NURSE TO PATIENT FAMILY

Nurse : Good morning miss

Patient's family : Good moming nurse

Nurse : Introduce me nurse Yuli. I am the nurse on duty this morning from 07.00
to 14.00 noon. Are you the child of this cared mother?

Patient's family : Yes, I am her son

Nurse : What's your name?

Patient's family : Dinda sus

Nurse : Well, Miss Dinda, we have to fill in the new patient admission form first
and also sign it. Because based on the examnations we have done, you have to be
hospitalized.

Patient's family : Yes, I understand.

Nurse : Ok, can we start now?

Patient's family : Yes, nurse

Nurse : You can say your mother's full name and date of birth

Patient's family : Ms. Yati Hartati, she was born in Jakarta on July 20, 1985

Nurse : Now where does she live and do you live at the same address?

Patient's family : Yes, we live together at Sudirman street no. 45 Cijantung, East
Jakarta

Nurse : Do you have phone number so we can call you in case of an emergency?

Patient's family : Yes sure, my phone number is 0813

Nurse : Okay, is she allergic about something, such as food or drug, miss?
Patient's family : No, nurse

Nurse : He she ever suffered from any disease before?

Patient's family : No, she hasn't it

Nurse : Previously, I will give you and your mother an orientation about your
family or relatives waiting for only one person to wait. Then regarding the facilities
in this room, there is a bathroom so that you can shower and defecate there. The
nurse who will take care of your mother is myself and the doctor in charge is doctor
Algi.

Patient's family : Yes nurse

Nurse : Is there anything you want to ask again miss?

Patient's family : No nurse

Nurse : Alright miss, this patient acceptance has been completed. If you have
nothing to ask, I want you to sign the new patient admission sheet, miss

Patient's family : Yes nurse

Nurse and family sign a new patient admission sheet.

Nurse : In 15 minutes I will come here to give medicine to mother. If you or

mother need help, you can call the nurse by pressing the bell or call the nurse at
the nurse station. Excuse me, miss.

Patient's family : Yes, thank you nurse

Nurse : You're welcome