______ inthe wound. ame 4 Youshoulé____a wound with iodine ‘trauma 5 Give CPR toa patient whohas hada forcign bodies 6 Trafficaccidents can cause major. Es 7 —___needles are used for injections. 8 Confusion and unconsciousness are signs of. READING AND VOCABULARY A Every day of the year people come through the doors of ANE departments. Some walk and some ‘came on stretchers They may be victims of road traffic accidents, violence, accidents at hame, self-harming, poisoning, burns, and so on, B_ A&Eis for people who are seriously injured, perhaps unconscious or losing. lot of blood. Hospitals Usually say that A&E departments are only for critical orlife-threatening situations. © Some people goto AKEwith minor injuries like sprains, insect bites, cuts and nose bleeds They should not be there. Usually they have to wait along time before they are examined and sometimes staff will sendthem away. D When A&E departments have multiple casualties, after a major incident like train crash, they have to decide who isa priority and whe can wait. To do this they use a procedure called triage E Theysort patients into groups There are those who need immediate surgery those who are stable bout need hospital care, and those who only need first aid. People who are going todieare not a priority for medical care. F Nursing in A&E is fast moving and interesting, The high level of stress can sometimes mean that staff suffer emotional problems. A&E staff are well known for their dark sense of humour~they sayithelps to deal with the stress of the job. Oxford English for Careers Nursing 1 Practice File © Oxford University Press 2012a Unit 4 3 Comprehension ‘Match each paragraph A-F with the correct heading 1-6 1 Triage categories 2 The purpose of triage 3 The purpose of A&E 4 AWEstaff are victims 5 Patients who present to A&E__ 6 Non-emergencies. 4 Vocabulary Complete the sentences with the words in the list. 1 Useastretcherto bring inthe next —she can't walk. 2 This patient's conditionis, atthe moment, but she needstoseeadoctorsoon. 3 Hehas injuries, but they are not life-threatening 4 Thispatient is in serious danger—his condition is 5. She has cutsand bruising toherface—I'm sure she'sa ofviolence. 6 This child is seriously ill—he's a forimmediate treatment 5 Further vocabulary practice Choose the word or phrase from the list which has the same meaning asthe underlined words in sentences 1-6 1. The patient is conscious ~you can alk tohernow. 2 Remove the pads from his chest. 3 Make sure you keep his head still~ you might injure hisspine. as 4 Heneeds treatment immediately 5. Ifthe procedure is not successful, you may have to do itagain. 6 Her condition is serious, but not life-threatening, Oxford English for CareersNursing 1 Practice ile © Oxford University Press 2011 priority awake and alert critical immobilize takeoff right now tepeatWORKSHEET 28 SUBJEC idjectives and Adverbs A) Write what the underlined word is; adjective or adverb: Fast runners win races, cesses adjective Mathematics is difficult She's a good typist. She behaved rudely to her boss. You've done well in your test The clowns are very funny. She’s a pretty girl. He runs fast, Ann is very sad. She plays the piano beautifully. Father is very busy in his office. 12, The doctor arrived immediately. oSeesnavaene B) Underline the correct item: He left the room quiet / quietly. Jane works hard / hardly. He’s a very nice / nicely man. The sun is shining bright / brightly. ‘Smoking is bad / badly for your health. She behaves very good / well. He always dresses smart / smartly. He shouted angry / angrily at me . This chair is comfortable / comfortab! 10, He smiled sad / sadly. 11. You drive very slow / slowly. PEI DHAwA C) Complete these sentences: 1. There was some heavy rain last night. Yes, it rained very ..... heavily. 2. Aren’t the children quiet! Yes, they're working very 3. James has a loud voice Yes, he always talks very 4, Isn't the teacher angry! Yes, he’s shouting very 5. Angela’s very happy today! Yes, she’s laughing very 6. The telephone rang in the middle of the night. Nick was very sleepy. He answered it very 7. Kate likes playing slow music. Yes, she’s playing this piece veryD) Complete the sentence with the correct word from the brackets: Example: Mice move ..... quietly ...... (quiet / quietly) 1. This exercise is (easy / easily) 2. These people are speaking (quiet / quietly) 3. Mr. Brown can speak English (good / well) 4, Tigers are animals. (brave / bravely) 5. The footballer is (tired / tiredly) 6. Cheetahs run (quick / quickly) 7. She is lifting the weight .. (easy / easily) 8. The children are playing (happy / happily) 9. Tonyisa... su. Skier. (good / well) E) Supply the proper form, ADJECTIVE or ADVERB: 1. He always does his homework (careful) 2. Heisa very ceecseeeeeersconseensesss (Careful) student. 3. Come .. (quick). We need your help. 4. You should drive more sesesesssseeee (Slow) along this road. 5. The old man walks very (slow). 6. Helen isa very (slow) student. 7. Her brother, on the other hand, learns seseeesseseeseeees (rapid), 8. Mr. Gonzales has a (permanent) visa 9. He hopes to remain in this country ..... sooesee (Permanent), 10. This is an i seseessss (@asy) exercise. 11, Ican do all of these exercises (easy). 12, Helen works very soseeseeessseveessssee (hard) in her new job. 13, You walk very .........0 secssees (East). 14, They are both (serious) students. 15. They both study English very (serious) 16, Lagree with you (complete) in that matter, 17. This apple is very E (soft) 18, She always speaks . Soft) to the child. 19. Helen is a ae vo (Beautiful) girl, 20. Her sister plays the violin ws ... (beautiful).WORKSHEET 4 SUBJECT : Present Simple, Present Continuous, Simple Past JAMAICA is a large island in the Caribbean Sea. Nearly a million tourists visit the island every year to relax in the sun and swim in the clear blue sea. For tourists the island is a paradise, but for most Jamaican people life is hard. There are very few jobs, except in the tourist industry Jamaica is also famous for reggae music. A) Chili's friend Della was on holiday in Jamaica. Read her letter to C with the correct verbs. and complete it * invited *stopped ‘*talked * stayed * travelled + —* enjoyed * didn't sleep * didn’t get * watched = * was, * listened Dear Chilli, Thad a fantastic holiday in Jamaica. It was hot and the sea was blue and lovely. i . by plane from London to Kingston. I really eight hours long but I the flight I to the girl in the seat next to me. the flight. Itwas so excited. During a film and I on a trip to Montego Bay. We last night there I with my aunt and uncle in Kingston. They ... me at an Orchid Farm. It was brilliant. On my to bed until there o'clock in the morning! See you soon! Love, Della B) Answer the questions: 1. Did she go to Jamaica? 2. How did.she go to Kingston? 3. How was the weather? 4. What did she do on the plane? 5. Did she visit her grandparents? 6. Did she like the Orchid Farm?7. When did she go to bed on her last night? 8 Where is Jamaica? 9. What do the tourists do in Jamaica? 10. How is the life for Jamaican people? ©) Complete these sentences in the PAST TENSE, using the correct verb: *play enjoy watch * listen *talk = * phone * stop * walk = * travel * like * stay I watched the late film on TV last night. 1. Wereally .... -csscssu the concert last night. It was great! 2. She . with friends in Brighton last summer. 3. Tay... very well in the last World Cup. 4, Hler parents .............+..0..«» by train from Shanghai to Moscow. 5. cscsssessssssssssssn YOU four times last night but you were out. 6. We... along the beach yesterday. It was lovely. 7. She the film but she didn’t like the music. 8. The men work at exactly one o'clock. 91 - to the new Sting album yesterday. It’s great 10. They . to us about their trip to Madagaskar. It was very interesting. D) Complete the conversation with WAS / WASN’T / WERE / WEREN'T. ‘A: Where were you last night? I phoned you but you at home, BrT.............0ut with friends, We at the Bluenote Café. Av cecsceecsseeees Julia there? B: No, she ... Why? A: Oh, [just wondered. B: She ...out with Nick. They at the Oasis. I think ‘A: No, they B: How do you know? A: Because I there! E) Complete the man’s statement with the PAST SIMPLE form of the verbs in brackets: Last night I --ssees: (G0) to my favorite restaurant in West Street. I ..........00. (leave) the restaurant at about 11 o'clock. It (be) a warm evening and I (decide) to walk along the beach. Suddenly, I (hear) a noise. I (turn) and 5 (See) three boys aged about eighteen. One boy (come) up to me and svsesesssen (@Sk) me the time, When I (look) down at my watch, he soveoevees (hit) me and T..... (fall) to the ground. Another boy (take) my wallet. I (shout) for help. Then they (run) avvay,F) Complete the story. Use the verbs in the brackets: Last year I went (go) on holiday. 1 . (drive) to the sea with my friend. On the first day we (look) at the beautiful buildings and (cat) in lots of restaurants. The next day (be) very hot so we (drive) to the sea. We (leave) our clothes in the car and (sunbathe) and (swim) all day. At six o’clock we - ove (Walk) to our car, but the CaF ..........000:.(b8) there, We -.-«. (buy) some clothes and (go) to the Police Station. The police ...... (be) nice and we «-. (Sleep) in the police station. G) Make negative sentences (x) or questions (2) using the PAST TENSE: Example: he / stay (x) in a hotel He didn't stay in a hotel. you / learn (?) speak Italian when you were in Italy. Did you learn to speak Italian when you were in Italy? 1. she / like (x) the film 2. 1/use / (x) the school computer yesterday 3. they / arrive (?) home late yesterday 4. you / ask (?) her for Caroline’s address 5. he/ enjoy (x) the concert in the park 6. we/talk (x) about school at all H) Read the text. Write the questions below about Tamsin’s holiday: Last September Tamsin went to Bali. She went by plane and stayed in a big hotel, It was, very hot, so she swam every day. In the evenings she went to different restaurants, the food was very good. She met some nice people and every night she danced with them at the disco. She was happy because she wasn’t alone. 1. Where did she go? : Bali 2 pict Last September. 3 el By plane. 4 s Ina big hotel 5. It was very hot. 6 She swam, 7 It was very good. 8 Some nice people.WORKSHEET 2 SUBJECT: Present Simple, Present Continuous A) Read the paragraph and answer the questions: Brian is a doctor. He looks after sick people. He usually gets up at 6.00 o'clock. Today he is late, itis 6.30 and he is still in bed. He usually goes to work by train but today he is driving to work. He arrives at work at 6.30 every morning but it is 7.30 now and he is still driving. It's 12.00 o'clock now. He always has his lunch at 12.00 but today he isn’t having lunch at 12.00, he is looking after his sick patients. It is half past seven now, Brian is watching TV. He usually watches TV at half past seven because his favorite programme starts at half past seven. Brian has his dinner at 8.30 everyday and he is having dinner now. It is 24.00 now Brian is going to bed. He always goes to bed at 24.00 1. What does Brian do? 6, When does he always have his lunch? 2. What time does he usually get up? 7. What is he doing at 12.00 today? 3. How does he usually go to work? 8. Why does he usually watch TV at 7.30? 4, Why is he driving to work today? 9. What time does he go to bed? 5. What time does he arrive at work everyday? —_10. What time is he going to bed now? B) Fill in the blanks with PRESENT CONTINUOUS or SIMPLE PRESENT: 1. The children (play) outside now. 2. She usually (read) the newspaper in the morning S.1 (do) my homework now. Boreas (eat) my dinner now. 5 aie (you / want) a pizza? 6. THEY ceseesssseee .--. (watch) TV now. To Vivcresseesscssseessieseessseess (not / like) spaghetti 8. The baby........ coosessssseeee (Sleep) NOW. 9. My mother usually (cook) dinner in the evening, 10. He .. (write) a letter to his pen-friend every month, 11. She ....... (not / like) football. 12. Mary (listen) to music now. 13. Tom usually ...... (drink) coffee, but he . .. (drink) tea now. V4. We cose secon (go) to the disco tonight, 15 : (he / go) to work by bus everyday.