Nursing English

Student's

Book

OXFORD

UNIVERSITY PRESS

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4 Unitl

1

The hospital team

Scrub up

1 Work with a partner to match each job with aperson in the picture. ___ll_ anaesthetist cardiologist consultant labtechnician midwife paediatrician paramedic pharmacist physiotherapist porter radiologist receptionist scrub nurse surgeon 2 Match each phonetic spelling to one ofthe jobs.

Try to say them with your partner.

a

l'

shAb

03

:

s

1

e

l,reldi'o

l

;:)d3

I

stl

12 b

/n'sep

j

o

mst

/

c

l'

s3

:

d3;:)nl

d

I, fiziao

'Oera

p

rs

t

/

__

f

/kan'sx

lt

o

nt

/

g

/;:)'Ili:sfb

t

lstl

h

l,pi:di;:)'

t

n

J

nl

J

~

Listen and repeat. How is stress marked inphonetic

spelling?

Listening

1

An admission

1 ~ Mrs Bensonis admitted to hospital. Listen to the five short conversations, and decide who is speaking to her in each one.Write 1-5.

a a receptionist b a consultant

d asister

e a radiologist c a paramedic

2 ~ Listen again and decide if these sentences are true (T)or false (F).

1 Mrs Benson has had a fall. __

2 This is notMrsBenson's first x-ray. __

3 Mrs Benson can't find the toilet.__ 4 She has a heart problem.__ 5 The consultant sends her home.__

6 Mrs Benson's appointment is next week.__

Vocabulary

Verbs for describingjobs

Complete these descriptions of jobs with the verbs below, and match each one with a job from

Scrub up.

moves gives supports delivers performs examines Heats specializes prepares takes

In this unit • hospitaljobs

• describingwhat peopleina hospital do • describing routines and current activities • the nursing profession

1 A paediatrician

treats

children.

2 A attends births and _

babies.

6 A surgeons inthe

operating theatre.

7 A medicines to giveto

3 A in illnesses of the heart

and blood vessels.

4 A equipment, furniture,

patients, etc. around the hospitaL

medical staff or patients.

8 A responds to emergencies and ____ firstaid.

5 A x-rays and other images.

9 A operations.

10 A samples and tissues

6 Unit 1

Listening Z

Ajob interview

1

Before you listen,answer the questions.

• How doyoufeelabout interviews? Areyou good at them?

• When wasyour last interview? What wasit for? Howdid itgo?

2

~

ListentoRachelhaving a jobinterview, and answer the questions.

1 Where is Rachelworking now?

2 Whichpart of the hospital doesshework in? 3 Why is she looking for a newjob?

J

~

Complete the sentences using the words below. Thenlisten again and check.

applying for lectures night shift fully-qualified part-time rewarding

1 Areyou a scrub nurse?

2 At the moment I'm doing a course and working atthe same time.

3 It's hard,especially when I'm working a _

and going to next day.

4 ...it's the contact with the patients that's most

5 Whyare you anewjob?

• Language spot

Present Simple v Present Continuous

• We use the Present Simpletotalk about routines, duties, and things that happen allthe time.

Iprepare t

he ins

tr

ume

nt

s

fo

r sur

ger

y and

help wit

h

the operat

i

o

n

s

.

A midwife delivers babies

.

Look at the listening script of Rachel's interview on p.125,and underline all examples of the Present Simple.

• We use the Present Continuous to talk about things we are doing at the moment, orthings that are happening now.

At the mom

en

t I'm do

i

ng

a part

-t

ime course

.

Lookatthe listening script of Rachel'sinterview, and circle all examples of the Present Continuous.

• We can use certain verbs in the Present Simple (for example

li

ke

)

with an

-

inq

form.

I like watching ope

ra

t

ions

.

• Some verbs,such as

like

,

wan

t

,

know

,

etc.,are not used inthe Present Continuous.

I like

my work a

t t

he momen

t

!

NOT['1'i'l likil'l~ 1'I'l}'wsrk 6lt tRc 1'i'lSI'I'ICl'lt!

• ThePresent Continuous is also used to talk about future schedules (see Unit 14).

I'

m working niqhts next w

eek

e

n

d.

»Go to

Grammar reference p.116

1

Read this student

nurse's email home to herfriend. Choose the correct verb forms to complete it.

[]

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~

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i:Eile Edit \[iew !I1SM Fgrmat Toole Actions tlelp

!

_.:0§.nd'1;1

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-I

'3,~_ ~

lIZ;

~

!l'j Q,.

l

'

1

I

~

iEl0"';",.... (2)I

~J

I

[email protected]

~J

I

[email protected] Subj.et Hello!

Hi Ivana

IWI#e/'m writIng1tosaythank youforthe birthday card, and to tell youhow Igeton/'m getting on2•Thecourseis hardwork,but I'menjoying /enjoy3itso far.We usuallyhave / are having4c1assesevery morning, but this weekI'm working / work'in Geriatricsallday.It'sinteresting, although ofcourse Iwant/'m wanting6to work as ascrub nurse.

Onthe geriatric ward I'mmaking / make'beds andchecking

/check"patients'bloodpressure andtemperature. I'm

learning/ learrra lot,and the experienceisveryuseful. I 'mgoing out/go out" most Saturday nights,butstay in and study on other days.Tomorrow Igo r rn going11toa restaurant for mybirthday! Imake/'m makinq"alot of friends,but Iwishyou were heretoo.Write to me! love

Maria Carmen

Z

Choose three jobs from Scrub up.Write a sentence to describe what the person does,and a sentence to describe what the person is doing inthe picture on p.4and p. 5. Then read your sentences to your partner. They must name the job.

EXAMPLE

A He moves patients from onepart of the hospital to another. In the picture, he's pushing a trolley. B Is it a porter?

A Yes.

Speaking

Work in pairs. Take turns to choose one of the sentence heads in the box for your partner totalk about. Ask questions to make them talk as much as possible, and note down the main information. Keep going until you have both used allthe sentence heads.

EXAMPLE

A One day, I hope to work inanother country. B Really? Where?

A Maybe Australia.

B Why do you want to work in Australia?

A It's an interesting place and nurse's pay isnot bad! B Howmuch ...

I'm interested in ... I've worked ...

I'd like to work ...

One a,_{d Y Ihopet} 0 ... Inmyfreetime,I ...

At the moment, ... I really enjoy...

I'm studying ... I really don't like...

I'm very... I'm good at. ..

Iwant to be a nurse because ... Nextyear,I ...

Writing

Profile of a student

nurse

1 Read this profile of a student nurse. Do you have anything in common with her?

Rossitza Bontcheva is nineteen years old.She's studying for a diploma in nursing atVazovNursing College.She has exams next month, so at the moment she's studying hard. She wants tobe anurse because she likes working with people and she's interested in science, but she really doesn't likedoing paperwork She'd like to be a paediatric nurse because she really enjoys working with children. She'sworked on a children's ward for three months as awork placement. One day, she hopes towork inachildren's hospital in India,which she saw on television.

She's good at talking to people and making them feel comfortable, and she's very organized. In her free time she plays the guitar, and goes out dancing most weekends.

Z Write a text about your partner, using the information you got in Speaking.

8 Unit 1

modern nursing. Shedramatically improved conditions forsoldiers in field hospitals, and educated people about the importance ofhygiene.Shesaved thousands of lives and becameveryfamous.She laterstarted her own training college for nurses, and wrote many books on nursing.

Reading

1

Read the article and decide ifthese sentences are true (T)or false (F).

1 The more responsibility youhave,the higher

your grade. _

2 Nursing officersare the same as auxiliary nurses. 3 Students arepaid lessthan auxiliary nurses. _ 4 A charge nurse isaman. _

5 There arenot many opportunities forBritish nurses to specialize. _

6 Many nurses say that the job is rewarding, but the pay islow. __

2 Number these jobs from the highest grade (1)to the lowest (4).Two ofthem are equaL

a charge nurse ___ b nursing officer___ c auxiliary nurse ___ d sister___

e staff nurse___

One hundred and fiftyyearsago,nurses wereunpaid, untrained, and unpopular, but then Florence Nightingale made nursing into a profession. The methods sheintroduced in the 1850swerecopied all overthe world, and nownursing isa career with athree- or[our-year training, qualifications, grades, unions, and pensIOns.

In Britain, every nurse isonagradc. The grade depends onexperience and skills, and each grade hasdifferent

responsibilities and pay.On thebottom grades arcunqualified auxiliary nurses who do theroutine work on hospital

wards. On thetopgrades are nursing officers,who are usually administrators. Auxiliary nursesareonthebottom grades, but student nurses gct thelowcst pay.However, students don't stayat the bottom ofthepayscale forever.When they qualify,theystan working ona middle grade. Asthey gctexperience, theycangetpromotion andmove upthe ranks to become staff nurse, then sister /charg« nurseifaman), and perhaps eventually nursing ollicer,

Many nursesworkshifts,and often they work overtime to earn more money.After basictraining, many nurseschooseto do

further study and become specialists. Nurses canspecializein many different fields there arctriagenursesworkingin Casualty, and psychiatric nurses whotreat the mentally ill.There arehealth visitors who visitpatients intheir ownhomes, practice nurses workingin CPs' surgeries, and midwives who deliver babies. Many of them say theydo notget enough payand respect for the work they do. They saythat thework isphysically and mentally hard, that theyworklonghours andgetverytired. But theyalsosaythat therearemany great rewards which have nothing to do with money.

Checklist

Assess your progress in this unit. Tick (v) the statements which are true.

:I

Find words in the article with these meanings. 1 exams and courses that you have taken

q

2 money that you will receive when you are old p

3 similar work that you have done before e

4 special abilities s

5 levels of pay

p s

6 extra hours you can work to earn more money 0

7 study and practice to learnhowto do ajob

b t

8 more advanced learning

f s

I can name and describe hospital jobs I can talk about duties and regular activities I can describe what is happeningatthe moment with these meanings.

Ican understand an article about nursing Ican talk about my work and training

Keywords

Work and training apply for a job fully-qualified lecture night shift part-time promotion qualifications rank responsibility rewarding specialize

Project

Jobs auxiliary nurse consultant nursing officer physiothera pist 1 Go online and try to find the answers to the questions.

1 What is the NHS?

2 What's the starting salary for a qualified nurse in the UK?

3 How much annual leave does a grade B nurse get? 4 How many hours a week does a nurse work? 5 What English language exam do you need to pass to

work in the UK?

6 What grades can astaff nurse be?

7 What is the salary range for a staff nurse in the UK? 8 Search the word 'nursing' at the bookstore

www.amazon.co.uk. What's the first book that comes up?

Lookback through this unit. Find five more words orexpressions that youthink are useful.

2

Find a site that advertises nursing jobs.Find a job that would interest you in the future and find these details ifpossible. • jobtitle grade location duties salary and benefits

qualifications and experience how to apply

dosing date for applications

:I

In the next class,compare your answers.

10 Unit 2

Scrub up

Workwith a partner.

Lookat these p

i

eces of

equipment

.

Doyou know,

or can you guess,

what they

are for?

EXAMPLE

A

I think this one

isfor measuring a patient's heart rate

.

B Or

maybe it

'

sfor monitoring brain activity

Vocabulary

Hospital department

s

1

Which of the departments shown opposite

1

dispenses medicines

?

_

e

_

2

treats

ki

dney diseases?

__

3

specializes

i

n pregnancy and birth?

4

studies illnesses and analyses samples?

__

5

treats diseases of the skin?

__

6

performs operations on patients?

__

7

designs specia

l

exercises for patients?

8

studies blood disorders?

9

t

reats bones?

__

10

specializes in the heart? __

11

deals with sick children? __

12

treats disorders of the nervous system?

Z

Match each department to one of the pieces of

equipment in Scrub up

.

In

this

unit

•

describing what different hospital departments do

•

givingdirections in a hospital

•

prepositions of place a nd of movement

•

describing where things are

Pronunciation

1

Complete the

sentences

with the prepositions below.

Wh

er

e is th

e

str

e

ss?

at

by

in

next to

on

outside

over

under

1

The toilets are

the ground floor,

1

Match each of the words below

to a stress pattern.

_reception.

1

Cardiology

2

I always keep a pen

my pocket.

2

Pharmacy

3

Press the button

your bed

if you need

3

Gynaecology

the nurse.

a

••••••

4

I'll

put your bag

your bed,

out of

4

Neurology

_{the way.}

5

Obstetrics

b

••••

5

The restaurant's

the

top ofthe building,

6 Orthopaedics

c

•••

so take the lift!

7

Paediatrics

d

•••••

6 Reception is

the main entrance,

e

_••••

the left.

8

Pathology

₇

_{Seethat door over there? The}

_{car park is just}

9

Dermato

l

ogy

f

••••

10

Physiotherapy

g

•••

8

He's

Ward

3,

the end of this

11

Renal Unit

corridor.

12

Surgery

:2

(j;) Listen and check,then listen again and repeat.

)

Work

in

small groups.

Tellthe group what department

you would like to work in.

Which ones would you not

like to work in?

• Language spot

Pr

epositions of place an

d movement

,

Todescribe the place where

something is,we use

prepositions such as in

,

on

,

on top of, at the top

/

bottom

of, inside / outside

,

near

,

next to

,

by,infront of, behind

,

opposite

, u

nde

r

,

over

,

at

,

on th

e

le

ft /

right.

The shop

'

s near the entrance

,

on the right of reception.

The to

i

lets are at the bottom of the stairs

,

on

the

left.

Totalk about movement,

we use preposi

t

io

n

s such as

u

p,

down

,

into

,

out of, away.from

,

to

,

through,

across

,

oloriq

.

past, back to, around

.

left

/

right.

Gothrough the swing doors

,

turn left along the

corridor

,

and the coffee bar

'

sinfront ofyou

.

,

Prepositions of movement are used with verbs of

movement such as

go

,

come

,

take

,

push

,

carry

.

Canyou take thesefiles back to the office,please?

Toget from here

to surgery,you have to wheel the

trolley

through three wards

.

»Goto

Grammarreference

p.

11

6

:2

Underline the correct prepositions in these sentences.

1

Walk through

/

near reception,

and take the lift to

/

at / in the third floor.

2

Goarou

n

d / along / past this corridor,

and it's the

third

door on / at the left.

3

Ifyou gopast / through /

b

ehind the swing doors,

you'll see the waiting room

.

4

The toilet

s

are at the bottom of

/

over

t

h

e sta

irs.

5

Physiotherapy is infront of

/opposite

th

i

s

department,

so just go across/

out of the

co

rr

i

dor.

6 Go

pa

st

/

down the

restaurant,

take the s

t

airs up

t

o

/

along / on the second floor,

and the ward is out

of

/

opposite the lift.

)

Choosefive prepositions,

and write five sent

e

nces

with

them about

t

he building you are in now.

EXAMPLE

Cardiology

is

on

thefirst floor, next to Neurology

Speaking

Work in pairs.

S

tu

dent

A

go to p.14.Student

B

go to

p.112.

12 Unit 2

Listening 1

Directio

ns

1

(j;)

Listen

to these people giving directions

.

Lookat the

picture on p.4

and p

.

5 at

the same

time

.

Match each

dialogue with a picture

.

1 _ 2 3

Z

(j;)

Li

sten again.

Where

is

the

person giving

directio

n

s to?

1 2 3

)

(j;) Try to fill

i

n the m

is

sing words

. T

hen li

s

ten again

to check.

1

out of here and the door

you want is

just opposite.

2

Soit's

outside

_

3 Go

the

hospital

these

swing door

s.

4

_____

the first right,

and

it's the se

c

ond door

4

Work in pairs.

Study the picture on p.4

and

p.5

f

or

one

minute

,

then Student Bcloses the book. Studen

t

A asks

for directions

from reception

,

and Btr

i

e

s

to g

i

vet

h

em

from memory

.

EXAMPLE

A How do

you qetfrom Phys

i

otherapy

to

S

urg

e

ry?

B

Yougo along the corr

i

dor,

and

.

.

.

Writing

Giving directions via email

1

Usethe map and complete the spa

c

es

in the emaiL

Eile !;dil '£Iew jnsert Forma! Tools AchoD_S _He1J:l

€I§end!;l§IM.I'IilIt\I~O !Jiltivl

~<omm

II

Alicia Marcos

~

I

Jack Keane

S"b)ec"

I

Directions

l ~ IiiIOotona., i1),

Dear MrKeane

Hereare the directions youasked forfrom the railway

station to the CityHospital RenalUnit.

Leave therailway station atthemainentrance. Turn

___ 1andwalk along Station Streetfor about 100

metres. Go 2the road to the number 45 bus

stop.Take the bustothe hospital. Get off thebus opposite thehospital. Walk 3ByronAvenue

andtakethe 4left.The door to the Renal Unitis

on your 5.TheRenalUnitis 6to the

hospital research library. Regards Alicia Marcos 45 BUSSTOP

o

~il

HOSPITAL 45BUS STOP 0 z »

;;;

RENAL Z UNIT c rn

5

...

take the

second left and go

along that

Z

Write an email giving a friend directions

to where yo

u

It's

my

job

1

B

e

f

oreyou re

a

d

,

m

ak

e

a

list

with a

p

a

rtner o

f

the

t

hings

y

ou think a hosp

i

tal porte

r

do

e

s

.

Read about William

O

'

Neill

.

Does he mention any of the same things as

yo

u

?

William O'Neill

I'm the Head Porter in this hosp

i

tal. What do I do? Well

,

I run the place

.

Porters do more than just push food trolleys around the

hospital. Wetransport patients by wheelchair or

stretcher from the wards to Radiologyor Physiotherapy

and back again

.

Weremove dead bod

i

es to the

mortuary

,

we l

i

ft and carry heavy equipment and

furn

i

ture

,

and we dispose of all the waste

.

Each

hospita

l

bed produces 4

.

5kilos of waste every day

.

We

collect it each day and take it away for

r

ecycling

.

We deliver the post all over the hospital and bring

letters for pat

i

e

n

ts

-

tha

t'

s a ver

y i

mport

a

ntthing

.

As

w

e m

ov

e a

ro

un

d

the

pl

ace, we

t

ake files, s

ample

s

,

and

sp

e

c

i

men

s from here to

t

here and back

a

g

ain

.

L

a

stye

ar

Iw

a

l

ke

d 1

,

800

ki

lo

me

tr

es!

Todo all these things a port

er

must be fit, be able to think

cle

a

rly in an emergenc

y,

a

nd

be polite and f

ri

endly

.

Ne

xt tim

e you are waiting

for

a

porter to answe

r

your

cal

l.p

lease be patient

.

He

wi

ll

be with you as soon as

he can

.

Z

Decide

i

f t

hese sentence

s a

r

e

t

rue

(T)or false

(

F)

.

1 Porters

on

l

y pu

s

h

f

oo

d trolleys a

round

.

__

2 The

y

m

ove pat

i

ents

a

ro

und the

ho

s

p

ital. _

_

3

P

o

rt

ers take d

ea

d pat

ient

s from

t

h

e

wa

r

d

s

. __

4 E

a

ch w

a

rd makes 4.5

ki

los of w

a

s

t

e a day

.

__

5 T

he p

o

r

ters destroy

all t

h

e

w

as

t

e

.

__

6 Po

r

te

r

s

g

iv

e

t

he

p

at

ient

s

thei

r

ma

i

l.

__

)

T

ry

t

o remem

be

r

t

he

v

er

b

s

i

n the t

e

xt a

bo

u

t

Willi

am

O

'

N

e

ill and

c

omp

le

t

e t

h

e

se

s

ente

nces

.

1 We

t

p

a

t

i

ent

s b

y

wheelchair

or

s

t

re

tcher

...

2 We

l

an

d

c

heavy

eq

uipment

...

3

...

a

n

d

we d

of all

t

h

e w

a

ste

.

4

We c

i

t e

a

ch d

a

y

a

nd

t

it

away for

r

ecycling

.

5 E

a

ch hospital bed

p

4

.

5ki

l

os of waste

ev

e

ryda

y

.

6 We d

the po

s

t...

and

b

_

l

e

tters for pat

i

e

n

t

s

...

4

Now

r

ead the text again and ch

e

ck your answers

.

Listening

2

The porter

'

s

office

(i;l Li

ste

n

t

o W

illi

am

O

'

Ne

ill

a

nsw

er

i

ng

t

eleph

one c

a

lls

and directing o

p

erations

.

Comp

l

ete these

n

ot

es th

a

t h

e

makes of

t

he phone ca

ll

s

.

The- 'Pt{·f-!.tol0tjlj It{b wt{I'1.+S

'

t{l'1.d

2

T t{Ke-

3

+0 +k.e- wt{s+e- bil'1.s. The-lj

t{re- ou+side-

4J

1'1.e-t{r+k.e-____ 5

01'1.+k.e-

6

14 Unit 2

JedrzejJaxa-Rozenfrom Poland hasdesigned aflying wheelchair.

Speaking

Studen

t

A

(

Sp

e

a

ki

n

g p.11)

Describeyour picture

,

and listen

to

stud

e

nt Bd

e

s

c

ri

b

ethe

i

r pi

ct

ure.

Without lookingat each other

'

s pic

t

ures

,

find t

e

n

d

i

f

ferencesbetween

t

hem

.

Reading

Wheelchairs

1

Readthe art

i

cle on

p.

lSq

ui

c

k

ly.Tickthe things that are

mention

e

d

.

1 0 comp

ut

e

r

prog

r

a

m

s

2 0 hosp

i

tals

3 0 problems gett

i

ng a

r

o

u

nd buildings

4 0 spo

r

t

S 0

w

hat wheelcha

i

rs ar

e

made of

6 0 children

7 0 histor

y

o

f

wheelchairs

8 0 high-

s

peed wheelch

a

irs

:2

Readthe t

e

xt again and

a

nswer the qu

e

stions

.

What m

a

terial w

a

s th

e

fi

rst wheelch

ai

r

m

ade of?

2 What

a

re modern whe

elc

hairs mad

e

of

?

3 What di

f

ferencedoe

s a

n e

l

ect

r

iceng

i

ne make?

4

Apart from your arm

s,w

hat can you u

s

e to co

nt

rol a

wheelc

h

a

i

r

?

S What three things can an iBO

T

do th

a

t

a

n ordin

a

ry

wheelchair can

'

t?

)

Fi

n

d

words in the text w

i

th these mean

i

ngs.

1

the pl

a

ce you put you

r

arms

_

2 orders

_

3

n

otdi

s

ab

l

ed

_

4 moved by

t

he user

'

s own power

_

S how ea

s

y i

t

is to mov

e aro

u

n

d

_

Modern wheelchairs are a big improvement onthe firstwheelchairs, which were just wheelbarrows like theones we use in the garden. ProfessorStephen Hawking'swheelchair, for example,is a vehicle, an office, and a domesticservant,all inone.

The first real wheelchair was owned byKing Philip ofSpainin the sixteenth century.Ithadthe latest

technology - removable arm restsand leg rests- andwasmadeof wood. Modern wheelchairs aremadefrom thesame strong, light metal as aircraft, and electric enginesmeanthat users don't needto use their armsor havesomeone to push.

Wheelchair design madea big jumpforward with theinvention ofa computer program that respondstovoicecommands. Foruserswho cannot speak,computer technology also makesitpossible to

manoeuvre amachineby small movements ofthe head, hand, tongue, and breath.

Some things thatable-bodied people do without thinking can bea major problemfordisabledpeople, for example climbing stairs, entering and leaving buildings, andusingtoilets.Awheelchair caneither help or makethe problems worse. Sobefore choosing awheelchair therearemanyquestions youhave to ask:Will thewheelchair beself­ propelled ormanual? Which ismore important, manoeuvrability orstability? Howdoyougetin and outof it7 TheiBOTclaims tosolvemanyofthe problems of standardwheelchairs. Itis ahighlyadvanced, all-purpose wheelchairthat can travelupstairs, raise the userto reachhighshelves, and balance on two wheels in the shower.Itisgreat funtouse,but beware theprice- theiBOTcosts as muchasaluxurycar.

Checklist

Assess your progress in this unit. Tick

(11')

the ~~emen~whkharetru~

I can namethe main departments in a hospital

Ican describe what departments do I can understand and give directions I can describe where things are I can understand an article about wheelchairs

Keywords

Parts of a hospital corridor floor lift mortuary reception ward Nouns disorder nervous system sample specimen stretcher waste Verbs dispense disposeof Adjective disabled

Look back through this unit. Find five more words or expressions that you think are useful.

16 Unit 3

3

Hospital admissions

Scrub up

1

Work in pairs

.

These pat

ie

nt

s

have a

rri

ved

i

n ho

s

p

i

ta

l

and a

r

e wait

i

ng

i

n

r

ecep

ti

on

.

Di

s

cus

s

why you think

eac

h

one is there

.

2

(j;)

L

iste

n t

o

the

p

atie

n

t

s

de

s

cr

ib

e

t

h

e

ir

p

ro

blem

,

and

dec

i

de w

hich one is

speaking.

1

2

3

4

_

5

)

Dec

i

de t

he

order.I-S,

in which th

e

pa

ti

en

t

s

should be

seen

.

Vocabulary

The admissions procedur

e

1

Co

m

p

l

ete the sentences w

it

h the wo

r

ds

be

low

.

a triage nurs

e

an init

i

al

as

se

ssm

en

t

life

-t

hreat

e

n

in

g

registrat

i

o

n

treat

m

e

nt

a pr

i

or

i

t

y

w

a

it

i

ng

ro

om

cubicle

HOSPITAL

WAITING

AR.EA

I

/

/ 1

Take a se

at

i

n

t

he

_

2

T

he fir

s

t nurse you meet will

b

e a

s

p

eci

a

l

ist called

3

T

his n

urse

will make

of your problem

.

4

T

his helps decide who is

_

5 A pati

e

nt wi

t

h a

condit

i

o

n

w

ill

see

a

doctor immed

i

ately

.

6 A nurse will get personal detail

s

f

rom you and fill in

a hospi

t

al

fo

rm.

7 When there

is

a free

a doctor will see

you.

8

T

he doctor will dec

ide

on

t

he

_

2

Have you ever been adm

i

tted to

h

osp

i

ta

l?

Doyo

u

have

any s

t

ories of unu

s

ual hosp

i

ta

l

a

dm

is

s

ions? De

s

cribe

exactly wha

t

happened

.

It's

my

job

1

Workin pairs

.

Discuss the quest

i

on

.

Wh

a

t are

t

he ma

i

n respon

s

ib

i

li

t

ies of a hospital

reception

i

st?

Z

Read about Carmen and answer the que

s

tion

s

.

1

What qualities does Carmen need in her job?

2 How do medical staff

c

ause Carmen problems?

3 What does she know about medicine?

Carmen Dornan

I'm a hospital receptionist

.

I

fyo

u n

ee

d t

o fi

nd

somebody

,

or if you need

to kno

w anythin

g

about the

hospit

a

l

-

a

s

k me

.

Ifyou want new

p

ap

e

r

t

owels

,

o

r

yo

u

need to

s

p

e

ak to a surgeon - a

s

k me

.

I

o

ft

e

n meet peop

l

e when they

a

re fr

i

ght

e

ned

,

angry

,

or

drunk

,

so it's important to b

e

d

i

pl

o

matic and strong

.

I

often need to reassure p

eo

ple

,

s

o it's important to be

calm

.

My normal wo

r

k is to greet and assist patients when

they arr

i

ve

,

make appointm

e

nts for

p

at

i

en

t

s

,

re

c

ord

patients

'

information

,

and organ

i

ze and file pat

i

en

t

r

ecords

.

I also keep the accounts

.

Youneed to be very

organized to do this job.

Ofcour

s

e

,

Ihave to operate a computer

,

a fax machine

,

and other office equipment

,

but I also have to know

first a

i

d

,

and understand medical term

i

nology and

abbreviat

i

ons

.

My biggest problems are wi

t

h the

handwrit

i

ng of medical s

t

aff.

It

wastes a lot of t

i

me when I don

'

t

understa

n

d reports and forms

because of handwriting or

abbreviations

.

I believe that without me

and

t

he other

r

eception

i

sts

the whole hospital would

come to a stop

.

In this unit

•

describing the hospital admission procedure

•

describing what happened

•

Past Simplev Past Continuous

•

fill

i

ng

i

n a patient recordcard

.

writinga

summaryofa patient

Vocabulary

Patient

rec

ord

1

Which Scrub up pa

t

ient is recorded on this form?

PATIENT RECORD

Surname Grady First name Jim

DOB 2.3.50 Gender M

F

~

---Occupation retired

Maritalstatus widowed

~~~~~~---~~

Nextof kin son

Contact no. 07765432178

n

l

a

?mokingintake Alcohol intake Reasonfor admission Medicalhistory

30 units per week snake bite high blood pressure Allergies GP none Dr Parkinson, Central Surgery

Z

Find wo

rd

s and abbreviations

i

n the pat

i

ent re

c

or

d

with the

s

e meaning

s.

job

occu

p

ation

2 bad reaction

s,

for example to

certain medi

c

ation

s

3

family doctor

4

clo

s

est relative

5

the amount of something you ea

t

,

drink

,

etc

.

r

egularly

6

date of b

i

rth

7

male

/

female

8

pa

s

t illnesses and injuries

9

married / s

i

ngle

/

divor

c

ed

/

widowed

10

not applicable

(=

not

a

question

f

or this patien

t)

11

in each (day,week,

etc.

)

18

Unit 3

Researchshowsthat hospital admissions increase when there isafull moon,and in the two daysfollowing a World Cup defeat.

Listening

A

patient record form

1

(;l Listen to the nurse get persona

l

det

a

ils

from

a

patient.

Asyou listen,

complete

t

he form.

PATIENT RECORD

Surname

First name

Gender

DOB

Place of birth

Occupation

Marital status

Next of kin

Contact no.

Smoking intake

Alcohol intake

Reasonfor admission

Family history

C:_'

mental illness

...

diabetes

M

F

I

turberculosis

I

H

I

VIAIDS

,

/

Z

(j;)

L

isten again and complete these questions that the

nu

r

se asks

.

1 What

you?

2

date of birth?

3

you bo

rn?

4

ma

rri

ed?

5

smoke?

6

do you smoke a

?

7

allerg

ic

to

8

Do a

n

y of your

fami

l

y

from any of

the

f

ollowing

...

?

Speaking

1

Student Aswork together in

p

airs.

Student Bswork

together

i

n pairs.

Youare going t

o

play the

rol

e

of a

patient admitted to hospital.

Invent the follow

in

g

details

.

• full name

•

allergies

•

occupation

•

nexto

f

kin

•

family history

•

date and place of birth

•

smoking and alcohol intake

•

marital status

•

reason for admission

•

med

i

cal h

i

story

Z

Student A

-

you are

t

he nurse

.

Ask Student B,the

patient,

questions to complete the patient record

below.

)

Now change roles

.

PATIENT RECORD

Surname

First name

Gender

DOB

Place of birth

Occupation

Marita

l

status

Next of kin

Contact no.

Smoking intake

A

l

cohol intake

Reason for admission

Medical history

Family history

• Language spot

Past Simple v Past Continuous

Weuse the Past Simple to talk about things which

happened in the past

.

[felt terrible when [got home last night

[slipped on iceand hurt my knee

.

Some verbs have a regular Past Simple

,

ending in

-

ed

.

ask

-

asked

arrive-arrived

,

The Past Simple of some verbs is irregular.

go-went

come

-

came

take

-

took

Find examples of the Past Simple in the Listening

script for Scrub up on p

.

1

25

.

Wr

i

te the base form

f

or

each one

.

EXAMPLE

had (have)

When we are telling a story

,

we often use a verb in

the Past Continuous to g

i

ve a background to what

happened

.

[was riding my bike

.

A cat ran infront of me and I

fell off.

She cut herfinger when she was preparinqfood

.

Underline examples of the Past Continuous in the

Listening script for Scrub up on p.125

.

»

Goto Grammar reference p

.

117

1

Complete the sen

t

ences us

i

ng the verbs in brackets in

the Past Simple and Past Cont

i

nuous tenses

.

Dec

i

de the

order of the

v

e

r

bs fi

r

s

t

.

1 When he was workin

g

,

he broke his arm

.

(break

,

work)

__

___

a firework when

i

t

_

__

__

hi

s ha

n

d

.

(

explode

,

hold

,

burn)

___

__

ofthe car. My dad

the

__

_

_

_

my fingers

.

(ge

t

out

,

break

,

2 My so

n

and

3

door an

d

close)

4

My mum

_

__

__

i

n the bathroom

.

She

__

__

and

her head

.

(h

i

t

,

fall

,

ge

t

dressed)

5 I

to music

,

when suddenly I

_

___

_

a whistling in my ear and 1

_

deaf. (hear

,

go

,

listen)

6

I

in the park

,

and a man

m

e

and

me

.

(punch

,

chase

,

run)

were admitted tohospital because of

accidents with socks and tights.

:2

Write at l

e

ast three sentences about these people

,

inven

t

in

g

d

e

tails abou

t

wh

a

t happened to them

.

)

Descr

i

be an acciden

t

that happened

t

o you

.

What wer

e

20 Unit 3 forms is aminute spent NOT with patients. Elena Kneip Nurse

Reading

Bad handwriting

1 What do people say about your handwriting? Is it clear and easy to read?

2

As fast as you can,write down three types of medicine and three diseases. Showit to your partner. Can they

read what you have written? Have youmade any

mistakes?

~ Read the article and decide ifthese sentences are true (T)or false (F).

1 Nurses study doctors'handwriting at school. 2 Doctors generally write numbers more carefully

than words. __

3 Methimazole and Metolazone are usedfor different

conditions. __

4 Ramachandra Kolluru is a pharmacist. __

There isan old joke thatdoctors go to school to learn how to write badly, and

nurses go to school tolearn howto read

doctors' handwriting. There is truth inthe

joke-computer analysis of the

handwriting of medical staffshows thai

doctors' writing isalot worse than thatof

nurses and administrative staff.Mayhe it's

because doctors are alwaysunder

pressure of time that theywritevery fast.

The habit starts when they aremedical students and gets worse astime passes.

Computer analysis shows that generally,medical staffare careful withnumbers. However,theytend toformletters of the

alphabet badly.When drug names lookverysimilar, bad

handwriting can mean patients get the wrong medicine, A

young girl nearlydied when she wasgiven Methimazole instead of Metolazone (one is forhigh blood pressure and the other is

forthyroid problems). Andin1999,an American cardiologist. Ramachandra Kolluru,wrote a prescription sobadly that the pharmacist gave apatient thewrong medicine. This timethe

patient did die and a court fined thedoctor 225,000USdollars.

.

..

Recently. researchers studied 50 patient progress notes. They

found that they could not read 16Q"of thewords.The misunderstandings that thiscauses can mean that a patient is given thewrong blood, or that a surgeon amputates thewrong limb.Fatalerrors. ofcourse. make news. butstudies show that

every yearhundreds of thousands of mistakes are made in hospitals around theworld, and alot of them are because of

5 Researchers could understand 84% of doctors'notes. 6 Many hospitals use abbreviations in order toavoid

mistakes. __

7 AtCharing Cross hospital, staff carry computers

around. __

4

Find wordsin the article to match these definitions.

1 non-medical people who work in hospital offices

2 written instructions on what drugto giveapatient

3 made somebody pay money as apunishment

4 to cut off part of the body 5 an arm or leg

6 mistakes that result in death

bad handwriting or abbreviations which nobody understands.

Bad handwriting also causes delays,which are expensive and wasteful. There aremany technulogical solutions forthe problem, and though digital technology can't improve handwriting, it can improve the situation. AtLondon's Charing Cross hospital, for example, patients wearbar codes (the same asin a supermarket)

ontheir wrists orankles. Staff usethe

barcodes along with hand-held

computers to get accurate. clear,and

Checklist

Assessyour progress in this unit. Tick(V')

the

statements which are true.

Ican describe the admissions procedure

Ican understand and complete patient

records

Writing

Patient summary

1

Readthis summary about Mustapha Hussein, the

patient

in

Listening

1.Find three mistakes in it

.

Ican ask somebodyfortheir personal details

Ican describe events inthe past

Ican understand an article about

handwriting

Mustapha Hussein was admitted with possible

concussion after falling from a ladder and hitting his

head.

Mr Hussein was born in 1982.He is divorced, and

works as a painter. His next of kin is his brother,

Yusuf.

He can be contacted on 07709

-

401229.Mr Hussein

smokes 40 cigarettes a day

.

He does not drink alcohol.

He is not al

l

ergic to anything

.

There

is a family history

of diabetes on his father's side.

Keywords

Adjectives

allergic

fatal

Surname

Behr

Firstname

Sarah

Nouns

accounts

appointment

cubicle

first aid

initial assessment

life-threatening condition

limb

prescription

priority

progress notes

registration

treatment

triage nurse

2

Write a similar summary about Sarah Behr using the

i

nformation on the patient record below

.

PATIENT RECORD

DOB

2

/

1

/

84

Gender

~

F

Occup

_

a

_

ti

_

o

_

n

te

__

a

_

c

_

h

_

e

_

r

_

Maritalstatus

married

Nextof kin

father Ian

Contactno

.

0

1

792-793456

Smokingintake

n

l

a

Lookbackthrough this unit.

Findfivemore

words or expressionsthat you think are useful.

Alcoholintake

10 units p

e

r week

Reasonforadmiss

i

on

suspected fractured

arm

Familyhistory

heart d

i

sease

(father's side)

Hospital admissions 21

Checklist

Assessyour progressin this unit. Tick(v) the statements which are true.

Ican describe the admissions procedure Ican understand and complete patient

records

Writing

Patient summary

1

Read this summary about Mustapha Hussein, the patient in Listening1.Find three mistakes in it.

Ican asksomebodyfortheir personal details

Ican describe events in the past Ican understand an article about handwriting

Mustapha Hussein was admitted with possible concussion after falling from a ladder and hitting his

head. MrHussein was born in 1982.Heis divorced, and works asa painter. His next ofkinishisbrother, Yusuf. He can becontacted on 07709-401229. Mr Hussein smokes 40 cigarettes aday.He does not drink alcohoL He is not allergic to anything. There is afamily history of diabetes on his father's side.

Keywords

Adjectives

allergic

fatal

Surname

Behr

Firstname

Sarah

Nouns accounts appointment cubicle first aid initial assessment

life-threatening condition

limb prescription priority progress notes registration treatment triage nurse

Z

Write a similar summary about Sarah Behr using the information on the patient record below.

PATIENT RECORD

DOB

2

/

1

/

84

Gender

Occup

~

at

_

io

~

n~

~

te

~

a

~

ch

~

e~r

_

Maritalstatus

married

rW1

F

Nexto

f

kin

father Ian

--- ...::.:..:---=:.===-==:__----

---01792-793456

Smokingintake

n

l

a

Look backthrough this unit. Find five more

words or expressions that youthink are useful.

Contactno

.

Alcoholintake

10 units per week

Reason

foradmission

suspected fractured

arm

Famil

y

history

heart disease

(

father's side

)

4

Accidents and emergencies

Scrub up

Youare

in a light aircraft when it crashes

into the

jungle.

Yourradio is broken

so you can't callfor help.

Thereare

two ofyou and you must get

ready to walk

100

kilometres to safety.Youalready have clothes,food,

and water.

You

can take only ten more

things with you - five

from

each

list.

Discusswhat to

take with

your

partner and explain your

reasons

.

Medical

bandages

a scalpel

a snake bite

kit

Morphine

Aspirin

disposable gloves

a

thermometer

tweezers

a

first

aid manual

hypodermic needles

adhesivetape

General

a torch

a box

of

matches

soap

a mirror

a

compass

a

knife

scissors

fishhooks

large plastic bags

a

cookingpot

a mosquito

net

Vocabulary

First aid

1

Workin pairs.Discussthe questions.

Haveyou ever

experienced

a patient with

blisters?

third degree bums?

severebleeding?

How should you

treat them?

:z

Completeeach sentence

with

a

word from the box

.

apply

keep

squeeze

checkfor

make

sure

sterilize

immerse

puncture

swab

immobilize

remove

treat

1

a clean,sharp

needle

with alcohoL

2

there

is no glass

or

other foreign body

in the wound.

3

Usethe needle

to

the

blister.

4

Don't

bumt

clothing.

5 6 7

_____

a

main

artery

if

necessary

.

_____

the injured

person

lying down.

__

___

the injured body

part once the bleeding

has stopped.

8

the person for

shock

9

Don't

severe large bums in coldwater.

10

signs of circulation.

11

with Iodine

or rubbing

alcohoL

12

antibiotic

ointment

and coverwith

a

bandage.

J

Compareyour answers

with

a partner.

Working

together,

decide which ofthe

above instructions

belong with each ofthese conditions.

a

blisters

b

third degree bums

c bleeding

Accidents and emergencies 23

• Language spot

Instructions

Totell somebody what to do,youcan use the Imperative.

Ch

ec

k

fo

r s

i

gns of circu

lat

i

o

n.

Apply th

e

pads

to

his che

st.

Totell somebody what not to do,add

Don

'

t

...

Don'tr

e

move burn

t clot

hing.

To emphasize what is important, you can use

Make su

r

e

...

Make sure the wound

is

clea

n.

M

ake s

ur

e yo

u

do

n'

t

t

o

u

ch hi

s

body.

When asking forinstructions, you can use the Present Simple,

hav

e

t

o

,

shall

,

and

should

.

What do

I

do now?

DoI

have to immobilize h

is le

g?

Shall

I

take of! the

dre

ssi

n

g no

w?

Wh

at d

o

sage should

I

give h

i

m?

»

Goto Grammar reference p.1l7

1 Match the beginnings and endings ofthe sentences.

1 Check that ~ a Icount up to between breaths?

2 Make sure you b Igive her?

3 Whatdo c have to applythe pads?

4 Don'tlet d the patient isbreathing.

S ShouldI e the patient try tostand up.

6 Shall Ibandage f put the burnt area under

running water?

g the patient's pulse again.

h tie the bandage too tight! the wound now?

7 Don't

8 What dosage shall 9 Take

10 Wheredol use a sterile needle.

2

Workinpairs.Think of three emergencies a member of the public might have to dealwith.Foreach one,write three instructions to helpthem. Tellyour instructions to another pair. They must guessthe emergency.

EXAMPLE

(a patient isunconscious)

D

on't m

ove the

p

erso

n.

Make

su

r

e the

y

a

r

e still b

r

eathing

.

Ke

ep the p

e

r

son wa

rm

until medical help arrives

.

Inthis unit

• talking about first aid

• understanding and giving instructions • the symptoms of shock

• describing howto dealwith an emergency

Speaking

Work in pairs.Student Alook atthis page.Student Bgo

top.Il2.

Student A

1

You areaparent. Five minutes ago a poisonous snake

bit yourchild.You phone an emergency helpline.

Explain the situation to the helpline nurse, then listen

and usethese notes tofind out what to do.Note down

the instructions that you aregiven. EXAMPLE

Wha

t

s

h

a

ll

I

do wi

t

h the

w

o

und?

Should

I

put

i

t on

ice?Shou

l

d I

...

?

wound -ice? bandage? childthirsty - milk OK? walkaround?

doctor?

2

You area nurse working ona telephone helpline. Listen to your caller explain the emergency, then usethese notes totellthe callerwhat to do and toanswer any questions.

EXAMPLE

Make

sur

e

he g

etsf

r

esh a

ir!

O

p

e

n w

i

nd

ows and doo

r

s

,

and

...

fresh air .t.t(windows Idoors.t,carryif necessary

.t,walkX)

mouth -wash out .t(water) milk.t(alcoholX)

skin -remove clothes ifcovered in pesticide .t - wash.t (running water, soap)

eyes -wash .t(running water,IS

minutes-

,

chemicals X)