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COURSE BOOK

BAHASA INGGRIS
(MATERIALS USED ONLY FOR INTERNAL CAMPUS)

PRODI D3 KEPERAWATAN

Arrange By:
Nita Yuanita, S.Pd., M.Si.

Lectured by:
Drs. H. Yun Surtiana, M.A.
Nita Yuanita, S.Pd., M.Si.

STIKes Karsa Husada Garut


2022
1. INTRODUCTION
ENGLISH AS AN INTERNATIONAL LANGUAGE

As we know, the international language in the world is English.


English is the most spoken language in the world. It is the
mother tongue of more than 400 million people worldwide. Every
day millions of people speak English at work and in social life.

In the field of nursing, English language skills are needed


because most of the medical equipment and medicines come
from abroad. Good English Language communication skills also
very important for nurses as they are service providers to
patients and deal with doctors, medical support staff and
relatives of patients.

In terms of education, English can be very useful for gaining


knowledge about nursing which mostly comes from international
journals whose language is definitely English.

A great deal of nursing activity is embedded


in what is considered to be everyday conversation.

In their conversations, nurses elicit specific information, normalize unpleasant


procedures, manage the flow of the interaction, and strengthen the
therapeutic relationship. Small talk can be big talk in achieving nursing goals.

~ Lindsay M. Macdonald~
“Expertise in Everyday Nurse–Patient Conversations,
The Importance of Small Talk”

BECOMING A GOOD NURSE

HOW TO BE A GOOD NURSE

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Being a nurse is more than just getting your degree. Being a nurse requires you to have very specific
skills in order to provide the best possible care to your patients, including the core attributes of genuine
caring, nurturing, ability to teach, being health conscious and a good communicator. Being a good
nurse means you excel at these skills and consider them essential to the work you do every day. These
skills can be developed in advance of a career in nursing, but you may not know your success
performing some of these skills until you’re on the job.
(Medically reviewed by Luba Lee, FNP-BC, MS )

PREPARING YOURSELF TO BE A GOOD NURSE


Step 1. Think critically
Critical thinking is a process by which you review the situation, analyze what’s going on, and
question what you don’t know. It is complex and you have to think several moves ahead. You need to
be able to assess a patient critically to determine his medical needs.
Step 2. Communicate effectively.
Communicating effectively means you can listen well when someone else is speaking to you, and
that you can speak clearly and concisely to someone else (e.g. patient, doctor, other nurses, family
members, etc.). As a nurse you’re also likely to make a lot of notes whether in a physical chart or on the
computer, therefore you must also be able to communicate effectively in writing as you may not be
there in person to explain what you meant.
Step 3. Be detail-oriented.
Being detail-oriented means you pay attention to both the big stuff and the small stuff. When
dealing with a patient, even the smallest anomaly or symptom can be a big deal, so you need to always
be paying attention. Being detail-oriented means you ensure all your patients get the exact treatment
they need, when they need it
Step 4. Organize efficiently.
Nurses, especially those working in a hospital, need to deal with multiple patients at the same
time. Each patient has their own personal requirements that are critical to their well-being. As a nurse
you need to be able to organize yourself to keep track of who each of your patients are, what their
treatments are, when they need their treatments, and the small details about the patient that will help
them feel better (both physically and emotionally).
Step 5. Maintain physical stamina.
Physical stamina isn’t just about being able to do physical activities; it is about being able to do
them over a long period of time, over and over again. Most nurses will be on their feet for their entire
shift, which can last 12 hours or more.
Step 6. React and think quickly.
Being able to think and react quickly comes with experience and confidence. Reacting quickly
doesn’t mean forgoing critical thinking; it means going through the critical thinking process quickly and
carrying out your decision immediately. Thinking and reacting quickly can also include knowing when
it’s time to get help from someone else ASAP.

Step 7. Understand and have the ability to be compassionate.


One of a nurse's main jobs is to take direct care of patients. You’ll likely see these people at their
worst. Nurses need to understand that their patients are human beings that are probably stressed,

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scared, depressed, upset, in pain, and confused. This understanding requires the ability to be
compassionate and empathetic. Being able to put yourself in your patient’s shoes will help you
understand what she's going through, and what she needs from you.
Step 8. Have emotional stability.
As a nurse you need to be able to control your emotions while you’re on the job, and not allow
those emotions to cloud your judgement or slow your reaction time. Being emotionally stable doesn’t
mean keeping all your emotions bottled-up forever. It means knowing when the time is right for letting
those emotions out and allowing you that emotional release on a regular basis. Try exercise, time with
friends, yoga, reading, and developing hobbies.
Step 9. Take responsibility.
Being a responsible nurse means not cutting any corners. Not allowing yourself to make an error,
but if you do, making sure the proper people know about the error you made and making sure it’s
corrected as soon as possible. Being responsible also means using your best judgement when
evaluating a patient' needs and making good decisions that are in the best interests of your patients.
Step 10. Respect everyone.
In addition being compassionate, empathetic, and sympathetic to your patients and their needs,
you also need to be respectful and not treating patients differently because of their backgrounds,
ethnicity or personality. Being respectful of your patients also means being truthful with them. When
communicating news — good or bad — you need to understand that the patient has the right to
honesty. Be straight-forward with your patients, but do it respectfully and with compassion.
Step 11. Keep calm under pressure and during a crisis.
Keeping calm means maintaining your level-headedness. It means having confidence in what
you’re doing and the decisions you’re making. Your confidence will grow not only throughout your
education, but the longer you’re on the job. As a nurse, you can’t panic when something unexpected
happens, and you can’t freeze up because you aren’t sure what to do.
Step 12. Adapt to new and constantly changing situations.
As a nurse no two days will ever be the same. While you may have some routine, it is likely that
the routine will also change every now and again. No two patients are going to behave the same, even
when they’re getting the exact same treatment. Nurses need to be adaptable and flexible.
Step 13. Improve your knowledge constantly.
Nurses, just like many professions, are constantly learning. Whether they learn through a formal
classroom environment, or simply by observing, doesn’t matter. What matters is that you are constantly
improving your knowledge and skills, and recognizing specific areas where you might need
improvement. It also means receiving feedback from your peers and supervisors critically, and working
with your supervisor and others to correct any deficiencies you have with your skills.

There is not a single skill you learn as a nurse that can’t be used effectively somewhere else. If
you ever decide to move away from nursing, don’t consider you time as a nurse to be a waste. It’s
actually quite the opposite. Use the skills you learned as a nurse and apply them to any other job you
decide to take on.
(taken from source: https://www.wikihow.com/Be-a-Good-Nurse
2. STRUCTURE & GRAMMAR
SIMPLE SENTENCE AND PART OF SPEECH IN ENGLISH

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STRUCTURE: SIMPLE SENTENCE
In English, sentence structure is the arrangement of words, phrases, and clauses in a sentence. There
are four basic types of sentence structures; those are the simple sentence, the compound sentence,
the complex sentence, and the compound-complex sentence. But now we’re just going to discuss
about Simple Sentence. The most common word order in English sentences is Subject-Verb-Object
(SVO).

Study the following sentence:


Subject Predicate (Verb - Object/ Complement)
1 English is the international language in the world.
Subject Auxiliary Non-Verb Object Complement
2 Millions of people speak English at work and in social life.
Subject Verb Object Complement
Notes:
 There are 4 types of auxiliary word (kata bantu) in English: be, do, have, and modals
 Auxiliary be/ to be (am, is, are) used when the predicate is non-verb ( bukan kata kerja) and auxiliary
words do, have or modal used when the predicate is verb (kata kerja)
 Complement can be in a form of Noun, Adjective or Adverb, while Object is always in the form of
Noun

From the table, we can see that simple sentence can be built from the simple structure, that is:

SUBJECT + PREDICATE (VERB – OBJECT/ COMPLEMENT)

EXERCISE 1:
Now, try to make another simple sentence!

GRAMMAR: PART OF SPEECH IN ENGLISH


Grammar is the way we arrange words to make proper sentences. Words in English can be categorized
into 9 basic types called "Parts of Speech" or "Word Classes". It's quite important to recognize parts of
speech. This helps you to analyze sentences and understand them.

To analyze the part of speech, ask yourself: "What job is this word doing in this sentence?"

Many words in English can have more than one job, or be more than one part of speech.
For example, "WORK" can be a verb (I work in a hospital) and a noun (My work is easy)

You can see from the following table, a summary of THE 9 PARTS OF SPEECH:
FUNCTION OR
PART OF SPEECH EXAMPLE WORDS EXAMPLE SENTENCES
"JOB"
action or state (to) be, have, do, like, English Club is a web site.
VERB
work, can, must I like English Club.

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thing or person pen, cat, work, music, This is my dog.
NOUN town, London, teacher, He lives in my house.
John We live in London.
describes a noun good, big, red, well, My cats are big.
ADJECTIVE
interesting I like big cats.
limits or "determines" a/an, the, 2, some, many I have two cats and some
DETERMINER
a noun rabbits.
describes a verb, quickly, silently, well, My cat eats quickly.
ADVERB adjective or adverb badly, very, really When he is very hungry, he
eats really quickly.
replaces a noun I, you, he, she, some Tara is Indian. She is
PRONOUN
beautiful.
links a noun to to, at, after, on, but We went to school on
PREPOSITION
another word Monday.
joins clauses or and, but, when I like cats and I like rabbits. I
CONJUNCTION sentences or words like cats and rabbits. I like
cats but I don't like rabbits.
short exclamation, oh!, ouch!, hi!, well Ouch! That hurts!
INTERJECTION sometimes inserted Hi! How are you?
into a sentence Well, I don't know.

EXERCISE 2
Analyze the part of speech of the underline word in each sentence!
1. I bought a beautiful dress at the mall.
a. Preposition b. adjective c. noun
2. What did she ask you to do?
a. Conjunction b. preposition c. pronoun
3. I left my shoes under the kitchen table.
a. Adjective b. preposition c. pronoun
4. If we finish our work quickly we can go to the movies.
a. Adverb b. conjunction c. verb
5. On Saturdays I work from nine to five.
a. Verb b. preposition c. adverb
6. I want to go to a university in the United States.
a. Adjective b. preposition c. noun
7. Well, I don't think I'll be home before 6.
a. Interjection b. preposition c. pronoun
8. Andy knocked on the door but nobody answered.
a. Adverb b. adjective c. conjunction

3. VOCABULARY
NAMES OF PROFESSION, DEPARTMENTS AND WARDS IN HOSPITAL

Study the conversation below!


Carol : Hi Tom, good to see you again, How are you doing?

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Tom : Hello Carol, nice to see you again. I’m fine and you?
Carol : Pretty good. Thanks.
Tom : By the way, where do you work now?
Carol : I work in Arneza Hospital.
Tom : Working in hospital? What do you do there?
Carol : I am a nurse. I take cares some patient there
Tom : That’s sound interesting. And what ward do you work there?
Carol : I work in the surgical ward and what about you?
Tom : Well, I work for Dr. Frank’s Clinic
Carol : What do you do in Dr. Frank’s Clinic?
Tom : I am a lab technician
Carol : Oh Really? It’s a good job
Tom : Yes, It is

VOCABULARY:
NAMES OF PROFESSION IN HOSPITAL
 Cardiologist : Dokter ahli penyakit jantung  Orthopedic Surgeon : Ahli bedah tulang
 Pediatrician : Dokter ahli penyakit anak  General Practitioner : Dokter umum
 Ophthalmologist : Dokter ahli penyakit mata  Physician : Dokter/ tabib
 Internist : Dokter ahli penyakit dalam  Dentist : Dokter gigi
 Neurologist : Dokter ahli penyakit syaraf  Midwife : Bidan
 Dermatologist : Dokter ahli penyakit kulit  Pharmacist : Apoteker
 Venerologist : Dokter ahli penyakit kelamin  Nurse: : Perawat Pelaksana
 Obstetrician : Dokter ahli kebidanan  Chief Nurse : Kepala ruangan
 Gynecologist : Dokter ahli kandungan  Nurse in Charge : Perawat Jaga
 Surgeon : Dokter ahli bedah  Head/Leader Nurse : Kepala perawat
 Psychiatrist : Psikiater  Director of Nursing Service :
 Psychologist : Ahli ilmu jiwa Kepala keperawatan
 Pathologist : Ahli ilmu penyakit  Lab technician :
 Anesthesiologist : Ahli ilmu anestesi/ bius Petugas laboratorium
 Radiologist : Ahli radiologi/ ilmu sinar  ECG technician :
 Nutritionist : Ahli gizi Petugas pengoperasian mesin ECG

OTHER MEDICAL SPECIALIST massage therapist: specializes in muscle relaxation


Allergist: specializes in determining food and naturopath: specializes in natural cures and remedies
environmental allergies oncologist: tumour specialist, including cancer
Chiropractor: back specialist fertility specialist: helps people who have difficulty
podiatrist: foot specialist getting pregnant
EXERCISE 1
Fill the blanks with the appropriate name of profession!
1. _________ is a heart specialist.
2. _________ is a doctor who specializes in medical care for children.
3. _________ is doctor who studies and treats diseases of the nerves.
4. _________ is a doctor who is specially trained to perform medical operations

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5. _________ is an internal diseases specialist or a doctor who specializes in identifying and
treating diseases which do not need surgery (= cutting into the body)
6. _________ is a doctor who treats diseases of the reproductive system. In the other word this is
a doctor who specializes in treating sexually transmitted diseases.
7. _________ is a doctor who is also trained in psychiatry / the part of medicine which studies
mental illness / a doctor who treats mental illnesses.
8. _________ is a pathology specialist or an expert in the study of diseases, especially someone
who examines a dead person's body and cuts it open to discover how they died.
9. _________ is a radiology specialist or a person who specializes in radiology/ the scientific study
of the medical use of radiation, especially X-rays.
10. _________ is a doctor who studies and treats skin diseases.
11. _________ is a doctor who treats eye diseases.
12. _________ is a doctor who gives anesthetic to the patient in hospital.
13. _________ is a doctor who is specially trained to perform medical operations to bones which
have not grown correctly or which have been damaged.
14. _________ is a person whose job is treating people's teeth.
15. _________ is a medical technician who works at laboratory.
16. _________ is a medical technician who operates a machine that records the electrical activity of
the heart as it beats.
17. _________ is a nurse who leads nurse team in doing their jobs.
18. _________ is a doctor skilled in the treatment of women's diseases, especially those of the
reproductive (= connected with having babies) organs.
19. _________ is a medical doctor, especially one who has general skill and is not a surgeon.
20. _________ is a doctor with special training in how to care for pregnant women and help in the
birth of babies.
21. _________ is (the title given to) a person whose job is to care for people who are ill or injured,
especially in a hospital.
22. _________ is a person, usually a woman, who is trained to help women when they are giving
birth.
23. _________ is a person who is trained to prepare medicines and who works in a hospital,
dispensary, drugstore, pharmacy.
24. _________ is a general doctor
25. _________ is someone who studies the human mind and human emotions and behavior, and
how different situations have an effect on them.
26. _________ is an expert on the subject of nutrition
27. _________ is a leader who manages and controls nursing service.

VOCABULARY:
DEPARTMENTS AND WARDS IN HOSPITAL
 Operating Theatre (OR) : Ruang operasi
 Emergency Room : Unit gawat darurat
 ICU : Unit perawatan intensif
 CVCU : Unit perawatan penyakit jantung

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 Medical Ward : Ruang perawatan umum
 Surgical Ward : Ruang perawatan bedah
 Delivery Room : Kamar bersalin
 Maternity Ward : Ruang perawatan ibu melahirkan
 Pediatric Ward : Ruang perawatan bayi/ anak
 Geriatric Ward : Ruang perawatan lansia
 Psychiatric Ward : Ruang perawatan penyakit mental
 E.N.T. Ward : Ruang perawatan penyakit THT
 Neurological Ward : Ruang perawatan penyakit syaraf
 Dermatological Ward : Ruang perawatan penyakit kulit
 Orthopedic Ward : Ruang perawatan rehabilitasi tulang
 Body Death Room : Kamar Jenazah
 Laboratory : Laboratorium
 Dispensary/Pharmacy : Apotek
 Nurse Station : Ruang jaga perawat
 Doctor’s Lounge : Ruang istirahat dokter
 Nurses’ Lounge : Ruang istirahat perawat
 Dentistry Clinic : Klinik gigi
 Out Patient Department : Klinik rawat jalan
 Information Center : Pusat Informasi
 Physiotherapy Department : Bagian terapi fisik
 Admission Department : Bagian pendaftaran
 Radiology Department : Bagian radiologi
 Nutrient Department : Dapur Gizi
 Laundry Department (CSSD) : Bagian Pencucian linen
(Central Sterile Supply Dept)

EXERCISE 2
How many work places you can find for each job in hospital!
1. A Nurse  Operating Theatre
2. A Midwife  Out Patient Dept.
3. A Physician  Medical Ward
4. A Radiologist  Nursing Dept.
5. A Dentist  Laboratory Dept.
6. A Psychiatrist  Maternity Ward
7. A Laboratory Technician  Radiology Dept.
8. A Surgeon  Mental Illness Hospital
9. A Pathologist
4. READING
THE STORY OF PIONEER NURSING IN THE WORLD

STORY 1: RUFAIDAH BINT SA’AD


Historical Roots of the Nursing Profession in Islam

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Rufaidah bint Sa'ad is recognized as the first professional nurse in Islamic history. She lived at the time
of the Prophet Muhammad (PBUH) in the 1st century AH/8th century CE. Her full name was Rufaidah
bint Sa'ad of the Bani Aslam tribe of the Khazraj tribal confederation in Madinah. She was born in
Yathrib before the migration of the Prophet Muhammad (PBUH). She was among the first people in
Madina to accept Islam and was one of the Ansar women who welcomed the Prophet on arrival in
Madina.

Rufaidah's father was a physician. She learned medical care by working as his assistant. Her history
illustrates all the attributes expected of a good nurse. She was kind and empathetic. She was a capable
leader and organizer able to mobilize and get others to produce good work. She had clinical skills that
she shared with the other nurses whom she trained and worked with. She did not confine her nursing to
the clinical situation. She went out to the community and tried to solve the social problems that lead to
disease. She was both a public health nurse and a social worker.

When the Islamic state was well established in Madina, Rufaidah devoted herself to nursing the Muslim
sick. In peace time she set up a tent outside the Prophet's mosque in Madina where she nursed the
sick. During war she led groups of volunteer nurses who went to the battlefield and treated the
casualties. Rufaidah's field hospital tent became very famous during the battles and the Prophet used
to direct that the casualties be carried to her.

Rufaidah had trained a group of women companions as nurses. When the Prophet's army was getting
ready to go to the battle of Khaibar, Rufaidah and the group of volunteer nurses went to the Prophet
Muhammad (PBUH). They asked him for permission "Oh messenger of Allah, we want to go out with
you to the battle and treat the injured and help Muslims as much as we can". The Prophet gave them
permission to go. The nurse volunteers did such a good job that the Prophet assigned a share of the
booty to Rufaidah. Her share was equivalent to that of soldiers who had actually fought. This was in
recognition of her medical and nursing work.

Rufaidah's contribution was not confined only to nursing the injured. She was involved in social work in
the community. She came to the assistance of every Muslim in need: the poor, the orphans, or the
handicapped. She looked after the orphans, nursed them, and taught them. Rufaidah had a kind and
empathetic personality that soothed the patients in addition to the medical care that she provided. The
human touch is a very important aspect of nursing that is unfortunately being forgotten as the balance
between the human touch and technology in nursing is increasingly tilted in favor of technology.

(Taken from the Paper of Prof. Dr. Omar Hasan Kasule, Sr. ;Presented at the 3rd International Nursing Conference
"Empowerment and Health: An Agenda for Nurses in the 21st Century" held in Brunei 1st-4th November 1998)
EXERCISE 1
Answer questions based on the reading text above!
1. Who is Rufaidah bint Sa'ad?
2. Where did she learn about medical care?
3. What personalities did Rufaidah have that illustrates the attributes of a good nurse?
4. What did Rufaidah do when she went out to the community?
5. What did Rufaidah and her group of volunteers do during the battle?

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STORY 2: FLORENCE NIGHTINGALE:
The lady with the lamp
Florence Nightingale was a pioneer in the field of nursing. She found the
profession of nursing and reformed sanitary practices in hospitals. She developed
the "polar-area diagram" to dramatize the needless deaths caused by unsanitary
conditions and the need for reform. With her analysis, Florence Nightingale
revolutionized the idea that social phenomena could be objectively measured and
subjected to mathematical analysis. She was an innovator in the collection,
tabulation, interpretation, and graphical display of descriptive statistics. These great achievements are
more amazing when you consider that most Victorian women could not attend university or pursue a
professional career.

She was born in Italy in 1820 and was named after her birthplace. She was the daughter of a wealthy
landowner, William Nightingale, a well-educated man who believed that all people should receive an
education, and both Florence and her sister Parthenope were taught Greek, Latin, German, History,
Philosophy and Mathematics. At the age of 25 Florence had already made up her mind to follow a
career in nursing. Her parents were totally opposed to this, but Florence’s devotion and determination
managed to convince them and she had got her father’s permission to train as a nurse.

In 1854, Britain, France and Turkey were at war with Russia. The public were shocked by reports of the
disgraceful conditions that the sick and wounded British soldiers because to endure. Florence decided
to help, and immediately went to Turkey, in charge of a group of 38 nurses, to work in military hospitals,
where conditions were appalling. The soldiers were filthy, there were lots of rats and fleas, and supplies
were limited.

The year 2020 marks


Initially, she received very little help from military officers and doctors.
the bicentennial of
However, her assistance was greatly needed and they soon changed their Nightingale's birth and
minds Florence quickly managed to organise the hospital, improve sanitation approximately the 150th
anniversary of her
and eventually increase the survival rate of her patients. Every soldier she
prediction in 1870 that
cared for respected and admired her.In 1856, Florence returned to England as "It will take 150 years
a national heroine. She was known as “the lady with the lamp”, a name the for the world to see the
kind of nursing I
soldiers gave her because of the way she watched over them in hospital at
envision."
night.

EXERCISE 2
Now, share your opinions about the lessons you can take from both stories above, especially about
being a good nurse in nowadays!
5. SPEAKING
ESTABLISHING A RELATIONSHIP
(GREETING & INTRODUCING)

Study the conversation below!

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Dave : Its nice hospital, isn’t it?
Jane : Yeah… Really
Dave : By the way, my name is David Brian.
Jane : Glad to see you Mr. Brian, I am Jane Johnson.
Dave : Just call me Dave. By the way, where are you from, Jane?
Jane : I am from Canada and you?
Dave : I am from Sydney, Australia and what are you, Jane?
Jane : I am a student nurse
Dave : Great, I’m a staff nurse here
Jane : Well Dave, I have to go, nice to meet you
Dave : Nice to meet you too, Jane. See you later
Jane : Okay… see you, bye..

Note:
 Use a title with a full name or with a family name:
“Hello Mr. David Brian” or “Hello Mr. Brian” NOT “Hello Mr. Dave Brian” or “Hello Mr. Dave”
 Use a full name, first name or short name without a title
“I am David Brian” or “I am Dave” NOT “I am Brian”

USEFUL EXPRESSION
Greeting Leaving
 Hello…/ Hi…  Now, I need to visit other patients, see you
 Good Morning (until 1 mid.days)  I hope you get better soon, see you later
Afternoon (until dark)  Goodbye, Have a nice nap (when the patient’s going to
Evening (after dark) have afternoon rest)
 How do you do?  Good night/ Sleep tight, Ma’am (when the patient is going
 How are you (today)? to sleep in the night
Very well, thanks  Pleased to meet you/ Nice to see you

Introducing oneself and initial nursing intervention


 I am…. (your name)/ My name is … (your name)
 Let me introduce myself
 I am Nurse …, I will take care of you today
 Hello, my name is Ns. … I’m in charge of you today
 If you need (anything/ help/ something/ assistance)
please just press the call button, a nurse will help you

Introducing other person (friends, co-workers)


 This is… (name)
 May I introduce you to… (name)
 Let me introduce you to + (name, my friend/sister/ husband, etc.)

Addressing Someone Reponse:

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 How can I address you?  Please, address me with my first name/ Miss/…
 Is it “Miss or Mrs…”?  Call me…/ You can call me …
 May I address you with…?  You may address me…
 How should I call you?  Why don’t you call me …

Study the conversation below!


Nurse Dina : Good morning, Sir?
Patient : Good morning, nurse.
Nurse Dina : I want to introduce you to Nurse David, he is a nurse in charge today because my
shift nurse will be over this morning.
Nurse David : How are you feeling today, Sir?
Patient : Not very well I think
Nurse David : Don’t worry, Sir. I will take care of you today.
Your name I written here “Mr. Kevin Adrian Smith Johnson”, how can I address
you?
Patient : You may address me Mr. Johnson or you can just call me Kevin
Nurse David : All right Mr. Johnson, we’ll do our best for your better health condition. If you need
something, please just press the call button, me or other nurses will help you.
Patient : OK. Thank you, nurse.
Nurse David : Now, I need to visit other patients. See you later.
Patient : See you.

CONVERSATION PRACTICE
Now practice the conversation above with your partner or you can make your own conversation about
greeting and introducing in clinical situation, practice it in front of class!

EXERCISE
Fill in the blank with suitable expressions!
Ns. Rosa : Hi, what’s your name? These will help you:
New Nurse : …………………….…………… a. Nice…
Ns. Rosa : I’m Rosa. I haven’t seen you before. b. My name’s…
New Nurse : …………………….…………… c. I’m from…
Ns. Rosa : Where are you from? d. Yes, I’m a new nurse here
New Nurse : …………………….…………… e. I’ve been in this country for…
Ns. Rosa : How long have you been in this country?
New Nurse: …………………….……………
Ns. Rosa : Nice to meet you.
New Nurse : …………………….……………
6. LISTENING:
LISTEN TO THE CONVERSATION BETWEEN NURSE AND PATIENT

Please open the link video bellow!


 https://www.youtube.com/watch?v=PoI_cJdtvoQ

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 https://www.youtube.com/watch?v=p_0SeHl9qpQ

Now, listen to the conversation on each video then write down their conversation into a written!

In that clips you will compare the way of the nurse communicate or interact with her patient, when
focusing on the therapeutic and interpersonal aspect or focusing on the clinical aspect.
Share your opinion about that!

7. WRITING:
WRITE ABOUT DAILY HEALTH CARE ACTIVITIES

Study the following sentence structure, to help your written task!


SIMPLE PRESENT TENSE WITH BE SIMPLE PRESSENT TENSE WITH VERB
(+) Subject + To be + Complement (+) Subject + Verb I s/es + Object
(–) Subject + To be Not + Complement (–) Subject + Do/ Does Not + Verb I + Object
(?) To be + Subject + Complement? (?) Do/ Does + Subject + Verb I + Object?

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Complement: Noun of thing/person, Adjective, Time signal: always, often, usually, every day, every
Adverbial of place/time month, every year, etc.
Auxiliary word: to be (am, is, are) Auxiliary word: do/does
Subject I you, we, they he, she, it Subject I you, we, they he, she, it
To be am are is Aux. do does
Example: Example:
I am a nurse ( Noun of person) (+) I (do) go to school every day.
This is a pen (Noun thing) (–) I don’t go to school every day.
Tony is late for class (Adjective) (?) Do I go to school every day?
We are very happy today (Adjective)
They are in the hall ( Adverbial of place) (+) Ns. Paula brings her sister to hospital.
Today is Friday (Adverbial of time) (–) Ns. Paula does not bring her sister to hospital.
It is five o’clock (Adverbial of time) (?) Does Ns. Paula bring her sister to hospital?

Complete the exercises below to check your understanding!


EXERCISE 1 EXERCISE 2
The following sentences are missing to be Complete the sentences using the correct form of these
am/ is/ are. Complete & Rewrite each of verbs (speak; have; drink; open; wash; teach; like; close;
them correctly! meet; go; have) !
1. Flora a student: 1. Dr. Stuart is very smart. He speaks four languages.
2. The students in class room: 2. I …movie. I often …to the movie with my friends
3. They nurses: 3. In my hometown, the Bank …at 9 o’clock in the morning.
4. The weather in Cisarua cool: 4. Sue is a teacher. She …English to young children.
5. Joe and Mary best friend: 5. The city museum …at 5 o’clock on Saturday.
6. Our teacher from Bandung: 6. Your job is interesting. You …a lot people.
7. I a lecturer: 7. Shanty and I usually … dinner at 7 o’clock.
8. The Ventilator machine on: 8. Peter … his hair every day.
9. Nurses an integral part of the care team: 9. Rosalyn …four cups a tea a day.
10.I the winner, Sir? 10. An insect …six legs.

Now, use simple present tense to write a paragraph related to daily health care activities!
Activities of daily living (ADLs or ADL) is a term used in healthcare to refer to people's daily self-care
activities. ADLs basic self-care are include toileting, dressing, bathing or showering, getting in/out of
bed or chairs, and walking (Buurman et al., 2011).
8. PART OF THE BODY & HEALTH PROBLEMS

When working in English, one of the first things you need to know is the human body parts. You will
need to learn the names of the internal (inside the skin) and external body parts. You will also need to
learn the words for the functions of each of these body parts.
Here are the basics to get you started.

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Head
Inside the head is the brain, which is responsible for thinking. The top of a person's
scalp is covered with hair. Beneath the hairline at the front of the face is the forehead.
Underneath the forehead are the eyes for seeing, the nose for smelling, and the mouth
for eating. On the outside of the mouth are the lips, and on the inside of the mouth are
the teeth for biting and the tongue for tasting. Food is swallowed down the throat. At the
sides of the face are the cheeks and at the sides of the head are the ears for hearing. At
the bottom of a person's face is the chin. The jaw is located on the inside of the cheeks
and chin. The neck is what attaches the head to the upper body.

Upper Body
At the top and front of the upper body, just below the neck is the collar bone. On the
front side of the upper body is the chest, which in women includes the breasts. Babies
suck on the nipples of their mother's breasts. Beneath the ribcage are the stomach
and the waist. The navel, more commonly referred to as the belly button, is located
here as well. On the inside of the upper body are the heart for pumping blood and the
lungs for breathing. The rear side of the upper body is called the back, inside which
the spine connects the upper body to the lower body.

Upper Limbs (arms)


The arms are attached to the shoulders. Beneath this area is called the armpit or
underarm. The upper arms have the muscles known as triceps and biceps. The joint
halfway down the arm is called the elbow. Between the elbow and the next joint, the
wrist, is the forearm. Below the wrist is the hand with four fingers and one thumb. Beside
the thumb is the index finger. Beside the index finger is the middle finger, followed by
the ring finger and the little finger. At the ends of the fingers are fingernails.

Lower Body
Below the waist, on left and right, are the hips. Between the hips are the reproductive
organs, the penis (male) or the vagina (female). At the back of the lower body are the
buttocks for sitting on. They are also commonly referred to as the rear end or the bum
(especially with children). The internal organs in the lower body include the intestines
for digesting food, the bladder for holding liquid waste, as well as the liver and the
kidneys. This area also contains the woman's uterus, which holds a baby when a
woman is pregnant.
Lower Limbs (legs)
The top of the leg is called the thigh, and the joint in the middle of the leg is the knee.
The front of the lower leg is the shin and the back of the lower leg is the calf. The ankle
connects the foot to the leg. Each foot has five toes. The smallest toe is often called the
little toe while the large one is called the big toe. At the ends of the toes are toenails.

EXERCISE 1
Choose the correct word to complete the sentences!
1. Your tonsils can get swollen when you have a sore _______ (thigh/ toe/ throat)

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2. The _______ is a joint that connects the upper arm and the forearm. (elbow/ ankle/ wrist)
3. My Dad's little _______ was lost in the accident. (thumb/ toe/ shoulder)
4. The patient lost so much weight his _______ were sunken in. (calves/ ears/ cheeks)
5. We'll put a cool cloth on your _______ to get your fever down. (forehead/ tongue/ knees)
6. Another word for "belly button" is _______ (nipple/ navel/ uterus)
7. The newborn is getting his _______ changed in the nursery. (buttocks/ nappy/ shin)
8. She may never walk again because her _______ was so badly injured. (uterus/ spine/ finger)
9. The _______ on his knee was scraped off when he hit the road. (joint/ gum/ skin)
10. Your grandfather will be able to walk better after his _______ surgery. (chin/ wrist/ hip)

ASKING AND TELLING ABOUT HEALTH PROBLEMS


Ami : What’s the matter? Cathy : What’s wrong with you?
Betty : I have a headache. Deasy : I got a sore throat
Ami : Owh...that’s too bad. Cathy : Oh...I’m sorry to hear that

Eric : How do you feel today?


Felix : I feel terrible, I have pain on my chest.
Eric : Really! Hopefully you fell better

EXERCISE
Look at this health problem. Find good advice for each health problem
Problems Advice
A headache ___ 1. Take some aspirin
A toothace ___ 2. Go to bed and rest
A sore throat ___ 3. Drinks a lot of water
A cough ___ 4. Take some Vit.C
A backache ___ 5. Put some lotion on it
A fever ___ 6. Give taped water compress
A burn ___ 7. Close the mouth when coughing/ sneezing
___ 8. Don’t lift anything heavy
___ 9. Brush the teeth regularly
___ 10. See the Dentist
___ 11. Don’t exercise

9. CHECKING VITAL SIGN

It is now common practice for nurses to communicate with patients as much as possible when they are doing
routine nursing task. If nurses talk, the patients become involved in their treatment. As a nurse take the patient’s
vital signs, it will be better a nurse says what she/ he is going to do, explains why she/ he is doing it and give the
patient feedback.

USEFUL EXPRESSION
1. Explaining the procedures

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It’s time for me to… measure your blood pressure
I just want to… count your pulse
I would like to… check your respiration
I am going to… measure your temperature
put this cuff (around your upper arm)
insert this (thermometer) into your armpit

2. Instruction and expression during the implementation


Would you… lie down on the couch
Would you mind…(verb –ing) lie flat on the bed
Please,… roll your sleeve up
Now, I want you to… give me your right/ left hand
slip off your top things (buka baju)
unbutton your shirt (buka kancing baju)
roll yourself into side lying position
take a deep breath
breathe in… breathe out…
to put this (thermometer) into our mouth

3. Nurse Response 4. Patient’s Response


 OK, Fine. That’s it  Yes, please
 Fine/ good  Okay nurse
 All is done/ Finished  No problem

VOCABULARY
Pulse rate : jumlah denyutan Patient’ chart : lembar (penilaian) pasien
Tension or compressibility : ketegangan Normal pulse rhythm : irama denyutan normal
Beats per minute : denyutan per menit Rhythm or regularity : irama denyutan/ cepat-lambat
Expiration-breathing out : hembuskan nafas
Inspiration-breathing in : tarik nafas

EXERCISE 1. Translate into communicative English!


1. Pak, sekarang saya mau mengukur tekanan darah anda.
2. Silahkan berbaring di tempat tidur itu.
3. Sekarang saya mau masukkan thermometer ini ke ketiak ibu, tolong angkat tangan ibu.
4. Silahkan buka bajunya, saya ingin mengecek pernafasan anda..tarik nafas dalam-dalam, lepaskan nafas…
tarik nafas…lepaskan…
5. Tolong ulurkan lengan kiri Anda, saya akan menghitung denyut nadi.
CONVERSATION PRACTICE
Situation: A nurse comes to Mr. Jack’s room to take his vital signs
Nurse : Good morning Mr. Jack After the nurse pump the bulb to inflate the cuff then
Mr. J : Good morning too, nurse she puts stethoscope over brachialis artery and
Nurse : How are you doing now, Sir? listens the sound of artery from beginning to ending,
Mr. J : I am feeling terrible after she gets the result of B/P, she release the cuff
Nurse : Terrible! What’s going on with you? then puts it back onto trolley
Mr. J : I have pain on my head Nurse : Well Mr. Jack, I am going to check your
Nurse : I see, do you have any else complaint, Sir? temperature now?

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Mr. J : And a little stiff on my leg Mr. J : Okay
Nurse : Okay Mr. Jack, let me check your blood Nurse : Could you raise your arm because I’ll put this
pressure and your temperature first? thermometer on your armpit?
Mr. J : Yes, please Mr. J : Like this nurse?
Nurse : Would you mind lying down on the bed Nurse : Yes, thanks (then the nurse puts it at his
please? armpit) and now place your left hand on your
Mr. J : No problem shoulder for a moment?
Nurse : Can I have your arm, Mr. Jack? Mr. J : With my pleasure.
Mr. J : Here it is. Nurse : Very good
Nurse : Good… will you roll your sleeve up, please? After 5 minutes, she takes thermometer back from Mr.
Mr. J : Yes Jack’s armpit.
Nurse : Good, now, I want to put this cuff around your Nurse : Well Mr. Jack, your blood pressure is high
upper arm then I’ll search your pulse on your enough; it’s about 160/90 mmHg and
inner of lower arm temperature 37.5 0C, pulse 88 bpm, Rr:
Mr. J : Okay 20x/m, I will report to Dr. Frank about your
Nurse : Now, I am going to pump this bulb to inflate complaints. I’ll be back in a few minute.
the cuff, maybe you will have tingling on your Mr. J : Thank you very much nurse
finger for a while but it’s okay. Nurse : You’re welcome
Mr. J : I see

Now Read This:


The normal temperature of a healthy adult ranges from 370C to 37,20C
A temperature of 360C is below normal
A temperature of 380C is above normal
The normal pulse rate of an adult at rest ranges from 72 to 80 beats per minute
72 beats per minute is the maximum normal pulse rate
80 beats per minute is the maximum normal pulse rate

EXERCISE 2. Now complete these sentences:


a) the most suitable temperature for a patient’s room … 200C to 23,30C
b) A … of 370C is normal
c) A pulse rate of 100 beats per minute for an adult at rest is …
d) … blood pressure in a young adult is about 120/80 mm/Hg
e) A pulse rate of 65 beats per minute is …

10. GIVING INSTRUCTION ON PHYSICAL MOTION


USING POLITE REQUEST

Patients in hospital are usually anxious and fearful. It is important that hospital and staff put them and
their ease by being polite and pleasant. The following drills teach you polite form in English. Be careful
about the way your voice rises and falls when you say these sentences.
Basic Instruction
 Please…/ …Please!  Would you mind…(V-ing)

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 Will you…  I want you to…
 Would you…  I would like you to…
 Could you…  I just want to see you…

USEFUL EXPRESSION
Change each command request into polite request using basic instruction!
COMMAND REQUEST Come in, Please! (Silahkan masuk)
1. Sit down (duduk)
2. Stand up (berdiri)
3. Turn around (berputar)
4. Say “Ah” (katakan “Ah”)
5. Flex your neck (tekukan leher)
6. Bend down (membungkuk)
7. Lay down (berbaring)
8. Look up (lihat ke atas)
9. Raise your arm (angkat tangan)
10. Move your head (gerakan kepala)
COMMAND REQUEST Will you come in, Please!
1. Lift your leg (angkat kaki)
2. Arch your back (bungkukan punggung)
3. Lower your foot (turunkan kaki)
4. Open your mouth (buka mulut)
5. Put out your tongue (keluarkan lidah)
6. Bend your knees (tekuk lutut)
7. Touch your toes (sentuh jari kaki)
8. Wriggle your finger (gerakan jari)
9. Take your shirt off (buka baju)
10. Roll your sleeve up (gulung lengan baju)
COMMAND REQUEST Would you come in, please!
1. Hold your head up (tengadahkan kepala)
2. Take deep breath (tarik napas panjang)
3. Touch your ankle (sentuh pergelangan kaki)
4. Fist your finger (kepalkan jari)
5. Put on your shirt (kenakan baju)
6. Lower down your trouser (turunkan celana)
7. Take your trouser off (lepaskan celana)
8. Keep your mouth open (tetap buka mulut)
9. Keep your eyes hut (tutup mata)
10. Extend your hand (rentangkan tangan)
COMMAND REQUEST Would you mind coming in, please! (V-ing)
1. Take the breath in (tarik nafas dalam)

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2. Take your breath out (hembuskan nafas)
3. Shake your head (gerakan kepala)
4. On the knee down (berlutut)
5. Put your body upside down (tengkurap)
6. Slight over/ scoot over (bergeser)
7. Fold your knees (lipat lutut)
8. Hold your breath (tahan nafas)
9. Fold your elbow (lipat siku)
10. Lay onto your tummy (tengkurap)

EXERCISE
Choose the correct answer for these items in the list
1. Can you …your mouth … please! a. On the knee down
2. Now, will you … your knee, please! b. Raise arm
3. I’m going to check your mouth, would you mind … your tongue … c. Open – widely
4. I would like to listen your lungs, please take … and … d. Fold – knee
5. I want to take your BP, would you mind … your sleeve …, please! e. Upside – down
6. A nurse asks Mr. Black to … the body …because she wants to inject pain f. Bend
killer on his buttock. g. Breath in – out
7. I will … to ask you to forgive my fault. h. Put – out
8. If you don’t understand what I have said, please… and I will re-explain. i. Put on
9. Well Miss, please tell me if you feel pain when I … your … to your j. Rolling – up
abdomen.
10. Everything is okay, now … your dress.

11. MEDICAL INSTRUMENTS

USEFUL EXPRESSION
Asking and explaining the function of a medical instrument
Asking:
 What is this (instrument) for?
 Would you take a/ an+ (medical instrument) for…
 Can you explain the function of+ (medical instrument)?
Explaining:
 This is used to…/ This (instrument) is use to…

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 I’ll introduce you a medical instrument. Its name is … It’s used (for/ to…) or (it is functioned…)
 A/ an … is an instrument that I used for… verb-ing

Example in conversation:
A: What is this wheel chair for? C: What is the thermometer for?
B: This wheel chair is use to bring a disable D: This is used to measure body temperature.
patient to walk.
Susan: What is this called in English Sarah? Amy : Bob, can you tell me what this is?
Sarah: Oh... this is called a kidney dish Bob : I think this is a stethoscope
Susan: What is the kidney dish for? Amy : Stethoscope? What is this for?
Sarah: It’s used to place soiled dressing Bob : This used for listening sound of
lungs, abdomen or heart

VOCABULARIES
Medical Instrument used for Measuring Vital Sign

EXERCISE 1
Find other vocabularies on Medical Instruments then write with its meanings, share it to class!
Now look at the table, there is a list of some of the most common supplies found in doctor's offices,
operating rooms, and medical kits.

antiseptic liquid used to sterilize (clean) the surface of the skin


bandage a cloth covering that is placed over a wound to prevent bleeding, swelling and
infection
bandage scissors tool used to cut bandages
blood pressure a tool that measures the force of blood flow through a person's body
monitor

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dressing protective covering that is placed over a wound
elastic tape a thin roll of stretchy material that is sticky on one side
eye chart a poster of letter, word, and number combinations of various sizes used to test a
person's eyesight
forceps instrument used during operations and medical procedures (assists the doctor in
pulling, holding, and retrieving)
gauze thin, netted material used for dressing wounds
hypodermic needle sharp pointed metal piece that pricks the skin (attached to a syringe), used for
taking blood or administering medicine
IV bag the pouch that contains liquids to be pumped into a patient's body
medicine cup small plastic measuring cup
microscope equipment that makes small things appear larger than they are
otoscope a device used for looking into a patient's ears
oxygen mask equipment that fits over the nose and mouth and supplies oxygen
privacy screen an object that is used to separate the doctor and patient from others in an open
room
scales a device that measures a person's weight
stethoscope equipment for listening to a person's heart and lungs
syringe a cylinder-shaped piece that attaches to a needle and can be filled with liquid
table and head-rest paper that is placed on an examining table or head-rest to prevent the spread of
paper germs
test tube glass cylinder that is filled with blood or other liquids and can be capped and
placed in a storage area
thermometer an instrument used to check a person's body temperature
Vial a small bottle or container used for storing liquids

EXERCISE 2
Match the comments with the supplies that are needed:
table and head-rest
1 I can't catch my breath. a
paper
2 Prepare the examining table for the next patient. b thermometer
3 We'll have to get a blood sample. c oxygen mask
4 I need to sterilize the wound. d hypodermic needle
5 We'll have to feed him with liquids. e bandage scissors

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6 Let's find out your weight. f scales
7 I need to examine the patient in private. g eye chart
8 Let's check your vision. h antiseptic
9 Let's see if you are running a fever. i IV bag
1
Can you cut this gauze for me? j privacy screen
0

12. ADMISSION TO HOSPITAL

Admission is the act or process of accepting someone into a hospital, clinic, or other treatment facility
as an inpatient. While Admission form/card/ note is part of a medical record that documents the
patient's status (including history and physical examination findings), reasons why the patient is being
admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care.
A nurse needs to ask several questions to fill in the admission form. There are three basic question
types:
 Yes/No: the answer is "yes or no"
 Question-word: the answer is "information"
 Choice: the answer is "in the question"

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ADMISSION FORM
Hospital Reg. No. Unit Adm. Date Adm. Time

Complete Name First Name Family Name ID. No.

Age (DOB/POB) Sex Religion Marital Status Occupation


[__] M [__] F [M/ S/ W/ Wr]
Transport Mode [__] WC [__] Walking [__] Stretchers [__] Other
Oriented to Environment [__] Yes [__] No
Permanent Address

ZIP Code Phone No.


Name& Address of Next Kin

ZIP Code. Phone No.


Relationship :
Allergies [__] Food [__] Meds/ Other
Admitting Vital Sign Temp Pulse Respiration B/ P Weight/ Height

HEALTH HISTORY
Current Medication Last Dose Cardiac Medication Last Dose
1. .......................................... ................................ ......................................................... ............................
2. .......................................... ........................ ......................................... ............................
3. ........................................... ………………… ………………………………… ............................

PAST MEDICAL & SURGICAL HISTORY Complete By Date

USEFUL EXPRESSION
Here are several useful expression/questionnaires that might be asked to the patient or patient’s family
to fill in Admission Form
 Complete Name/ Surname  Age (Date of Birth/ Place of Birth)
- What is your complete name? - Where/ when were you born?
- What’s your surname? - Your date of birth, please?
- How do you spell it?  Occupation
 First Name/ Family Name - What’s your occupation?
- What is your first name? - What’s your father occupation?
- What is your family name?  Address & Telephone No.
 ID No. - Where’s your address?
- May I know your ID number? - Where do you live?
- May I have your ID number? - Your phone number, please?

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- May I borrow your ID card?  Next of Kin
 Marital Status - Who’s your nearest relative?
- Are you married? - Who’s your next of kin?
- Are you single? - Is there any contact person in emergency
 Religion case/ situation?
- What’s your religion?
Note: In some states, it’s not appropriate to ask this question. It’s necessary to follow the custom

EXERCISE
Now, fill the admission form based on the conversation below!
Mr. Smith : Excuse me, is this emergency room?
Nurse : Yes, this is emergency room.
S : Well I’m Johnson Smith, I got information that my daughter just got an accident and she was sent
to this hospital.
N : Let me check the list first, Sir and what is your daughter name?
S : Her name is Janice Smith.
N : That’s right Mr. Smith, would you come in and have a seat, please!
S : Thanks a lot, Nurse!
N : Well, Mr. Smith, we have to fill in an admission form first.
S : All right, Nurse!
N : Good, now your daughter complete name is Janice Smith, can you spell her first name?
S : J-A-N-I-C-E and Her last name is S-M-I-T-H
N : What is her religion?
S : Islam, she is a Moslem.
N : Is she married?
S : No, she is not.
N : And what is she?
S : She is a student.
N : Then when and where was she born?
S : She was born in Sidney on August 2nd 2005.
N : Now, where does she live?
S : She lives with us at Cadbury Street No.01. West Rock, Canada.
N : Do you have phone number, Sir?
S : Yes, sure, my phone number is 0765-84995231
N : It says here ‘Name and Address of Next Kin’ who is her nearest relation in this town that we can
contact in emergency situation?
S : Me and my wife, you can contact me or her if there is something about my daughter
N : Do you live at the same address, Sir?
S : Yes, you right.
N : Okay, is she allergic about something, such as food or drug, Sir?
S : Yes, my daughter has an allergic to penicillin and shrimp.
N : Has she ever suffered from any disease before?
S : Yes she has, she ever has suffered a pharyngitis for 4 days.

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N :
Did you bring her medicine from previous doctor, Mr. Smith?
S :
Yes.
N :
May I see those medicines, Sir?
S :
Here they are (Amoxil 3x500mgs, FG Throches 2x1 tab, Panadol 3x500mgs)
N :
Thanks and when did she take these medicines?
S :
This morning, Nurse?
N :
What about cardiac medicines, did she have it, Sir?
S :
No, she hasn’t it.
N :
And now, last question, do you know her body weight and height, Sir?
S :
If I’m not mistaken, her weight is 45 kg & height 165 cm
N :
All right Mr. Smith, I’ll record that. Well I think is enough for the data, if you would like to wait here
for a moment, I will call Dr. Scoot who treat your daughter, to explain you about her condition.
S : Thanks a lot Nurse.
N : No Problem.

Now, make similar conversation with your partner about admission to hospital then put the data from
the conversation to the admission form!

13. NURSING DOCUMENTATION

The Need for Good Records: Anything that makes reference to a patient, such as a care
plan or diary, can be used as evidence in a law court. Care plans and diaries are used, for
example, when investigating complaints of medical negligence or professional misconduct

Medical form and documentation are not standardized; they vary between hospital and even
between departments in the same hospital. Sometimes “Nursing Instructions” are called “Nursing
Interventions”; sometimes “Eating and Drinking” is called “Food and Fluid Intake”, sometimes “Daily
Living” is called “Work and Play” and sometimes “Aims and Objectives” are called “Discharge Goals”,
“Intended Goals”, and so, on.

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Things like Patient Care Plans are usually hand-written, not typed, and usually written quickly
by people in a hurry in short note form- not full sentences. Notes are not complete and “good” English;
they are full abbreviations, arrows crossing the paper here and there, slashes, asterisks, stars, dots,
underlining, etc. sometimes it is difficult to understand another person’s notes – hard enough in your
own language – extra difficult in a language not your own. Sometimes medical abbreviations differ
according to the field of healthcare. For example, POP is “Plaster of Paris in Orthopedics” and
“Posterior Occipital Position” in Midwifery

TIPS ON WRITING NURSING REPORT/ NURSING DOCUMENTATION:


 Ensure the statements are factual and recorded in consecutive order, as
they happen. Only record what you, as the nurse, see, hear, or do.
 Do not use jargon, meaningless phrases, or personal opinions (e.g., “the
patient's vision appears blurred” or “the patient's vision appears to be
improving”). If you want to make a comment about changes in the patient's
vision, check the visual acuity and record it.
 Do not use an abbreviation unless you are sure that it is commonly
understood and in general use. For example, BP and VA are in general use
and would be safe to use on records when commenting on blood pressure
and visual acuity, respectively.
 Do not speculate, make offensive statements, or use humor about the
patient. Patients have the right to see their records!
 If you make an error, cross it out with one clear line through it, and sign. Do
not use sticky labels or correction fluid.
 Write legibly and in clear, short sentences.
 Remember, some information you have been given by the patient may be
confidential. Think carefully and decide whether it is necessary to record it
in writing where anyone may be able to read it; all members of the eye care
team, and also the patient and relatives, have a right to access nursing
records.

NOW READ THE SAMPLE OF NURSING DOCUMENTATION RECORD AS FOLLOWS


Morning Afternon &
Nursing Note
Routine Evening Read morning report.
7.00 a.m. Take over from night shift to morning shift nurses and Routine
do patient’s round 4.15 p.m. Patient tea and extra Ponstan 500 mgs given
7.30 a.m. Prepare patient for breakfast 4.30 p.m. Patient try to ambulate
8.00 a.m. Collect used dishes and return to ward kitchen for 5.15 p.m. Apply urine catheter, urine (+), blood (-)
washing Pain lower abdomen (-)
9.15 a.m. Toilet round 6.30 p.m Patient’s family visit the patient.
9.30 a.m. Take vital sign 7.00 p.m. Prepare patient for dinner. Patients eats a lot.
BP.120/90;P.88bpm;Rr.20x/m;T.37.80C 7.15 p.m. Collect plate and cup and return to ward
10.00 a.m. Dr Frank does round with nurse in charge kitchen for washing
Order> Change dressing twice a day 8.00 p.m. Treatment to be given as prescribed
> Give high calorie & high protein diet 8.15 p.m. Control all condition of the patients
> Collect urine for 24 hours 8.30 p.m. Complete intake and output charts
> Amoxicillin 3 x 500 mg 8.45 p.m. Patients settled for night

D3 Keperawatan – STIKes Karsa Husada Garut Page 27


> Ponstan 4 x 500 mg 9.00 p.m. Make afternoon report. Take over the ward
> Bring the patient to X-rays Dept. from afternoon to night nurses and does
10.30 a.m. Bring him to X-rays room patient’s round
11.00 a.m. Patient returned from X-rays Dept, X-rays film (+)
Milk drinks and meals given to the patient Night
Read afternoon report
11.15 a.m. Collect plate and cup and return to ward kitchen for Routine
washing 9.00 p.m. Take over from afternoon shift nurses to
11.30 a.m. Change dressing. The wound looks wet, bad odor. night shift nurses and does patient’s
It’s covered by sterile and clean gauze. round. General condition of patient is
11.45 a.m. Mr. Jack complains pain on the leg and lower stable, patient s wathing TV with family.
abdomen. 9.30 p.m. Serve drinks
Doing examination on her abdomen, distended on 10.00 p.m. Light out
lower abdomen and no void for 2 days. 10.30 p.m. Prepare all medications for morning
12.00 a.m. Report to DR. Frank about Ms. Jane complained therapy
Order> Giving extra Pethidine 50 mgs Prepare for early morning routine
> Applying urine catheter 11.00 p.m. All bedpans and urinals are washed and
> Observation for blood in urine boiled
> call him back within 30 minutes 12.00 m.n. Control all condition of patients. Patient
12.15 a.m. Inject Pethidine 50 mgs are sleeping well.
1.00 p.m. Prepare patients for lunch. Patient eats little, no 1.00 a.m. Mr. Jack complains pain in her leg.
appetite. Extra Ponstan 500 mgs is given
2.00 p.m. Treatment given as order/ as prescribed. 2.00 a.m. Control condition of Mr. Jack. He is
2.30 p.m. Make patient comfortable for afternoon rest. sleeping well.
Make afternoon duty. Take over of ward from morning 4.30 a.m. Light on
shift to afternoon shift nurses and does ward round. 5.30 a.m. Partial morning bed bath
Change dressing. Wound looks dry.
Afternon & Bed making and make comfortable
Evening Read morning report. position
Routine 6.30 a.m. Patient try to ambulate
2.00 p.m. Take over of ward from morning shift to afternoon 7.00 a.m. Prepare patient for breakfast. Patients
shift nurses and does ward round. General eats a lot.
condition of patient is stable, patient is sleeping 7.15 a.m. Collect plate and cup and return to ward
soundly. kitchen for washing
3.00 p.m. Take vital sign BP.120/80;P.88 7.30 a.m. Treatment to be given as prescribed
bpm;Rr.24x/m;T.37.50C 7.45 a.m. Complete intake and output charts
4.00 p.m. Evening complete bed bath 8.00 a.m. Make night report. Take over the ward
Dressing renewed. Wound is still wet. from night to morning shift nurses and do
Patient still has pain on the leg patient’s round
Bed making and make patient comfortable position.

NURSING DAILY PROGRESS REPORT


DATE REPORT INCLUDING TREATMENT SIGN
Sept 7
2 p.m. Admitted at 2 p.m. Suspected fracture leg in a road traffic accident at 9 a.m. Carol
today,
2.30 Lacerations of face and hands also present. Fully conciousness Mary
3.00 Clean the wound with H2 O2 and covered by sterile gauze.
3.30 I.V.I. Lactate Ringer in progress
4.00 Given A.T.S. & Pethidine 50 mgs I.M.I. Shanty
4.30 Checked vital sign. T. 38.50C;P.100 bpm;Rr.20x/m; BP.120/90.
Patient pale and feel sweaty.
5.00 Roza

D3 Keperawatan – STIKes Karsa Husada Garut Page 28


5.30 Frightened, reassurance given.
6.00 Took to X-rays for left leg, film(+) fracture at tibia and fibula
Called Dr. Frank. Order: Prepare for operation, take blood sample, sign fo a
8.00 consent form.
Took blood sample for X-match & blood group, CBC, BSR. Please ask the
parent to send donors to theater at 9 a.m.
Ms. Jane parents visited and ask a sign consent form (+). They will send
donors to theater. Last vital sign T.36.50C;P.80 bpm;Rr 16x/m;BP 120/70

Family Name First Name Ward Bed


Smith Janice Jasmine 2

EXERCISE:
Answer the questions based on ‘Nursing Daily Report” to check your comprehension!
1. Who is the complete name of the patient?
2. What happen to the patient when she is admitted to hospital?
3. What’s nurse do at 4.00 p.m. and why she’s doing it?
4. What is Dr. Frank’s order to nurse the nurse?
5. At what time should the patient’s parent send donors to theater?

14. PRESENTING JOURNAL

Why is it important for nurses to read nursing journals?


Journal articles provide critical information that nurses can apply to their own practice. Ultimately, the information
may uncover vital insights into health care concepts that could lead to higher-quality care and improved patient
outcomes. Writing nursing journal articles has practical benefits.

What is a journal in nursing?


Nursing journals primarily focus on research and evidence-based information, offering insight to nurses and
those looking to become a nurse.

Why are nursing journals important?

D3 Keperawatan – STIKes Karsa Husada Garut Page 29


Writing for publication in nursing journals is essential to disseminate evidence, share initiatives and innovations
with others, provide new information to keep nurses up-to-date, communicate the findings of research studies,
and develop the science base of the nursing profession, whilst demonstrating the value of nursing care

Here are the 10 Best Publications for Nurses


1) American Nurse Today.
2) Nursing Made Incredibly Easy.
3) The American Nurse.
4) NursingTimes.net.
5) The Open Nursing Journal.
6) International Journal of Nursing.
7) Applied Nursing Research.
8) Clinical Simulation in Nursing.
9) Nursing Education Perspectives.
10) Journal of Advanced Nursing.
(Source https://rnnetwork.com/blog/10-best-publications-for-nurses/)

Now, find a journal that attracts your interest from the best publication journal of nurses above, or our
internal journal website at https://jurnalskhg.ac.id/index.php/medika or other nursing journal source
such as https://scholar.google.co.id/ or https://sinta.kemdikbud.go.id/journals etc!

Read the abstract of your chosen journal, translate then presenting it to class!

Abstract consists of three paragraphs. The first contains: research title, problem
formulation, background and research objectives. The second contains:
research methods, data analysis techniques, theoretical foundations. The third
contains: the results or conclusions obtained from the research.

Abstrak terdiri dari tiga paragraf. Yang pertama berisi: judul penelitian, rumusan
masalah, latar belakang dan tujuan penelitian. Kedua berisi: metode penelitian,
teknik analisis data, landasan teori. Ketiga berisi: hasil atau kesimpulan yang
diperoleh dari penelitian.

D3 Keperawatan – STIKes Karsa Husada Garut Page 30


Kepuasan pasien terhadap asuhan keperawatan: kasus poliklinik kandungan dan kebidanan
Penulis: Akbas Cukurova, Universitas Meltem

Abstrak
Asuhan keperawatan merupakan faktor yang efektif untuk memungkinkan kualitas pelayanan
kesehatan berada pada tingkat yang diinginkan. Prinsip etik keadilan dan kejujuran penting untuk
meningkatkan mutu asuhan keperawatan dan kepuasan pasien. Penelitian ini menentukan tingkat
kepuasan terhadap asuhan keperawatan pasien rawat inap di klinik ginekologi dan kebidanan dari
berbagai jenis rumah sakit yang memberikan pelayanan kesehatan. Penelitian ini merupakan penelitian
deskriptif dan cross-sectional. Sampel terdiri dari 420 pasien wanita yang dirawat di klinik ginekologi
dan kebidanan. Data dikumpulkan menggunakan "Formulir Sosio-demografi Pasien" dan "Skala
Kepuasan Perawatan Newcastle." Tingkat kepuasan asuhan keperawatan peserta menurut rumah sakit
adalah sebagai berikut: Rumah Sakit A 70,68±15,51, Rumah Sakit B 70,65±15,17, Rumah Sakit C
65,41±16,48, Rumah Sakit D 71,39±14,66, dan total 67,2±16,13. Ada hubungan yang signifikan
secara statistik antara tingkat kepuasan keperawatan peserta berdasarkan rumah sakit, status
perkawinan, usia, tingkat pendapatan, dan lama tinggal di rumah sakit. Tingkat kepuasan peserta
tentang asuhan keperawatan berada di atas rata-rata. Sementara tingkat kepuasan serupa
berdasarkan rumah sakit, tingkat kepuasan untuk rumah sakit swasta, rumah sakit pelatihan dan
penelitian, dan rumah sakit universitas lebih tinggi daripada rumah sakit umum.
Kata kunci: perawat, perawatan, kepuasan, etika

D3 Keperawatan – STIKes Karsa Husada Garut Page 31

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