English for Nursing 1

Topic 8
Nama : sulfi nurafifah
Kelas : 2a PSIK
NIM: 1020031181

ADMISSION TO HOSPITAL
Instructional objective
The students are expected to be able:
1. to make questions to collect patient demographic data, and
2. to act out an interview to fill an admission form.

Reading
Direction. Read the text below. Use the admission form for your communication practice.

Hospital Admission and Filling the Form

Hospital admission involves staying at a hospital for at least one night or more. Staying
in the hospital overnight is done because the individual is too sick to stay at home,
requires 24-hour nursing care, and/or is receiving medications and undergoing tests
and/or surgery that can only be performed in the hospital setting.
An individual may be admitted to the hospital for a positive experience, such as
having a baby, or because they are undergoing an elective surgery or procedure, or
because they are being admitted through the emergency department. Being admitted
through the emergency department is the most stressful of these circumstances because
the event is unexpected and may be a major life crisis.
Before the person is taken to their room, admitting procedures are performed.
The person's personal data is recorded and entered into the hospital's computer
system. This data may include:
 name
 address
 home and work telephone number
 date of birth
 place of employment
 occupation

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  emergency contact information, or the names and telephone numbers of those
individuals the hospital should contact if the person being admitted needs
emergency care or their condition worsens significantly
 insurance coverage
 reason for hospitalization
 allergies to medications or foods
 religious preference, including whether or not one wishes a clergy member to
visit
There may be several forms to fill out. One form may be a detailed medical and
medication history. This history will include past hospitalizations and surgeries. Having
this information readily available will make the process move faster, and can allow a
family member or friend who is accompanying the person to help fill out the forms
more easily.
The hospital may ask if there are any advance directives. This refers to forms
that have been filled out indicating what medical decisions one wants others to make on
their behalf. One form is called a living will and clearly tells which specific resuscitation
efforts the person does or does not want to have performed on them in order to save or
extend their life. Another form may be a durable power to attorney. This is a form
stating whom the patient wishes to make medical decisions for them if they themselves
are unable to do so, such as if they are in a coma.
Some hospitals have blank forms that the individual can use to make these
designations, others may just ask if the forms have been filled out, and if so to add a
copy of them into the person's medical record. They are considered legally binding, and
an attorney can assist in filling them out.
During the time spent in admitting, a plastic bracelet will be placed on the
person's wrist with their name, age, date of birth, room number, and medical record
number on it. A separate bracelet is added that lists allergies. Forms are completed and
signed, so that the patient is giving full consent to have the hospital personnel take care
of them while they are in the hospital during that particular hospital stay. Subsequent
hospital stays require new consent forms.

Glossaries
 Elective surgery (np): surgery that is scheduled in advance because it does not
involve a medical emergency
 Living will (np): written, legal instructions regarding your preferences for medical
care if you are unable to make decisions for yourself

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Related Vocabularies
Direction. Study the following vocabularies. Practice the proper pronunciation and memorize the
translation.
 Demographic data /deməˈɡrafik ˈdadə/ (np) : data demografis
 Surname /ˈsərˌnā m/ (n) : nama belakang, nama keluarga
 First Name /ˈfərs(t) ˈˌnā m/ (np) : nama depan
 Spell /spel/ (v) : mengeja
 Phone number /fō n ˈnəmbər/ (np) : nomor telepom
 Occupation /ˌä kyəˈpā SH(ə)n/ (n) : pekerjaan
 Next of kin /nekst əv kin/ (np) : keluarga terdekat, wali
 Health insurance /helTH inˈSHo͝ orəns/ (np) : asuransi kesehatan
 National health insurance
/ˈnaSH(ə)n(ə)l helTH inˈSHo͝ orəns / (np) : jaminan kesehatan nasional (JKN)
 Religion /rəˈlijən/ (n) : agama
 Married /ˈmerēd/ (adj) : menikah
 Single /ˈsiNGɡəl/ (adj) : belum menikah, lajang
 Divorced /diˈvô rst/ (adj) : bercerai

Useful Expressions
Direction. Study the following useful expressions. These expressions can be used in the interview to fill
a admission form.
1 Name
 Your complete name, please.
 What’s your surname?
 What’s your first name?
 How do you spell it?

2 Address
 Where do you live?

3 Telephone Number
 Are you on the phone?
 What is your phone number?

4 Date of Birth
 Your date of birth, please.
 When were you born?

5 Occupation
 What is your occupation?

6 Next of kin
 Who is your next of kin?
 Who’s your nearest relative?
 Do you live at the same address?

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  What is his/her phone number?

7 Insurance coverage
 Do you have any health insurance?
 Do you have a national health insurance?

8 Reason for hospitalization

 Why do you need to be admitted here?

9 Religion
 What is your religion?

1 Civil state
0  Are you married?

Integrated Writing and Speaking Exercise

Direction. Arrange the jumbled words in each number to be a structured expression.
1. Occupation - is – what – your?
2. Next – who – kin – is – your – of?
3. Birth – Date – please – your – of?
4. You – do – have – health – national – a – insurance?
5. Married – you – are?

Answer
1. What is your occupation ?
2. Who is your next of kin?
3. Your date of birth, please?
4. Do you have a national health insurance?
5. Are you married?
Integrated Listening and Speaking Exercise
Direction. Accomplish the following conversation by listening to the audio file on UFLearn. Then, act out
the dialogue.

A casualty: A man got into an accident. He was hit by a motorcycle when he was
crossing the street. He was transferred to the ER by an ambulance. He was conscious.
After an x-ray, the doctor diagnosed him with fractures in his right leg.
Nurse : Good afternoon, Mr. Smith.
Patient : Good afternoon, Nurse.
Nurse : Okay, Mr. Smith. The doctor has diagnosed you with a fracture in your
right leg. You need to have a couple of days of treatment. The doctor suggests that you

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need to be hospitalized for the treatment. Now, I need (1) to ask you some questions to
fill in the admission form.
Patient : Sure, Nurse.
Nurse : (2) the complate name, please?
Patient : Jack Smith
Nurse : Are you married?
Patient : Yes.
Nurse : (3) who is your next of kin ?
Patient : It’s my wife.
Nurse : Whom should I contact in this case?
Patient : Just contact my wife.
Nurse : Okay. That’s enough, Mr. Smith.
(The conversations were taken from English for Professional Nurses 1 written by Leo A.
Pamudya.)

Nursing Communication Practice

Direction. Work in pair. Write an interview of a nurse to a patient to fill the admission form on page 3.
Submit your conversation scenario on UFLearn. Then, practice the conversation together. You are not
allowed to read aloud the scenario.