Unit 1
Scrub up
1 scrub nurse 6 radiologist 2 cardiologist 7 consultant 3 receptionist 8 anaesthetist
4 surgeon 9 paediatrician
5 physiotherapist 10 porter
Listening 1- An admission
1
P=paramedic, B=Mrs Benson P Canyou hear me? MrsBenson?
B Yes.Where am I? What happened?
P You'rein my ambulance. You'vehad a fall and we're taking you to hospitaL B Yes,nowIremember.
2
R=radiologist, B=Mrs Benson
R Right,Mrs Benson. We're going to have acloserlookat your heart. Have you had an x-ray before?
B Yes,I brokemy leg once.
3
S=sister, B=Mrs Benson
5 Hello MrsBenson. How do youfeel?
BTerrible.I've got a terrible headache and Ineed to use the toilet
5 OK.I'll draw the curtains and you can use a bedpan. Doctor Bright is coming to have a look at you ina moment.
4
C=consultant, B=Mrs Benson
C MrsBenson. We'vebeen worried about youbut I'vegotgood news. The x-ray shows yourheart is clear and Sistersays your blood pressure is back tonormaL Howare youfeeling?
B I feelfine now.
C Good.I'mgoing to prescribe some medicine and I'm discharging you.
5
R=receptionist, B=Mrs Benson
R Right MrsBenson, so you want tomake an outpatient's appointment for next week?
B Yesplease.
RThursdayatfour?
B Fine.
R Good.Next Thursday atfour o'clock to see Doctor Leein Outpatients.
Listening scripts
Listening 2 - A job interview
I=Interviewer,R=Rachel
I OK Rachel,let's start the interview with afew questions. Your CVsaysthat you're working at City HospitaL R Yes,inthe operating theatres.
I Are youa fully-qualified scrub nurse?
R Not yet At the moment I'm doing a part-time course and working atthe same time. I'mpreparing forthe exams, which arenext month. It'shard, especially when I'm working anight shift and going to lectures next day.
Tellus about yourjob.What do youdo everyday?
R Well,I assist the surgeons. Iprepare the instruments forsurgery and Ihelp with the operations.
What do you like best about being a scrub nurse?
R Well,Ilikewatching operations, but it's the contact with the patients that's most rewarding.
So,why areyou applying fora new job?
R Well I'm veryhappy in my job,but 1 want more responsibility.
Unit 2
B
Pronunciation H
1 Cardiology 7 Paediatrics
2 Pharmacy 8 Pathology
3 Gynaecology 9 Dermatology B
4 Neurology 10 Physiotherapy H
5 Obstetrics 11 Renal Unit 6 Orthopaedics 12 Surgery
Listening 1- Directions
1
P=physiotherapist, M=man
P Go out of here and the door youwant is just opposite. Gointhrough the door and giveyour prescription tothe man behind the counter.
M Soit'sjust outside here?
P Yes.just acrossthe corridor.
2
P=porter, M=man
P Go into the hospital through these swing doors.Goalong the corridor,take the first right, and it'sthe second door on your left.
M Through the swing doors, down the corridor, first right. second left.
P That's it.
MThanks.
3
R=receptionist, V=visitor
R Go along thiscorridor and turn left at the end.Go along the next corridor, take the second left and go allthe way along that corridor. The ward you want is right at the end, straight in front of you.
V Thankyou.
Listening 2 - The porter's office
He-head porter, W=porter Wahid, B=porter Brian
H Sure,right away. Hello,Wahid? Are you there?
WYes.
H Where areyou?
W I'mat the top of the starrs outside Physiotherapy.
H OK.Canyou goacross the hospital to the stores and collect abox of disposable syringes and take them to the Path lab? And also,a wheelchair.
W Box ofsyringes and awheelchair. OK.
H Porters' office...Yes,Doctor Sayed,I'll dothat ...Hello.Brian?
I'm here.
Doctor Sayedfrom Cardiology wants a porter. They've gotalotof empty bottles -canyou take them to the bins?
Where are they?
Outside Cardiology near the swing doorson the main corridor ...and then take astretcher to Wardfour,collecta patient andtake him to Radiology ...
Hello.Porter's office...
Unit 3
Scrub up
I was ataparty, and one of my friends gaveme alittle white tablet. I'dhad a few drinks and I wasfeeling good,and I took it, even though Ididn't know what it was. It made me feel,like,really weird. I could see and hear really strange things, and itscared me.Istill don't feelnormal today, and I'm very worried.
2 It's not dueuntil next month, but when I was washing up this morning there
wasa little blood.It worried me.Then I got these pains.
3 Iwas working high up onaladder. My footslipped and Ifell.Ihit my head but there's no blood and Idon't feel too bad.
4 I waswalking by the river,and Ithink I stepped onit and it bit me.I don't know what type itwas but itwas long and silver with ablack head.
I was looking in the mirror and Isaw this bigspot onmyface. I checked it on the Internet and I'msure I'vegot cancer. Do youthink I'm going to die?
Listening - A patient record form
M=Mustapha, N=nurse 1
NMustapha, isn't it?
M Yes,that's right.
N So,what happened to you?
M I was working onaladder. Itwas raining and Islipped and felL NDid youhityour head?
MYes.I saw stars and feltsickatfirst.But now it'sOK.
NIsee.Youmay have concussion.
First,I'lltake down your details and fill inthis form. So,what's your surname?
M It'sHussein.
NCanyou spellthatfor me?
MH-U-double S-E-I-N.
N What's your occupation?
M I'm a painter.
N Right.What's your date ofbirth?
MFirst ofthe ninth, eighty-two.
N One,nine, eighty-two ...and where were you born?
M Karachi, Pakistan.
N What's your marital status?
MSorry?
NAre you married?
M No, I'msingle.
N And doyou have acontact telephone number for your next of kin?
M07709-401229 -it'smybrother, Yusuf.
NDoyou smoke?
NRight.Are youallergic toanything?
MNo.
NNow,family history. Doany ofyour
close family suffer from any of the following -mental illness?
MNo.
NDiabetes?
MMymother's parents are both diabetic.
N Maternal grandparents ...diabetes.
Tuberculosis?
P Roger,OscarLimaCharlie, we're with the patient now.Possible cardiac arrest.
Stand by,over.Nurse, check hispulse.
NThere's no pulse.
P OK.
NHe'snot breathing.
P It'sacardiac arrest. Givehim CPR.I'll talkyouthrough it,OK?
N OK.
P Give him mouth-to-mouth first. Support hishead. That's it,lift itback. Right,hold hisnose closed,then open hismouth andbreathe strongly into it.Give two full breaths into his mouth. OK?
NRight.
P Lethischest fall again. Nothing?
NNothing.
P Turnhishead. That's right. Put your hand on hischest.Nowput your other hand on top ofyourfirst hand. OK?
NOK.
P Push down alittle and release ...Doit again. One...two three ... four.
NHowmanytirnes should Ido it?
P Repeat the procedure fifteen times ...
OK.Check hispulse again. Anything?
NNo.Stillno pulse.
P OK.Don't wait. Use the AED.Setitata charge of two hundred.
N Right.It'stwohundred.
P Applythe pads tohis chest.
NWhere do I put them?
P Put one above the heart and onebelow.
Stand clearofhisbody.Make sure you don't touch him. Call' everybody clear' and then press the buttons and hold for two seconds. OK?
NOK.Everybody clear!
P Checkhis pulse again.
NNothing.
P Are you sure?
N Yes.There's no pulse.
P OK-repeat the procedure. Same charge -two hundred.
NRight.Everybody clear!Ahhah! There's a pulse.
P Good.Well done.Nowsetupan IVand givehim Lidocaine.
NHowmuch shall Igivehim?
P Onehundred millitres overtwo minutes.
UnitS
Listening 1- A pain chart
N=nurse, P=patient 1
NHowareyou today,Kath?Are youstill inpain?
P Well.there's pain around my stomach.
It's quite bad.
NWhat kind ofpain is it?
P It'saburning pain.
NDo you always have it?
P It never goesaway. Never.
NIsit getting worse?
P No.it'sstaying about the same.
2
N How'sthe pain today, Emir?
P It'smuch better, thanks. Ihave aslight pain, just here inmyright side,but it'sa lotlesspainful than yesterday.
N How often do yougetthe pain?
P Only every now and again - itcomes and goes.
3
NDo youstill have a headache?
P Yes.I'vegotthis throbbing pain in my head.
NWhereabouts?
P In the forehead, right between my eyes.
NDoesitfeel the same allthe time?
P No,itchanges. Sometimes it'snot too bad,but it gets a bit worse atnight.
N Andit's getting more severe now.isit?
P Alittle bit. yes.
N I'll getyou some painkillers.
4
N So,you're having pains in your arm.
P Yes,I keep getting this terrible pain down myleft arm. Itstarts at the shoulder and shoots down to my hand.
NIsthis all the time?
Listening scripts 127
P No,but most of the time, but it's agonizing when ithappens.
N When did this start?
P Itstarted yesterday, but it'smuch more severe today.
N Mm,we'd better take alook...
Listening 2 - Pain relief
J=Janice, K=Karen J Hello.my name's Janice.
K Hello,Janice. I'm Karen.
J Hi,Karen. Boy orgirl?
K A boy. And yours?
J Agirl.
K Lovely. I think we gavebirth at the same time last night, didn't we?
J Yes.Iheard you.
K WasI making so much noise? Well, it was the pain.
J Didn't you have any pain relief?
K Oh yes.I had just gas and airat first.It doesrelieve the pain a bit,but the effect wears offvery quickly,It makes youfeel so light-headed ifyou have too much. It made mefeelsick too.Anyway, when the pain became unbearable, Ihad an epidural.
J Did that help you cope with the pain?
KIt took away the pain completely! My whole lower half went numb! It was great. How about you?
This wasmy third, so the pain was easier to bear.Idid breathing exercises.
I decided to have gas and air ifthe pain gotworse, but Ididn't need it.Ihad an epidural last time, but Ididn't like losing allsensation. This time Iwanted tofeel the birth.
KI'msorry,Janice -I think you must be mad.
Pronundation
air hurt doctor
care nurse appointment
first hair tumour
ulcer worse where
Unit 6
Listening 1- Symptoms
1
Nenurse, P=patient
N How does itfeel? Alittle deformed, isn't it?
P Yes,there's a huge lump just above the ankle. And there's quite alot of bruising. Andjust here,it'svery swollen.
N Is itpainful when you move it?
P Yes,very.
N Canyou move your toes?
P It's difficult,they're numb -Ican't feel them at all.
2
N How areyoufeeling?
P I feelsohot.What doesthe thermometer say?
N Yes,you dohavefever.Your
temperature is alittle over38.Have you got asorethroat?
P Yes,it hurts when Italk.
NIcan see spots.Anyredness?
P Yes,mychest and back areallred.
N And do you feeltired?
P Yes,constant tiredness. And my legs feel achy,too.
3
N How's it going?
P I'llbeglad when this is over.Doing anything isreally tiring.
N Ohdear.Do youfeel dizzyat all?
P Yes,some daysIfeeldizzyand sometimes sick.
N When doyou feel sick,mostly?
P In the mornings. And I'm very constipated - haven't been to the toilet for three days.Sorryto moan.
N That's allright. Weallneed a good moan sometimes. What about pain?
P No.No pain.
Language spot
N=nurse, P=patient 1
N OK,MrsHales?
P Not toobad,thanks.
N What happened to you?
P Ihad afall.
N Where does ithurt?
P From my wrist to my elbow.
N What about your shoulder?
P That's fine.
NLet'shave a look- swollen, isn't it!
P Yes,itis,isn't it.
N You'vehad anx-ray,haven't you?
P Yes,I have.
N Anything broken?
P No,just bruising.
N You aren't onany other medication, are you?
P No, I'm not.
2
N How areyoufeeling?
P Not bad,thanks - abit sore.
N What happened to you?
P Ifell offmy bike N Where doesithurt?
P Here,around my wrist.
NCan you move your fingers?
P Yes,I can,slowly.
NIsit painful?
P Yes,very!I'vealso gotacut on my leg-look.
NOh, that's deep,isn't it!
P Yes,it is deep.Will Ineed stitches?
N Maybe. Have you had stitches before?
P No,never -and I don't want any!
N You'veseen the doctor, haven't you?
P No,I haven't seen him yet.
Listening 2 - A helpline call
N=nurse, M=mother of child
NNational Health line.Howcan Ihelp?
MOh,hello. It'smy little boy- he's seven.
I'm worried, because he'sgotaterrible cough.
N OK.So,can you describe the cough? I mean, doeshe wheeze when he coughs?
M Yes hedoes.
NDoeshewheeze when he breathes inor when he breathes out?
M Mm ...when hebreathes in.Yes,not when hebreathes out.
NWhen hecoughs, doeshecough upany blood?
M No,but sometimes when he coughs, he vomits.
NIsee.Doeshe have any allergies?
M No.Idon't think so.
N Right.Doeshe have afever? Haveyou taken histemperature?
M Yes,he's burning. Thethermometer says 37 degrees.
Unit 7
Listening 1- A care home E=Edith,B=Betty
E ...and thatnurse -Barbara-Idon't like her.
B Sssh,Edith,she'll hear you!
E Idon'tcare ifshe hears me,Betty.
Shespeaksto me like a child=That'sa lovelyjumper you'rewearing,Edith.
Don't you lookpretty!' She shouldcall me 'MrsTaylor',thank youverymuch!
No respect, yousee! Andshecomesinto my room without knocking.You'vegot no privacy,noself-respect.
BOh,cheer up.Let'sgo overandplay some bingo.
E Bingo?I'm not interested inplaying bingo with a group ofold ladies! It'snot verystimulating,isit! They'reallso slow becausethey'vegot nothing to keeptheir minds busy, and their medication slowsthem upsomemore.
Theyjustsit infront of the televisionall day.
B Areyoucomingon thetrip to the seasidenextweek?
E No.1don't like coach trips.Ijust want to go home.I missmy independence. I missmy kitchen. And that's another thing-I don't like the food here.
B Yes,but wedon't havetocookordo the washing ourselves.I likethis care home.
It'sclean.The staff arevery professional,andit'snice toknow there's someonenearinan emergency.
And there'salways someoneto talkto.
I'mneverlonely.
E Well,Idon't want someyoung nurse tellingmewhatIcanandcannot do.I want childrenaroundme.It's not naturalliving like this - everybody here is old!
Language spot
2
A Willyoupassme myglasses?ThenI'll beabletosee thetelevision.
B Hereyouare.
AThanks.Ohand will you do me another favour?
B Whatnow?
A WiUyouhelpme standup? I wantto switch it on.
BYou'llprobably fall over.I'll doit.
A Thank you.I won'ttroubleyouagain.
Listening 2 - Assessing a patient
N=nurse, De-daughter of elderly patient N Yourmum'sgoingto befine.Thereare
no bonesbroken.
DOh,that's good news.Iwas worried, becauseshe'sa bitfraiL
N Isthat thefirst time she'shadafall?
D Yes,it is.
N I am doing an assessment ofher,so I've gotsomequestions.Canyouhelp me withthem?
D Ofcourse,go ahead.
N Right.Number one.How'syour mother'shearing?Does shewear a hearing aid?
D Yes,she isvery deaf. Without her hearing aidshehears nothing at alL N OK.Can shesee OK?
D With glasses,yes -very well for her age.
N Right.Mobility? Areher movements very restricted?
D Well,sheneedshelp getting dressed and getting inand outofthebath.She has awalkingstick andshe'svery independent. Butsomedays she gets dizzy andcanbe unsteady onherfeet.
Sheuses ascooterforshopping.
N Thenext questionis aboutsleeping habits.Does shehave anysleep disorders?
D Shehas a lot of problems.She often wakesup in the middle of thenight.
Sometimes she can'tsleep atalLShe takessleeping pills,and ofcourse she hasa nap every nowandthenduring the day.
N OK.Any problemseating? Canyour mother feed herself?
D Ohyes,she's fineat thetable.
N Right.Continence isnext. Does sheever wet herself?
D Wellthat happens quiteoften.Probably because she doesn't likeusinga bedpan andshecan't getto thebathroom.We have tomakesure shehasan incontinencepad.
N Doessheevershowsignsof confusion?
D Occasionally,yes.Sometimes shethinks I'm hersister.LastnightI heard someone movingaround downstairs, and when I went down,Ifound Mumin
thekitchen.Shedidn'tknow whereshe was.We laughed aboutitafterwards.
N Doesthis often happen?
D No.Veryrarely.
UnitS
Listening 1- A diabetic patient S=student nurse, N=nutritionist
S The newpatienthashad diabetessince childhood,hisnotes say.
N Uh huh. Hehastypeone,then?
S What'sthat?
N There'stypeonediabetesand there's typetwo.Typeoneusually appears beforetheageof eighteen. Doeshe inject himselfwith insulin?
S Yes,daily.
N Uhhuh,OK.He'sonaspecial diet,ishe?
S Yes,buthe's notoverweight.
N No.Typeonediabetesisnot linked to obesity.
S Soobesityis linked to type two, isit?
N Yes.Typetwoisthe commonone.
S Thispatient hasaspecial machineto check levelsof glucosein hisblood.And heshouldn't eatsugar,right?
N Well,no,it'snottruethat diabetics shouldn't eatsweetthings.Actually, what's important is balance.Adiabetic likeyourpatient should eat thesame amount offood at the sametime ofday.
Heneedstocount thecalories in his meals,and he shouldhavesnacks,not big meals -especiallybeforebed.
S Oh,whyisthat?
NToavoid hypoglycaemia.
SHypoglycaemia- not enough glucose intheblood,right?
N Right.
Speaking one metre eighty
2 ninety-fivepointseven kilos 3 fivefeeteleven
4 twohundred and eleven pounds 5 onepoint eighttimesone point eight
equalsthreepoint twofour 6 ninety-fivepointsevendividedby
threepointfourtwoequalstwenty
ninepointfivefour
Listening scripts 129
\,
Listening 2 - An eating disorder S=staff nurse, N=nurse
S Thenew patient's nameisAnita Josephs.Anita is sixteen.She fainted and an ambulance broughther in,so weare keeping her infor a forty-eight
hourobservation.Anita is very underweight. She weighs38.8kilos.
Nl That puts her BMIin the danger zone.
S Yes,her mother believesshe has anorexia.Shetold meaboutAnita's personalitychangesand mood swings
N2 Atypical teenager?
S Toa point,yes.But Anitais obsessed withdieting.She doesn'teat, soshe getsstomach pains,frequent
constipation,and attacks of dizziness.
Nl Whatdoes Anitasay?
S She saysshe feels miserableall the time, but she doesn't know why.
However,she doesn't believeshe has a weightproblem. Shetold methatshe eatsthesame aseveryone else,and shedoesn'tthink herweightlossis abnormal.However,she does say she hasdifficultysleeping,and islosing herhair,and she hasalso stopped having periods.
Unit 9
Listening 1- Blood types I=instructor,SII S2=students 1and 2 I Iwantto show youwhathappens if you
Listening 1- Blood types I=instructor,SII S2=students 1and 2 I Iwantto show youwhathappens if you