Occupational English Test

WRITING SUB-TEST: NURSING

TIME ALLOWED: READING TIME: 5 MINUTES

WRITING TIME: 40 MINUTES

You are surgical Nurse in a post-operative ward. Your patient is ready for discharge today after
CABG surgery.

Date: 29/05/2021

Patient Details

Name: Mr. Darwish Woods

Age: 77 years

Diagnosis: Coronary artery bypass graft

Family History

Married, carer for his wife (registered blind)

Daughter, married with children and lives overseas

Hobbies: Reading, cooking daily

Pasty History

Hypertension since 2011 (perindopril 1 tab/daily)

High cholesterol since 2009 (atorvastatin 1 tab/daily)

Arthritis since 2007 (paracetamol 1 gm daily 4 times

CAD (ECG, stress test, angiogram

Surgery: off pump CABG

23/05/2021

Admitted to hospital and underwent surgery on 24/05/2021(graft from left leg)

Admitted in ICU for hours

Administered IV antibiotics, analgesics, and ant thrombolytic agents

 Chest tube in situ, drainage 20 ml

Temp-37.7C, PR-78/mt, RR-22/ mt, Spo2-100%, BP-130/80/mm of Hg

Dressing in graft site

Provided elastic stocking and elevated leg for 24 hours

25/05/2021

Transferred to ward

Chest tube removed, wounds WNL

Complaints of pain over the chest and shoulder (administered ibuprofen)

Daily physiotherapy (deep breathing exercises, walking 4-5 mts 2 times per day)

Exercise data sheet provided

Temp-37 C, PR-84 /mt, RR-18 /mt, BP-120/76 mm of Hg

29/05/2021

Ready for discharge (planned transfer to rehabilitation unit for 3 weeks)

Follow up appointment: 07/06/2021

Discharge Instructions:

• Assess wound over the chest and graft site

• Dressing over the wound 2/weekly until sutures removed
• Sutures removal after 2 weeks
• Continue deep breathing exercises, walking 4-5 mts increase gradually
• Avoid heavy lifting
• Arrange carer and meals before discharge to home

WRITING TASK:

Using the information in the case notes, write a transfer letter to Mr. Smith Brown, head of
nursing, rehabilitation centre. Address this letter to Ms Brown, Head of nursing, Brisbane QLD,
Australia 4001.

In your answer:

The body of the letter should be approximately 180-200 words.