o Flavia D’Souza as : Clinical Fasilitator

o Gloria as : Nursing Student

o Tom Williams as : Patient

Part 1 Dialogue Gloria (Nursing Student) and Flavia (Clinical Fasilitator)

F : Hay Gloria, How are you going?

G : Hay,well thanks. How are you?
F : I’am good,thankyou. What are you doing today? Who are you looking for?
G : I have three patients. At the moment. I’ve got one which is more interesting,because
he’s going to surgery today,this afternoon.
F : OK,what surgery is he going for?
G : He’s going to, let m… it’s a shoulder, it’s a shoulder surgery.
F : OK, so what are you doing for him?
G : Well, I have to do the preoperative checklist and yes,I’am not, I’am not pretty sure if
I can do it by my self.
F : You did it with me a couple of times before and you really well. You asked the right
questions, and you were able to explain everything to the patient. I think you can do it by
yourself and then we can discuss it letter on.
G : Ah, OK. That could be good.
F : Did you have any question?
G : Yes, actually I got it. I got one question sometimes, the last time when we did it, it was
with a women, so it is easier to ask if she have makeup on or she dosen’t , but he’s a man.
F : Yes yes
G : I don’t know if actually I can ask him.
F : You see, some things are quite obvious. We can assess ift for ourselves, if you’ve got
makeup on or not, if not , you can take it as he dosen’t have makeup on.
G : Ah right, OK.
F : But those that you cant see. You need to ask him.
G : OK.
F : Those things that u can see yes?
G : OK.
F : Alright.
 G : OK. I’ll see you later.
F : So Ok. See u later.
G : Ok bye bye thanks.

Part 2 Dialogue Nurse and Patient

N : Hello Mr Williams. My name is Gloria Gomez, I’am a nursing student, first year, from
UTS.I’am here at the moment for doing the pre-operation checklist for you. As long as I know,
you were explained that you will be, you will be in a surgery today.

P : Yes, they told me.

N : Did you have any other question about this surgery, or is it everything clear for you?

P : When we are going to get on with it? I’ve been here all day, waiting.

N : As long as I know just let me check , you surgery is going to be at 6pm today. Ummm so at
the moment now I’am going to do a preoperative checklist which is going to be a little bit a
questions, and sometimes they are going to be uncomfortable for you, but just think that I’m going
to do all this in order to have a good outcome in your surgery.OK? Let me check your arm and
(sic) please. Can I have full name, please?

P ; Tom Williams.

N : Your date of birth?

P : Still the first of the first nineteen-ninety. Like it was the last time you asked!

N : Yes, I know it’s a little bit boring when someone asks you five minutes your date of birth, but
its very importan for us to always verify that we are working and we are doing the procedures with
the right patient. Umm , yes, it’s something that we have to do, and I know it annoys everyone,
but it, it’s for you own good. Ok, so do you have what the time you have your last food at?

P : Breakfast this morning, I guess.

N : Breakfast ummm, what time was it?

P : It would be nine .
N : What about your last drink?

P : Well I was drinking water at the game, that’d be eleven, I reckon .

N : Eleven , Ok. As long as I see you, you don’t have glasses, what about contact lenses, do you
have any contact lenses?

P : No.

N : Hearing aid?

P : No.

N : Good. Sorry about this question, but do you have any artificial limbs or prostheses?

P : NO!

N : Any denture?

P : No.

N : Ok, have you voided?

P : What?

N : Passed urine? Have you passed urine today?

P : Yes, this morning.

N : Ok, I’m going just to check if you have prepared your operation sites. I’m not going to do any
painful thing for you. I’m going to try to do everything every slowly, like very careful of
everything, Ok? I’m just going have a look, If you doesn’t mind. Uh-hmm, that’s great. Ok thank
you. Umm.. do you have any jewellery? Rings?

P : No.

N : Can I have look of your nails? Do you have any nail polish?

P : No!

N : That’s fine, Ok, have you had your shower today , after the...?

P : Yes, I’ve had my shower.

N : Ok, that’s pretty much it, do you have any comments, any questions,any enquiries to…?

P : When do I get to go home?

N : Oh, that’s a that’s a tough question now! I can’t I’m not able to answer it to you as long , the
only thing I can tell to you now is your surgery is going to be at six, and you will be in recovery
for up to all night, and yes, the doctor’s coming tomorrow to check how is everything and he will
be able tell you what time area you going home, or if you are not leaving tomorrow.

P : Yes.

N : Ok? Do you have any questions?

P : Why do I have to get this surgery? I’ve broken it before and they just put it in a cast, that was
it.

N : Yes, I know this is a little bit tough and you had a fracture before and it was healed just with
cast, but this fracture’s a little bit more complex, so you need to really be fixed. Umm… the only
way to fix this is not a cast, it is a surgery, so that’s why the surgery is going to be, Umm… we’ll
be here when you come back from surgery we’ll be alwayslooking after you . You will be fine
you’ll be in the bed as always, and yes, we’ll be doing the best,our best, for you, all the time.

P : Alright.

N : Yes do you have any more questions?

P : That’s , that’s fine.

N : So do you have your buzzer there?

P : Yes.

N : Ok, and also, I’m afraid you can’t have anything to drink or ear until six o’clock.

P : What, not even a glass of water?

N : Not even a glass of water, I’m sorry about that.This is because when you will be exposed to a
surgery which is with the general anesthetic, so you will be all muscles will be relaxed. So that all
the because of your muscles are relaxed, also your epiglottis is going tobe relaxed. The epiglottis
is the mucle which is in charge it’s like, let's say , like a top , which doesn’t allow the food to go
thought the airways. So you can have like a choke , or any other risk in your surgery,while you are
there. That’s why we are being advised to let you know that you are not able to have any drinkor
any food at all, until six. I’m sorry about that I know a little bit complicated but if you fell
uncomfortable , or your mouth is dry. I will be able to bring you some mouthwash.

P : No! I’ll be fine thanks!

N : So that you can..You will be fine? Ok. Ok, so if you have any question, anything, just let me
know, Ok?

P : I’m fine.

N : Ok, bye.

Part 3 Dialogue Dialogue Gloria (Nursing Student) and Flavia (Clinical Fasilitator)

F : Gloria, how did you go? I was watching you from there.

G : Oh, yes, I think I did well. I’m not quite sure, but…yes…

F : What did you think you did well ,and what yes...?

G : I think most challenging aspect in this situation, it was to deal with this patient which was in
a very bad mood. So I didn’t know what to do, how to talk to him, how to emphatise with him,
because he was a little bit dry like.

F : I think you did quite well in this situation that you were in, and seeing you were doing it for
the first time, I think you did well, but as you keep doing it, you will develop more therapeutic
communication skills, and you’ll be able to , ummm.. help him come out with how he’s feeling
by just empathising with him and asking, saying. ‘Oh, I understand you’re feeling raelly bad today’
, and you know? But you did quite well there. What else did you have any problems with?

G : Actually, I think I did well asking a couple of questions, but I didn’t know how to ask him
about limbs, arctificial limbs and dentures,and … Some stuff which is a little bit like, intimidating
the patient , maybe he feel that he felt that I was intimidating him, asking him for dentures, or
maybe prostheses.

F : You see some questions can be quite uncomfortable but, umm…they’re very important to us,
because the patient’s safety depends on them. For example dentures if he has a small dentures or
just a single tooth denture , that can be very dangerous because the patient can either swallow it,
or they can get into the lungs, so it’s really important that you ask the question, and as you keep
doing it, you will develop that skill to ask them in a, in a more appropriate manner.

G : Ah yes, I’ve got everything here, I checked…

F : Good, you’ve got the X-ray and you’ve ticked everyting, good.

G : Yes, I just forgot to ask him about the personal belongings , so I have came up, came back
again ask him, umm… I did everything but I forgot it, to do it for the first time.

F : But did you go ask , go back and get that?

G : Yes I did.

F : Good. Lets go thought the paperwork, ummm…you’ve got label there,so that’s good. And
that’s your checklist that’s good. Now make sure all the documentation is right , and that’s the
consent, good. Alright , Ok, good. I think you can keep doing it now, so you can check all your
preop patients before they go to the threatre.

G : Yes, I just wanted asking you something.i don’t know if its quite normal to find that kind of
patient ,because some felt so bad.

F : Yes, look don’t think see, its not, nothing to do with you. Most often, it’s the situation that
they are in, and they are feeling, either angry or sorry for themselves, and its , that’s is how they
react.i think you did quite well,and its nothing to do with the way you behaved ,or anything that
you did.

G : Oh, that’s a good realief!Thank you!