English for Nursing Midwifery nama: irham maksum

Topic 13 nim :1019031068

TAKING LAB SAMPLES

Instructional objective
The students are expected to be able:
to act out practice and conversation of taking lab samples, and
to write a nursing documentation after taking lab samples.

NURSING NOTE
Taking blood samples and other biological specimens, such as sputum or
phlegm, urine, and feces, is crucial to the understanding, prevention, and treatment
of disease. However, from the client’s perspective, it can also be painful, unnerving,
frightening, and inconvenient.
The samples above are those that are naturally eliminated from the body.
The client should be able to collect these samples themselves. However, young
children or clients with physical disabilities may need assistance from nurses.
These samples are usually painless to collect, but can sometimes be
awkward or unpleasant for the client because they involve elimination of bodily
wastes and involve body parts and functions people prefer to keep private. In
those cases, nurses can play an important role in helping them to feel at ease
.

1. Why is taking blood samples important?

Taking blood samples important because to the understanding, prevention, and
treatment of disease. However, from the client’s perspective, it can also be
painful, unnerving, frightening, and inconvenient.

2. How should client collect naturally-eliminated samples?

The samples such as sputum or phlegm, urine, and feces, that are naturally
eliminated from the body. The client should be able to collect these
samples themselves. However, young children or clients with physical
disabilities may need assistance from nurses.

3. Why can collecting lab samples be awkward and unpleasant for the client?
Collecting lab samples be awkward and unpleasant for the client because
they involve elimination of bodily wastes and involve body parts and
functions people prefer to keep private.

4. What can nurses do if clients feel awkward or unpleasant?

Nurses can play an important role in helping them to feel at ease

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Related Vocabularies
Direction. The followings are the vocabularies related to taking lab samples. Practice the
pronunciation. Complete the blanks of some words with the proper pronunciation.

A. Needed Equipment

Syringe Tourniquet Cotton

/səˈrinj/ /ˈtərnəkət/ /ˈkätn/

Container Band Aid Oxalate Tubes

/kənˈtānər/ /band ād/ /ˈäksəˌlāt t(y)o͞ obs/

B. Lab Samples
1. Blood /bləd/
2. Phlegm /flem/
3. Sputum /ˈspyo͞ odəm/
4. Urine / ˈyo͝ orən /
5. Feces / ˈfēsēz/

C. Verbs
1. Store /stôr/ : menyimpan
2. Spit / spit/ : meludah
3. Cough /käf / : batuk
4. Go / ɡō/ : pergi

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Useful Expressions
Direction. Study the following useful expressions when taking lab samples and practice them.
Complete some blanks with an expression of the related step.
A. Greeting
 Hi, Paula. How are you doing today?
 Good morning, Maam.

B. Self-Introduction
 My name is Nancy. I am a midwife from Harper College.
 I am Shanti. I will take care of you today.
 Can you tell me your name and birthdate?

C. Explaining what you are going to do

 I am here to take your blood
 I am here to ....
sample.
 I am going to take your sputum.
 I am going to ....
 ...............................................
 It is time for me to ....
 I need to take your phlegm.
 I need to ....
 ................................................
 I just want to ....

D. Giving questions
 Do you have any allergies?
 Do you.. .?

E. Giving instructions  Store your urine into this

 (V1) ............
 Would/Could/Can you..........?
container.
 Spit your phlegm, please.
 Give me your right arm, please.
 Would you roll your sleeve up?
 Can you go to the lavatory?
 .................................................

F. Giving cautionary when taking blood sample

 Don’t worry. This will give just a little pain.
 You may feel a bit uncomfortable.

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Listening Exercise
Direction. Listen and complete the conversations below.
Conversation 1

Nurse : Good morning, Mrs.

Johnson. Mrs. Johnson : Good morning.
Nurse : Did you sleep well last night?
Mrs. Johnson : Well, I didn’t sleep well. I’ve got a temperature.
Nurse : Okay, Mrs. Johnson. Now I need (1) to take a blood sample, to
confirm the diagnosis.
Mrs. Johnson : Sure.
Nurse : Let me (2) apply this around your arm.
You’ll feel a bit uncomfortable with this injection.
Okay, fine. That’s it.

Conversation 2

Nurse : Good morning, Mrs.

Johnson. Mrs. Johnson : Yes, Nurse.
Good morning.
Nurse : Did you sleep well last night?
Mrs. Johnson : Well, I woke up many times. I have a nasty bad cough.
Nurse : Okay, Mrs. Johnson. Now I need (1) to take a sample of your
phlegm. Mrs. Johnson : Sure.
Nurse : Just (2) spit your phlegm into this container.

Communication Exercise
Direction. Choose a pair and write a complete conversation on the acts of taking one of lab samples.
You can use the useful expressions above. Then, practice and present your communication practice.
Do not read aloud the text.

Nurse : Good Morning

Patient : Good morning
nurse.
Nurse : Can you tell me your name and birthday?
Patient : My name is anton and My birthday 05 october 2001.
Nurse : Okay, Miss Nur. Let's me introduce myself. My name is iiirham
maksum. I am a nursing student at Faletehan University. How are
you today?
Patient : I have a stomach ache, fever that doesn't go down, head ache
and nauseous vomit it's been 5 days.
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Nurse : Oh really. Okay. I need take your blood sample. The purpose is to
detect the presence of several health problems, such as anemia, DHF,
infections,

5
 and blood clotting problems. The time is about 5 minutes. Are
you ready?
Patient : Yes, nurse.
Nurse : Any question?
Patient : Yes, Nurse. Will it hurt?
Nurse : You'll feel a jab, but it’s okay. I’ll do it
quickly. Patient : Hmm... Okay, Nurse.
Nurse : Okay. I will prepare the equipment
first. Patient : Okay, Nurse.
Nurse : Okay, I going wash my hands and wear gloves.
Would you roll your sleeve up?
Patient : Yes, Nurse.
Nurse : Okay, give me your right arm, please.
I am going put under pad on your right arm.
I just want to apply this tourniquet round your
arm. Okay, I've found the brachialis vein.
I will give alcohol swab so it doesn't hurt too
much. You’ll feel a bit uncomfortable with this
injection. Okay, fine. That’s it.
It's done.
Patient : Okay, nurse.
Nurse : I will take this blood sample to the laboratory room. Then i will tell
the result at 09.00 a.m.
Patient : Okay, Nurse. Thank
you. Nurse : You're welcome

09.01 a.m.
Nurse : Miss. Nur the laboratory results are out, your platelets are too low.
So, you have to be hospitalized for a few days
Patient : OMG, okay nurse. 

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Nursing Documentation
Direction. Write a nursing documentation after taking lab samples. You can refer to the questions
below for jotting down what you have to write.
1. Mention the patient’s identity.
2. What specimens taken?
3. How is the laboratory test result?
4. Mention the nurse’s name.
5. Mention the day, date, and time of the injection.
Example
Patient Identity
Name : Mr anton Age : 20 y.o.

Laboratory Test Results

Sample: Blood
Na : 141 mEq/L
K : 3.7 mEq/L
Cl : 105 mEq/L
CO2 : 26 mM/L
Ca : 9 mg/dl
BUN : 9 mg/dl
Creatinine : 0.7 mg/dl
Glucose : 104
mg/dl Triglycerides : 118
mg/dl Hct : 34.8%
Hgb : 12.0 g/100 ml
WBC : 7.6 103/mm3
RBC : 3.9 106/mm3
Plakelet count :
80.000/mm3 Alk Phos : 26
U/L Serum Albumin
: 3.2 g/100
ml Serum Cobalamin: 15
pg/ml Folic Acid :
2.4 ng/ml
Time : 08.00 a.m.

Day, date: Saturday, November 23, 2021

Nurse : irham maksum