Lg english for nursing 1

Ros Wright and Bethany Cagnol with Maria Spada Symonds Series editor David Bonamy dureuog p$eq rollpa sarres spuour,(g epedg Brr?I/d qlllv\ 1ou8e3 dueqtag pue lq8u6 sou Introducing yourself to the team p Introducing yourself to ihe nursing staff Present simple of be Present simple Nursing personnel Reading a nursing schedule o Discussing a schedule Telling the time Prepositions of Iimei at a,m., in the morning, etc Hospital facilities Meeting patients and their visitors o Meeting patients and their visitors Asking visitors politely to do/not to things lmperatives Family members' mother, father, Escorting a patient for tests o Esconing a patient for tests Checking that a patient feels comfortable Ordinal numbers dates Medical equipment: X-ray machine, CT scanner, etc Blanket, trolley, walking stick, wheelchair Checking patient details p.12 Spelling a patient's name Checking patient details for a tvh- questions Patient record: surname, gender, marital status, etc Describing symptoms Asking about symptoms 8e + adjective p.14 Symptoms: cough, dizzy, Fee/ + adjective Have + (adjective +) noun earache, etc Assessing common childhood diseases p 16 Describing common childhood drseases Adverbs of frequency Common childhood diseases: rubella, mumps, meas/es Taking a blood sample p 18 Carrying out a blood test Distracting and reassuring a patient during a blood test lf you , let me know Items for taking a blood sample: antiseptic wipe, cotton ball, etc Monitoring body temperature p 20 Taking a patient's temperature Treating a patient with Making polite requests Thermometers: d/gital th e rmomete t d i s p osab I e I Describing symptoms p"li.lt ^n r"-l! hypothermia dtttdhtdr 6t^ thermometer, eic The patient ward p 22 Explaining where the rooms and areas in a patient ward are Prepositions of place: down, on, next to, eic There is/There are Pans of a patient ward: c/ean supply room, conference room, nurses' lounge, e|c Nursing duties p 24 Explaining the ward facilities Describing a busy day Present continuous Present continuous for future arrangements Verbs:fill in, lookfor, consult, feed, eIc The qualities of a responsible nurse p 26 Responding to a cali ljght (buzze0 Be + adjective Expressions for calming a patient Negative adjectives Hospital food and beverages p 28 Ordering food from a hospital menu AlAn, some with countable and Food and beverages: cheese omelette, apple juice, etc Measurements and Asking and answering questions about a patient's diet quantities p 30 Helping a patient order from a hospital menu o.32 Helping a patient order from a hospital menu uncountable nouns Like, would like Numbers Metric conversions How muchlHow many, much/ many wilh countable and uncountable nouns Weights and measures: /ltres, calories, kilograms, etc Asking and answering questions about what to eat Verbsi breathe, Specialised utensils: non-srp plate, two-handled cup, eIc Assisting the patient at Encouraging and praising a Expressions of encouragement mealtimes o 34 patient and praise chey drink, swailow \ c+o 'leqqeJ6'sesse/6 'sdnluep' apouaoc isptv ^ a!^er uollseno ]ueprser ou.rorl orPc Alreple uE 6urssassv z/ d lducs orpnv 89 O selu Jeuued gg o lueprseJ euoq eJec Alreple ue 6ugssessy '1Ie'ewwu6ud as,.,)exe'wod M'uapte6 elec :serlrArlce puE serlllrcEl euiol-.1 suollso66ns 6urleLr pue ecrnpe 0uuoJJO sqlen ;e;n6e;;t :eldLuts +s€d 6urlsv slACuenDOS :seJnlns 6ur^ourer ro] luaLUdlnbf lSn/:,reuauos, 'clo 'uollnlos bulsueep 'uotde t9'd eOB plo lnoqe ourllEf pa^ourer eq llrM sernlns moq luerlBd E o+ ourureldx: fuo^oce.l ur luorl€d E ol sueddEr.l lEqM oururEldxf fueOlns urEd lnoqE reye luerled E uo dn Our)lcotlC ! xoq s&eLts '\seu 'uollceldd eie'seAotb olqesodstp' uudv asnelc + )eAeu plenp :uoqe'tqo 6utsserdx3 sqren re;nOer :elduls lsed 'clo'we,palulstp lo altioq 'poolq lo oqry uewpods 'cle 'sjoss/cs'edPl e6E plo lnoqe oulllel 79 d sarnlns Oulaoueg 09 d ruooJ fuenocar eql u! lualled e ro; 6u;reg g9 d suorlcnjlsu! lelrdsoq e ur lnoqE 6ut)llef ,qeJes olduirs 6urA!C ^leles sellddns 6uueplo pue fuoluenu! 0u11ceq3 t90 'JIA ,eile) gg d sarlddns 6u;reprg lecBns' ezne6 :)icols leclpolA 'uosuelxe 'e6essaw e dlel :sosErqd pue spjoM auoqdelol Lldnoua'/{uV ouoqd eq +o eldurs lsed ureal Ll+lM sreqLloLlI ^q 6utlectunututo3 euoqd rtq sraquieul uleel qlrm 6urlecrunuuoC elEJodo-oc ol luerled e 6urOernocuf luolleo ' E 6u;lpueq pue 6utno11 o1 6uro6 e.re no,( leqm 6ututeldx3 Zq d sluerled {qnn Pue oP pnoq eueueq :sluerled 6ullpueq ol suorlcnrlsul reelc 6utntg 'c+a'sjlcolq pueLl pue 6urnouj -ro; lueurdrnbf illn'ol 6uo6 eq :arn+nl eLlf +uerlEo e ydtw',{eyy1 'eeoqilep'sseulzzlp :uorleclpeuJ lo slcel]e eprs uoururoc ll!M suorssardxe euoqdeqal rol seOesseur euoqdelel 6ut1e1 09'd euoqd Aq sentlele.t r,llr/t^ 6ullecrunuilrioC 8to uorlBcrpaur surol e6eueu luetled E 6utdleH slcojJe eprs elqrssod Icuenber; 1o suolsseidx3 enbuol eql )epun 'wls aLll uo 'tnnow /{q ,ea eql ou! :suotltsoderd luollPd op louuEc/uec lnoqE 6ul)lE1 E lBqM sentlcalpe o^tlElEdLuoC Jlnctgtp'Isea'6uo./ls :so^tlcolpv suotltsoder6 estcjaxe lo sluaueq etll oullslsse lslceue epls ol 6ututBldxf peaq puE oslol:Apoq I op ol /\^oLl 8ed oql g0 d slurol ru3olr rs luUU susrurcXe o^rleredur d ,tcuenbarl pue se6esoq tt o surJo, pue s€lnor uorlecrpehl olei ol Moq 6ututeldx3 7g d sestcrexe oulluauncoo WOH 6y'd luauebernocua our^rb pue sleo6 Euluos 6ur,uO pue sleo6 6utpeg +uarlEd E lueueAoul puP oceld 1o 9' uorlEcrpeur lo Acuonberl pue e6esop eql 6uuelnclEC uor+ecrpeur (lAou) uolloul lo e6uer s,luarlEd e 6ulssessy r\ou sdpqil+esnelc+uet4M 'cle 'qsnd puaq' ue1t16u :]uot!o^oLlt lo sqlon aql uolleclpeu qy/vl sluelled 6utute;dx3 suorlducsord 6urpEoU suo!]oucselo lol suorlBr^ejqqE puE sural lEcrpor! sloqLutrs lEct+eutqluv 'c1e'qnow ([q) ,ee (oLll otut) :selnor uollEctpey! 'cle 'uo\ca[u 'sdup 'elnsdec :uor+eclpaur ]o lueweOe;nocue 'cle 'cle'uollcnppe 'uotsueJxo'uoixalJ :seslc.loxo ' 'cla'd/q 'lseqc Slceq :peotl pue osjol :,{poq 'JIa'eplue te6ul 'rrrP :slurol pue sqLurl :Apoq eq1 pue squfll :Apoq luerled e ol Fututeldxf oql lntroducing yourself to the team Listening Look at this notice board Then listen to tnree conversations Who is speaking in each conversation? Write the number of the conversation rl-3') next to the job titles (a-e) ! a) charge nurse b) ward sister -, c) staff nurse - - d) healthcare -assistant e) student nurse _ Language Present simple of be lam ('m) I am not you/we/they are ('re) you/we/they are not (aren't) Are you/we/they? he/she/it is ('s) he/she/it is not (isn't) ls he/she/it? ('m not) Am l? we can use be to say a person's name, job and country wnars your name? I'm staff Nurse sophie I Are you Sister Butler? Yes, I am ls she a student nurse? No,she isn't He's a student nurse Th ey' re h e alth ca re assistanrs I'm not fromTurkey l'm from Syria Taylor ,'Urrls ]Ll8ru eqt Suunp (ryon) -p6m- (1) Illensn 'Luaql ,Iep aql Suunp sassPlr (ane'4) 7ry7- (g) t, aups aql (ltontpV\im-j@;(S)aq lnq :snrrel4 PUP raled I os pu€, 's,(es aq sp sulr.ls :;elrdsoq slLt] le spuSli/b^tl ('aiiidYfl -q7ry- (>poM)SWn ( '€peuel ur {ru (l) atec 'ool arell al aH lec 'sle>lJBJq ul ])aJro) eql qll^\ 1xel slq] e1a1druo3 'Iep fueaa leldsott eLil ol s;lten eH 'pydsott qq1 u1 tpon let11 ee^rl lr/eqs/or l sooc a,enrl {eq17enn7no{71 o6 'Alre1n0er ueddeq 1eq1 Ourqler,uos i teql sOultlt lnoqe )ilel ol lt asn osle eM 'entl Illensn lo srtennle st lnoqe >llBl ol alduls luaseld eql esn eM (pntl o^rl o,useop) lou soop ll/oqs/eLl en;1 (1,uop) 1ou aih bp lJen {eqyenn7noA71 lyeqsTeq Aaq11en1no(11 aldur;s luosard frad1) g) )01,c i; dl, - e6en6ue1 iool 'nof, laau ol ntN :g '[drlunor no[] tuo4 w1 :y 2uo4 not aJD araqA1 po'( puy 1wD I 'sa1 :g 'not paw ol a)Iu ,(11oat 't17 :7 7[drlunor s,raulred] uo4 no,( aty '[app qolrno't] [u]a '[aueu rno{] ur,7'[eueu s,raulred] 'oilaH :g '[attp qo[rno.'{] [u]a u.r,7 '[aureu notl] s,awou tW 'tH :V 's;pd u1 1-to16 'no,{ dlaq o} Iepou slql esn 'sanlas.rnod eJnpoJ}ul e 6utleeds lpaau nod op leq1yuralqord oN :luPlsISSe effJqlleaH 'd1aq a111t1 :asrnu luepnls E paau I 'osJnu luepnls e ND- (91) I d;ros '111 ;nod dleq I ueJ 'truelslsse ereJqlleeqe -MV- (6) :1ue1s1sse arerqlleaH ']u€lslsse erBJqlleeq e paau I 'etu esnJxg r fl.'g pre6ur , eJ prc : SJ- A ur aqs - ifpauua; relsls no[' luapnls :esrnu qonru dran $luBqJ.)O ,qO Q)aqs'og (e) aqS + € (e-r) :esJnu luepnls oq,4A :JalSIS W-loo'I vluepns 'suollJnJlsul eql rvrolloC 'gg aEed uo uolletutolul eq] le {ool 'g tuepnls 'a8ed slq1uo uoneluroJul aq} }e {ool 'Y }uapnls g 6ullpeds I - {epung Aeprnleg Aep 13 [epsnql {epseupe6 {epsenl [epuoyl no lcolc 99.N u! Icolc lee/l J"Ivg Aeo J"lnLioweN laeqs au!l eaAoldut3 Acue6y ord esrnN ']eaqs erul1 s,ra1d1 e1a1druo3 dcuaEy ord esJnN eq] ]e s{ro1v\ oq/v\ 'ualey qllff\ elnpeqJs slq Euplcaqe 'esrnu dcua8e ue 'ra1d.1ol uelsl'I V 6u;ue1s;1 Meeting patients and their visitors Listening tick / I-isten to four nurses meeting their patients for the first time and the correct patient name for each nurse Patient list (Rooms 11-14) Staff nurse Susie Arnold Anja Katya Max Dennv Kendra MrWilliams Listen again and complete these expressions Vocabulary Mrs Coxen me Susie ! please n-todisturbyou you ! I'm looking _ you today? | How Listen again to Denny and tick / the expressions in that he uses - I come J!Yes,of- it? ! It's Mrs Coxen, of you ! I'm taking -? S complete this family tree with the underlined words in the box Then complete sentences a-e with the rest of the words in the box aunt brother cousin (x2) father father-in-law granddaughter grandfather grandmother grandson husband mother mother-in-law sister son wife E KEY o a) My son is my father's b) I am my husband's c) My daughter d) e) is my mother's My husband's mother is my My father is my husband's - Speaking Draw a picture of a family and label - the people with words from Then work in pairs Look at the information- on page 68 Follow the instructions - JI '8u1q1auros op ol lou ur 'paq s,luauDd aq uo lls l.uD) no/('ttJos ru,l 'paq s,luatlDd aql uo IS 4uop asDa@ 'aw asntxT srolrsll aq1 Euplse ^,{1a1r1od esrlJeJd {JO1v\ 'srpd ur >1ro16 zreqlo qJEa IISIA srelsls pue sleqlolq ueJ v eplrqJ rroql q1;m lqSlurarro fels uetpren8 ro 1ua;ed e ue3 t ealurl euo le luarled e ]lsl^ uec aldoed ,{ueu zr,r.o1-1 z esrnoq 3u11rsrn eqt ere l€q1\ I "' >lro.rv\;o aceld ro drlunoc rnod u1 'suorlsanb eseql rar\suy'sdno;E lletus ul {Jo A 'ulolqolo E Sl eleql ll lelsls pleM eLll ol )ieoos 'peprnord slreLlc eql osn 'le1rdsoq oql lB enure noA eroleq sepereOrc ;;e qsrn0unxe I 6u;1eedg = olelu = alelueJ 'prem pue relue nof uaqm spueq rnol qsean oqt o^Eal 'sprem oql uo euoqd elrqou rnol #o urnl 'u'd Oe g pue'u'd Oe'Z uoomlaq lrsr^ op eseeld '(ecuenpe ur peerOe ssequn) ltst^ ol zL tepun uetp;tqc 'regl 6uuq dorp '0urlrluon roTpue eeoLprerp 'nll 'ploc peq e uorl 0uyegns ete noI 1t ;eltdsoq aql lrsr^ o 'sprem eql oluo sreano;1 6urrq 'slellol ,sluo[eo eql esn 'eurl e le oMl ueql ororu usr^ 'luerudrnba lpcrporu ro sroloqlec 'sdr.rp 'spunorur qcnol HD o lou op oseeld opoc s,rollsln '9 ur srelv\sue rnof leaqe pue aprn8 plrdsoq srql peeu L alalduic SA daql 1urq1 nof ;r y sso.rr B pue ,/ >lrl] e tnd 'pre.lv\ Eu1q1 1q31r S pue a '3u1ql Euorm aql Eulop ere aqi Eulop are srolrsll aq1 4u1qi no,( plrdsoq e Jo uotlerlsnlll slql le Ioo'I 'sdnorB lleurs uI >lro A g 6u;peeg L9 'eporuuro) e esn o] spoeu eH 'eruerl Suqpr* e ]noqtllr\ >ll€,r\ o] llnJgllp 1I spug eH 'sasselE sJ€el\ pue Eulreaq rood seq 'se.rnluap sr€ervr eH '76 s1 uosdtuls >laJeCI dpnP ase3 tr 'sarnluep sr€a^\ aqs 'lq8lu ]€ apouruoJ € esn ol spaeu pue 8up1pm d11nag11p seq aqs 'srualqord Eupeaq s€q eqs 'p1o sread 08 sl p1euoql6 dpueg s61 I apnls os€J '(-reem reem I os ') sLuelqold lq0lseAe e^eLl l,uop I e^eL! I os ') suelqotd Outleeq o^eLl l,uop I e^eLl | | uolleclunuluoc 'opor.uLuoc '(dn sOulqt lcrd o1 e esn |uop / esn I | | o ot eql (u)e esn I os ') pueq ol llnc!illp ll pu4 lpop I Pull 'punore enou (u)e esn l,uop I esn Aililqow 'olper eqt (uo)- oluels1 l,uop 'seutze6er-u peer I uels4 l'Al(uo) lpop I peer I qcle/Al,uop I tlcle/ | oJE Slsorelur pue selqqoq Ay\ slsaJalul pue solqqoH 'sernluop tee/A J,uop I JPa|A I o erE elllslp I sPool o Iy1 -ore spool elunonel '{r6ue eu (s)oleul o ueqar {ddeq u,; | pollec eq ol elll plnoM - leuosJod ul s >led '7 dpnls aseJ JoJ dlr,rrlce aq1 leadar pup selol derts uaql 'V luapnls lrallJalul 'asJnu e are no^ 'g luepnls 'uorlBruloJur eql Jo auos lua^ul 'turol ]uetussassP slql alalduroe pue dpnls eseJ pead ']ueprseJ ouoq erpJ ,l\au p ere nod 'y ]uepnls 'srred u1 >1ro16 t pue t ur uorlpurroJul 'nod dlaq o1 aq] asn 'Z ul suollsenb aq1 rel\sue pue >lsY 'srpd u1 4-to16 ;d11ure1 ;nod aas 1se1 nod PIP ;Eu1op do[ua no,{ op t pue JoJ uotlM t ul uol]€sreluoJ (gx) sr 6u;1eedg dlts 'lallot 'q) L I V - € Z Plnorvr - I leqt'n MoL1 op - uec ele 'xoq aq] aql uolJ suollsanb asaql a1a1duo3 eq} ul seuo eq} o{ll suotlsanb 1se ll >lulql nod op,'{q16'sdnor8 Iluurs ul >lrolA t ur uorlesre^uoJ lueuodur I illas.rnor{ dq uroorqleq aql o1 41ervr nod ialll l,uop no.{ spoo; due araq} espooJ elIJnoAeJ due arreq nod ldr8ue nol{ saleur ;o1oqd aql ul uerpllqr eql are l1aay no.{ oP ;nod 1pc ol sn e{ll nod or lm uI spJolv\ eql ql1,t\ 'lsrl e a{EIN et puE o] sasJnu ouoq erpl Eutlrrtrt g aben6uel L Chec I Meeting colleagues Reading nursing a Speaking exercise page schedule Student B Look at this hospital facilities schedule Take the role of patient or visitor and ask Student A questions to complete the information Midland Town Hospital Hospital Facilities Visiting hours Car park Bank Flesta{.rrant I Monday to Friday: 730 a.m - 9.00 p.m i Weekdays: 10.00 a.m - 12 noon and 1.00 p.m Monday to Friday: 730 a.m - - 3.00 p.m 5.30 p.m Coffee shop Gift shop Newsstand Fatient mealtirnes Monday, Wednesday, Thursday: Tuesday and Friday: 10.00 a.m - 2.00 p.m and 5.00 a.m ano : 10.00 a.m - 5.00 o.m Monday to Friday: and Sunday: 12.00 noon Breakfast: 7.30 a.m Dinner: Tea: 5.00 p.m - - p.m 8.00 What ere the uisiting hours? What ere the opening hours of the bo.nk? What time does the car park open/close? When is breahfa.st? Meeting patients and their visitors Speaking exercise page Student A I You are a nurse Practise meeting your patient Introduce yourself and ask questions about the family in Student B's picture Student B You are a patient Answer Student l{s questions A: Is this your family? 68 B: Yes This is my son and this Swap roles and repeat the activity is his wife 69 no.,t a lE [r^\ V ]uepnls 'sruoldu^s 'asou duunr e 'srsouEEIp elqrssod e Jno^ Sulupldxe 'suollsanb sV ]uapnls re^.suv on€q 'tzzrp o ate 'lBolql eros peq € aAeq en€q o 'q8noJ peq,fian P no 'suoldul^s rno^ D aoDq no,( og 2anluadwal aJe aseql D aaDq pu" III aJ€ no,t oq 7bpo1 no 7aa1 'sa1o; demg Z ilDotql ans not op moq 'olpH 6u;qgrcsaq gI a8sd aspraxa Fq4uadg suroldurfs 'seq aqs/aq suroldrufs aq] pue sruoldruds raq/stq lnoqe luepn}S {sV I Y ,/ {rl} g luapnls pwqsny :1ua11ed ezrv\vJvp\rtvg +!frvb , wv 47v qnvbnn y, 7v oa e ol dlqsuolleleH :url lo lxoN 1000s9 PvqvP"ww :r :ssalppv #l:;i;r*rini, :lteuJa :dc :800 nv zv :urErlo;o Arlunog v\'vtv1 tJg :raqurnu euoqde;e1 ryqvwhuy lvwty blLghh0L-Lbo-lt-ll0 YYbt HD ?Itv\^vJv Pl|v g :lapuoc "lvwzJ y? :oueN v 4t JP\ v sl!elap lua!led 'suorlsanb sv luapnls rel\suv 'proDaJ luarled ;nod sr srqJ 'esrnu e sl V luapnls pue luall€d aql aJe no1 'sa1o.I dervrg Z :1uer1ed o1 d;qsuo;geleg :url lo lxaN :sselppv :l!euf :dc :requnu euoqdelal {SP :ug6;ro 1o Arluno3 :EOO HO :rapuo9 "lvw :au.teN sl!elep lua!led 'pJoJer luarled slql alaldruoe ol suorlsenb y luapnls >lsv']uaped e sl v luepnls pu€ esrnu e aJE no I g luapnls tI aFud g asfrroxa Eupluadg luel'ussesse Eurs.rnlq sl!elep luelled 6u;1ceqg The body and movement The body: torso Speaking exercise page 39 and head StudentB ' You are on the telephone Student A needs to fill in the Range of Motion (ROM) exercise record for a patient, Mr Ahmad Answer his/her questions Movement Fepetitions Comments thoulder rotations Repeatten timea, Mr Ahmad ehould sit on the bed, Left shoulder only, Hip bends Repeatfivetimee Do this on the bed, Hold his head and neck in your hands, Head lifts Chestlifts Documenting ROM exercises assir put down, Re peat th ree tim es This is difficuhfor him because ofthe pain in his neck Hold for three seconds, then put down Repeat five timea, Oive hlm a ballto hold near his face He puahes the ball up Hold forfive aeconds, then Nurse initials tI tl IF tI Listen to Student A Then swap roles Read Joe's flow sheet for Sth March and explain to Student A which exercises the patient can and can't Ir)NL I^)NL R hip abduction l,ijNL R hip extension ,dNL L shoulder flexion ITJNL uti4h, soue oain liuihed 4o l0O" L hip extension L knee extension t=E 1700 R shoulder rotation L hio abduction I l"' ItI t'' Gen ero I Centrol H osDito, R shoulder flexion L shoulder extension tr tr Speaking exercise page 43 12.00 tI lt' I l'' Student B Flow sheet - Range of motion exercises Patient: doe Felieie Room N': 214 Date:.0E.03.2012 Movement Time Comments wir liuited to 10" liuiteJ to 45" liuitod to 25' Nurse's initials: Joe can bend his right shoulder normally He can Ordt "'paau aA4 'wapord oN zpaau not op lDqlyt 'saqddns awos npto o1 Eu111oc ut,1 "'tD "'asfiN s! slrtt'oilaH '1o11dso11 v fl (96 S (17)openpqpe (az1o * 5p pwo'gg) alaua y (6flauYdPaq (gg) ano111d 5p @)ote4ue1q y (9)ouatlo y @gflaaeq111 y p a4ced g y) odnc all'ta1o :paeu v '1s11 eA4 rnod uo stuell eql repro Pue e ere V luepnls auoqd 'sa11ddns raplo ol paau nod pu€ esrnu reeq nod stuell eql ellrlv\ pue no 'sa1or dervrg Z sallddns Eulrapro V luepnls ol ualsl'I I g luapqs Eq4uad5 29 aEed Z esproxe Iueel plldsoq a$u14o1 aLls st sellddns 6u;raprg eql I uollD)tpau aql to tutol loqt6 1"'Eu14o1 sttog st 'h114 qqlveq pteuaQ qfnow 3A9neU eulwsf!^nlnw p ofeP atg.to1 aalnodec fep v Ploc na!wef on4'Aw g7 fvp e aewlq uonednauoc dn.tfa ae44'0w eL 4rc uopcelulaql eap4vlP qtewols qz 0u111ano.to ooaupa.t 'u1ed p11w'Aulqcg Aep e aaw1l auaqi 'g ewocnep odotp aatlldo.tp euo silcese spls F$q{FF ruroJ alnoH qcnur rnoH F.D' osn Jol uoseou iltnwvpl/l u!ln6u! ldozy uollPclpoltl procar uolleclpotu lEuos.lad ?puo]een 6!Jo0 ilua|l]ed HJt9 'profiu uolleJlpeu >lsv s.rro0 Jo lsar eql ul IIg 01 suorlsanb V luopn]S g luopnls 67 e8ud eslrrexa Eu14ued5 uorlerlpel tr uolpclpeu qlltn Orur sluepled 6ullslsse !slcege ep15 3N: EK: N: EK: N: EK: N: Unit Meeting colleagues [M Max; SA = Susie Arnold] Good afternoon Mrs Arnold? SA: Susie; please call me Susie Good afternoon Hi, Susie, I'm Max Sorry to disturb you I'm looking after you How are you today? = M: A: B: A: A: B: A: B: A: B: A: B: Hello, I'm Staff Nurse Gillian Campbell Hi, I'm Amy Bower I'm a healthcare assistant for Ward C Nice to meet you, Amy Excuse me, are you Ward Sister Margaret Jenkins? Yes, I am Pleased to meet you I'm Charge Nurse Paul Gallagher Good to meet you, Paul Hi My name's Paul Hello, Paul I'm David So, where are you from, Paul? I'm from Dublin I'm the new charge nurse, What you on the ward? [T=Tyler;K=Karen] T: schedule for this week, please? Sure Is the afternoon shift OK for you? I have exams in the mornings, so the afternoon shifts are perfect, yeah OK, so you start on Tuesday at 16.45 and finish at 23.00 On Wednesday, you start at 15.30 and finish at 22.15; and it's the same on Thursday That's good for me Are you free on Friday, Tyler? I need a staff nurse for St Peter's Care Home in Hillsworth I'm not free on Friday, no But Saturday I can work on K: T: K: Saturday OK Can you a morning shift at the Amazon Hospital? No problem What time is the shift? a.m till p.m K: T: K: D: K: D: And who's this? It's my teddy His name's Mr Willis Well, hello, Mr Willis And how are you today? that A B C D I have a poorly arm A poorly arm? Can I look? Jake K: Your 18th 18th J: K: [K = Kell K: J: OK? Can Is tl wea The K: J: Ipr K: Of( J: K: J: K: C: K: C: X-ray machine MRI scanner ECG [N = Nurse; AK = Amira Khan; DS = Dorothy Simpson; EK Emilia Kadinskal N: Good afternoon, Ms Khan Are you ready for Yes, hello AK: N: N: N: DS: N: DS: N: DS: N: DS: N: Let Thi Her Kel Clal anl Got Unit machine = ECG? I suppose so Can I just look at your wal I'm tod CT scanner AK: Wha J: brac K: Yes D: And who's this? K: It's my teddy His name's Mr Willis D: Well, hello, Mr Willis And how are you today? K: I have a poorly arm D: A poorly arm? Can I look? DS: N: 72 Yes Hello, Kendra My name's Denny I'm looking after you Is Good evening, can I come in? Yes, of course Hello It's Mrs Coxen, isn't it? right, good Look, I need Hello, Kendra My name's Denny I'm looking after you Is that OK? Yes N: Yes? OK, Yes Hello, it's Kendra, isn't it? AK: My name's Anja I'm taking care of you this evening [K = Katya; W = Mr Williams] K: Good morning, Mr Williams Can I help you? W: Well, yeah, but where's the other nurse? K: Ellie works on the night shift I'm Katya and I'm taking care of you W: K: D: K: D: K: D: I Hello, it's Kendra, isn't it? your [C=MrsCoxen; A=Anja] C: A: C: A: C: A: lD=Denny;K=Kendral D: K: D: I'm a student T: Hi, Karen, it's Tyler Baker K: Oh, hello, how are you? T: Good, thanks, Karen Listen, can you give me my K: T: M: IK = Kell K: Hellr J: A bit K: It's t J: Oh, K: Can identity bracelet? Thank you What is your full name, please? Amira Khan That's K-H-A-N And your date of birth? 1st February 1956 Thank you Can I swipe the code on your bracelet? All done, thanks Mrs Simpson? Mrs Simpson? Sorry, Mrs Simpsol How are you? OK, dear, thank you Mrs Simpson, it's time for your CT scan Already? Yes Can I look at your identity bracelet first? Thanks What's your full name? Dorothy Simpson How you spell 'Simpson', please? Oh ah S-I-M-P-S-O-N And what's your date of birth? 22nd June 1932 1932 Thank you, Mrs Simpson [A = Adr 1A: T,L sastnu 'salnurtu 0€ lxau aq] ul IJpq nof 1pt 11;,vr rno 1o euo 'lolJreH sr61 'no,{ 1ueq1 :y erllr"ld '€908-z€6-9// :H aaseald 'requrnu auoqd rnod au a.,uB nod uel puv's>lueql ')O :y 'urnur slq ur.l :H dtqsuotlelar ;nod sl lPq/y\ :Y iluelled aql o1 'louraH PUUY :H "' alllll e 'qea :J eleorql eros :N '3SOu {uunr € s€q esuloldrufs reqlo eqs seoc enoi{ l.uere '1oq {;azr ar,noa Zunq slql seoq 'ees aqs :N :w ,t111141 :^llt6 = 141 iasrnp tr')o ilJrs leal 11t1s nod oq 'nof asrnu eqJ 'ueeqleems ,lrou>l I Z = 1q] :N :lAI 'l,usr eqs'oN 'ON s1 leseald 'eureu rno,{ puy :V 'sDwotlJ ur se; 'og :H :c LJalad uI sP d Jallel 1s3l s^eq ^uEe puY ;re^al ]r'se^ 'seop 'ualoms a;e spue18 rnod pue areql qser elllll € e^€q no 4sree;no,{ 1e 'MoN 'eureu d11a;d e s,1eq; :N lool e a^pq uee '{tttttt :w :N lauruu rno.{ sr}eqm'ollaH [.raq1eg = C ' s€q eqs aIII $lool :N asnoesn"u llrls eqs sl Zll l,usr 'uallo,|s s.l[ 'sa1 1q3g s.teql aeasleqJ '{)eu ;nod 1aa; 1sn[ ue3 ]e >lool ol 3u1o8 W 'tz4p pay ) dqrlr 3u11e1 161 :11edy ary are no.{ sl :v 'uos :H :V :H l,lalacr :Y 'nod =)l nod arrtB aur 1a1 araql 'nod dlaq au le'I 'esrno) JO 's>lueqt'teql reJerd I ileqJIesq1v\ e s,areql '3u1u-rour s!ql {ea^A llq s1 'nod; :I :) y] tA adg,rs 'I s,}"qJ ;eseald ue3 ')O :V asrnN = '1e1ace;q Zg6I drenuel '7961 qrgl :) drenuel q1g1 :f ;a11e ieueu IlnI rno,( s,1eq6 'queqJ laseald 'lsrlJ lelererq :y 1ue3 ')o'qo d111uap1 rno.f, aas 1sn[ ;a1e1 'Sururou nod ere /\\oH s1q1 :;1 :f 'olleH :) 3ut>1oo1 ' la>lef=f:,,t11a;=y] :y lq8rr aql a^eq tuelrodul s.ll 'os a1r.\ plp4v :N eulPdv :)g leseald ']aleJ€;q Cl Jnod eas I ueJ :N ql1,n '1tue; 1141 :y -; Puu,{ePo1 'qu€qJ f C u,1 'arlelJ ru.l 'elef 'Sulurour pooD :J '0€'0I fP ,{er-Y ue tueululodde u€ s€q eH 'uos.reled elpf sl slql 'erlelJ 'lq 'eJlplC 'SururolN dSolorpeg lE erp e^{ ^lla) eraH irelleq leql sl 'laluelq " 'plo) ]rq e tu.l ,{lpnlee lq8noua urren I nod H c dl\uq J s e ur,l aaq,{eur '1er1s 3ul11er* e Jo r!€qJlasq/r.\ e.reql sl ;1urql nod op ']ueuruedeg fer-y eq] o] {leivr no.{ ue3 [arte13 = J :e{ef = :,t11e; = rnof uo apo] aql 's{uEq}')O eqtrlq Jo etep rno^ :) 'uosJeled aIPf :[ aesn ueJ fpuey :H 'lreuuoJ-qll€ag '8u1urour poog :V t ltolr]aH srl l = H l;as6py = yl "' no,{;o arer N 'I 1aa; dleams J 1aa; 'spue13 ualo,vrs arreq 'eq)PJ€e e^eq 'leoJql eros E eAPq 'qsEr ur{s P e^eq 11,1 'ruor lop o-J - tuoJ'orelal@llue{€ :) puv'l-U-n-Ol-C :v lfpear nod ary mou de-r-y rno,{ ro; arull s,ll :) 'perlr llqv :f I8 roN :) puy 'nod 4ueql ar\eq I ;a.rr1 no.4 op areqm ^-peurul3qol^ '9161 {renuel '1ua11ed ;no,{ rol op I ueJ l€ql lnoqe,{.r.rog luaurour e ur nod ]ees € a{e} eseeld Furu.roru poo8 eql I-OI-U-U-g-H ;aseald 'eur roJ aurpu {lrurpJ aq} lads no,{ ue3 'lor.rreH seru€l s.]l 'se ue3 'arns')o'qo zerrlEu [nJ s,uos rno,t aru en13 no/{ '1leq nod IteJ 1rM as;nu elrllerd rno pup 'sll"lap :v srq a)p] o] paeu 1sn[ I 'u.tacuoc rno^ pu€lsJapun I 'urlq lnoqe par.r.rorr,i,{11ear ur.l pu€ qs€r slql }o3 s,aH 'aseald doq a11111 dur roJ rolrop e paeu I'olleq 'sa1 :H eno^ olaq I u€J rlroq :J luor,ussosse oulsrnN z ilun :lN durun6l 's1rnq peeq d61 :J I fesrnlq = N :raqlol4 = 61 :eas1eq3 = 3] roJ 'snoesneu IaeJ ) 'perrl IeeJ s re^eJ e e^eq qptluJ 'aq)3q)PIxols e.\Pq 'eqr€p€eq P a^"q 'asou duunr e a,req 's{ueql 'lsruorldarar eql ol uo sll€]ap aseqt ssed -3-1-3-J tE 'II-W-Y-)-Y s,]eqt e^\ sserpp€ lreue ue e,,req nod op 'I-U-n-Ol-Cs,lt'se^ :) leseald 'r;norq lads nod ue3 'unorc pnourqPw enue^Y sr sserppe ,tau {p1 'arour duB eraq} aAII l.uop I anue^V ;t '])arroJ 1y'1earB srt?qJ eepoJ aql adl/v\s I ueJ puv'srllura 'quPLlJ :N '866I Ilrdy qrgI st qrrlq 1o alep du puv'V-)-S -NI-C-V-) s,l€qJ e{surpe) plllurg s,eureu.{61 '1q81g :)g ql6 uo uroq sP^\ I -Il-l l-Y-) - Ilue)'[rue) Jltrv :) 'atu lo] qulq Jo alPp pu? aIrrPU 11n; rno,( rurluor eseeld )O s,l€qt ll lsrlJ proJe.r luarled lno,t 4raqJ o] paau 1snIl lqFll s,]pqJ :V 'tsat poolq ro1 ereq ur,1 '11edy esrn51 '3ururo141 :) ^tu 1"q,4 ',l\oN eq II.l Z lde;-y rnof roy dpear nod arv ollaH y] 'eJns :)g Zplllrtrg :N g [N = Nurse; I = Isabelle; M = Mother] How are you today, lsabelle? I have a bad sore throat Do you have a cough? Yes, and and spots Spots? Really? Can you show me? Yes I've got them here and here, look Oh, yes, a skin rash My best friend, Kelly, she has spots, too Does she? Ms Quinn, does Isabelle have aqy other symptoms? M: She's got a bit of a fever and cold symptoms runny nose you know N: Right OK then, Isabelle; let's have another look at N: I: N: l: N: I: N: I: N: that rash [N = Nurse; A = Alessandro] N: Is this your first blood test, Alessandro? A: Yes, it is, and I really don't like blood N: OK, well, let's go step by step Please roll up your sleeve for me Let me disinfect your arm first Now let me tie the tourniquet round your arm OK, now you'll feel a small pin prick A: Oh! That's tight N: It won't take long Now turn your head to the window What can you see? A: I see a school There are lots of children, a teacher, I think N: N A N A: N: A: N: A: Uh-huh, yes? Now I just need a minute to change the specimen tube Uh-oh I feel really dizzy That's OK Now hold this cotton ball to your arm Press hard for a minute and bend your arm Yes, that's right Take a deep breath and close your eyes Good I don't like this Keep breathing It's done now Now for the plaster and I'll send this to the lab I don't feel so good Here's some juice; that will help your dizziness Thanks Just relax How you feel now? Much better I feel much better If you feel faint, let me know If you feel weak, tell me If you feel nauseous, let me know If you feel hot, tell me Unit The patient ward A: B: A: B: A: 74 Thanks Let's have a look B: A: B: A: Is it normal? Your temperature is 36.9 degrees this morning It's fine What are you doing now? I'm just recording it on your temperature chart [H = Nurse Mr Frr H: F: H: I can'i OK, I' That'r clean supply room nr F: No nurses'lounge nurses'station H: patient room callinr good can sl physicians'area soiled utility room visitors'toilet you [S=Steve; K=Kelly] Do you like your new job then, KellY? I do, yes The people are all really friendly It's a S: K: good team S: K: S: K: S: K: S: K: S: What' It's Ol What about the patient ward? lt's a bit small and we have to share some of the facilities with other patient wards Oh Aren't there any patient rooms? There are more than 20 in our ward Of course there are patient rooms, Steve! But there isn't a conference room, for example; and there aren't any visitors' toilets either Strange There are two conference rooms in our ward but only one visitors'toilet Is there a nurses' station? two small ones What about where you work? There is one big nurses' station and two small ones What about a nurses' lounge? There isn't one in our department, no Shame, our nurses'lounge is great There's a TV, a microwave, free tea and coffee, DVDs Yes there are Good morning, Fred How did you sleep last night? OK, thanks Not bad Is it OK to take your temperature? Sure, no problem Can you open your mouth for me, please? And can you just put this under your tongue? That's it Now could you close your mouth and hold for a minute? Good, I think that's done Can I just take out the thermometer? f< F: Alittl H: Keep here Unit 1A: B: F li I a A: \ B: t 2A: il B:( A: l B: S I r A: B: t I- ( a A: } ISW = Shelly Wagner; A = Mrs Azziza; J = Jerome; P = Mr Patel] SW: A: Hello, Mrs Azziza, how can I help you? Nurse, oh, thank you for coming I really, really need to go to the toilet Thanks for coming SW: OK, no problem Let me help you out of bed There we go Here's your walking frame Do you need any help with SW: Yes, Jerome, this is Shelly, what can I to help? J: ls that Nurse Wagner? SW: Yes, it is Can I helP you? J: Yes, Nurse, please I'm very thirsty and there's no a hun< ahunr q one th one th piohte one 1A: more water in the jug B: SW: OK I'll bring you more water in a few minutes Is that OK? In a few minutes? Oh, OK Can I help you with anything else, Jerome? J: Er, yes, can SW: Right, oral tympanic electronic thermometer ternperature disposable rt tl- conference room J: you turn off the TV? I want to try and sleep SW: I'm coming in a few minutes, SW: P: B: A: B: OK? Mr Patel, you rang How can I help you? I'm really sorry to disturb you, Nurse SW: You're not disturbing me What can I for you? P: I have a terrible pain in my leg It won't stop and I can't sleep SW: It's OK, I'm here Please try to relax, I'm calling the doctor now and we're going to help you' The doctor will give you some more pain medication Just try to breathe B: 3A: B: B: p< ] 9L sllaurs lr ']t Jo Jl"q eq/(elN 'allill v :J [f?po] tea nof u?) q)nul t\oH 'poo8 fll€er salqela8a,r pup ue{JrqJ aq1 Suyreq ar,no1 :l ld 's{u"ql 'Iul.rp u?) I ll€ s.lPql :J - larrn[ a8uuro e-rou euros ]noq" lroH '11am 3u1op {urql I el,no :lAId dr8unq d.ta,r 1ou 1sn[ ut,1 :.{tlos ur,l :I 'ro1,te1 sr61 'eurr1 ;no,{ a{e} ')o s,ll o3 nod e-Ieql :l^ld 'as€ald :J lae1n[ a8uero rnod ro; ,!\e.Ils P a>1t1 no,{ p1nor11 dpea.t 'yg uorde u€ pulJ pu" spueq du qse.+r 1sn[ eu 1a'I :l ld 'elqrssod JI'3urql,{uE IIIds o] luem l.uop I pue Suqeqs ete spu"q.'{61 'aseald 'sa1 :J e^epo] Jeetu rnor{ qllrv' dlaq auros e>111 nor{ plnolA'olleq jo1,te1 s.t141 [ro1,{e1 sr61 = J :rllaurl4 e1nu4 = aq11 no,{ plnol!\ puv'sad fauoq q}ll pelres s,ll '8urr*o11ervrs ^qA\ sruelqord aaeq ;yt.taq3 'Illur aerJ-leJ a>1e1 nod;t selrole) 66 {1uo pue eeJJoc >lJ€lq ul sollol€) ou al" eraql 'aa]JoJ Jo dnc e u1 eJe ereql solroleJ dueru,toq srns lou ur.l 6aelJo) Jo dnr e pue 11tru;o sse13 ? laplo l ueJ isa 'a>111 'uotlsanb a111t1 e 1sn[ '8uenq3 asrng nod;r dep e sasselS ;o aldnor e lutrp uee nod og :8 :V :g :V e 'uo eq pu in :g 'saf '1q3;r s,1eq; :V 'l3lp al.IoleJ-000'z e uo er.no^ :g erelsqa A eslnN 'a^€q I u€J {llur q)ntu./!\oH :v z P lsnf pu :v elue,{'\ no,( aAlJ olvu lu1od ,{1yg pue pu"snoq} :g :Y t auo I euo auo ou ZdI ereq v due S S llared '$lueqJ'eloJ N = N] V :g errros pup " pue aseald'a1dde uy ll {raq) tsnf ue3 ';6 'dpear s,rap.to :V :g :g d61 :V Z l,uo pr€ du l,usl e nof p1no,r leq/ uosyeqo5 rlN 'nueu eql s,araH :Y I slueuernseou pue pool t llun 'nod;o aret 3ut4e1 ar,a16'a.taq sr rolrop eql 'pooC )O s.tl 'aur qllin Furqlearq dea; 'lq81t os slaeJ ]seqr (tu lnq 'ra11eq a11111 y H :J /vrou Eul1aa; no,,t ']l s,leql ' \ou u/t^op 8u1qlearq ;nod rtols uec eJ€ ^\oH atll qllivr eqleeJq pue 3ril no^'pooD l3 Ioo'I 'spuPq pooS ur el,no xelar og dr1 aseald 'yg '/v\ou roJJop eq] SullleJ ur,l >1e] o1 1ou d.r1 'uo >ls€tlr rnof daay 'areq tu(l ')O s,U :H ;Suluaddeq s,1eq16 'parrrorn f11eer ru,l "' ur,l 'loq IeeJ I "' ou "' oN elellaq ]€qt sl 'uo >ls€Iu eq1 1nd s,1a1 ue8dxo auros nod arrr8 oJ lueir.\ I iv\oN Iallaq s.leqJ '1s.rr; dn paq rnod lnd s,te'I 'nof dleq ol SuloE tu,l ')O iaqleerq l,u"l I "' ],uer I ;nod dlaq I u€r d\oH MeqsueH esrnN s.]l 's{JuaperC rl l :Y s.oqs :V iqJII\pu?s € Jo esleuEoloq :J :N :J :N :C :N :J fepol lxau eql roJ lelp euolpr-/vlol e uo '{urq} I '89I lnoqv lacrnI aBue.to ele sarJolsl dueur rvroq puy :'I uaa1q8;a :N :'I uealaulu pue parpunqe z f,1xrs pue perpunq € I N :.I 'se^ z>lulrp e pu€ :.I uassap e lnoq€ teq6'q)l^\pues da1rn1 euo ')O 'aseald 'qel,t.pues € "'trrn dpeles BIIerezzouI au8esey euros lnoq€ Moq 'lle1lA :N ;.(epo1 a,req I ueJ l€q1rt os 'uetrela8a,r e ur,1 :'I ol"urol aq1;o l]]aq8pds la;ard no,( plno,r l"ql1'esrnoJ uleur auo e.\eq.{1uo uee no^ :eleq)llN 'd-tros u.1 :N elsrlJ LaaJJor aruos a^eq I ueJ 'saf 'esea1; :g elurrp € e411 nod p1no16 :V 'eseald 'aFuero ue pue saolelod paqs€ur etuos 'eqJlnb ;o aeald_e e>1tt p.1 :g z^epol a>lll 'eseeld'uessap roJ leql\ 'os :N I letpd'I ='I :JIreqC = J :as-InN ,4{aJ 11a1 'alllll :g op agrnd aldde qenur nAoH'{ulql I '.,v\ou roJ euo lsnl erepro I uec ectnf a8upro Jo sassel8 fueur rvro11 :V :1,116 1416] go ssey8 e ur o.reql 'qrnur ool 3q IlrM t€ql :)o s,]r 'oN 'artnI aFue:o s.eJaqJ i]elrcls e parpunq ol\\]'puesnoql zelqrssoa leql sl '11 qlF,r re8ns ro dauoq alllos aIII plno/v\ I ereqi aIII no,{ p1no16 ,{epo1 nuaur eq] uo Ilnq8od s.eleqJ erp.{1 'sfep rvra; ]xeu eql toJ lalp pel)rJlsol e uo ar,nor( pl€lJe ru,l zuel {rt3qr 3q1 }ee ol pe.4 olle I ure puv')o ieu8esel aql 'ueuele8e^ sl puE '{ool e e^pq s.ga1 etp,{1 'aslnor Jo 'se 'ursrll ]noqll/\\ nuau aql p€al ].uel lsasselS lllaqB€ds :g 'erns'qea :v eqJr.,i\pues de>1;n1 e pue asreuSoloq Surpear dru ut Eur.rq ol Sulo8 sr lalq8nep {61 ;rapro nuau dur qlln oul dlaq no,t uer 'as.tng 'frrog t1 Z 'nof ro; ur lr pueq II.l pue p.rPJ nuatu rno.{ etu er'rD 'auop IIP 'leerD :N peles ]lnrJ erros pue aeln[ a8uero etuos aIIl p,l 'sa1 easle 8ulqilu€ lapro ot e111 no.{ p1no11 'teqt e^€q ILI')o ,{ervr,tue 'poo8 s11aus ll 'eJnes eseeqt e pue elsed qll.L s.reddad pu€ seolelxol qlr^\ qslp p s.ll 6Jo aperu au8esel alqela8aa aq] s.leq1A'sellalauio e>11y dylear l,uop I ]nq'se1 s.]l eelteleuto aseeq) € eleq lou '1ea o1 dsee alsaSSns no,t op qcunl rno,t roJ.repro ol e{ll nod plnol!\ l€q,t\ erllllllltu I I ue't3o111 alno[o111 er][[ t ellolel z on{ I 8u1>paqr lsnl queql ')O ,{ep e 697'1 s,1eq} os 'sdep [slcr.raparg rllJ Zpe.4{ollP st,{11e; srl l seuoleJ,{ueur r"roq au = I :C :H :J :H :M"qsueH eslnN = H] 'aulJ 'e;og :Y v nod uec ',{uos PM: That's good Would you like some help with your vegetables? I can cut them up for you T: Thanks, but you knoq I don't think I really want any PM: Can you iust try a little? T: OK, just a little bit PM: That's good T: I really can't eat any more PM: Just one more potato? I Unit The body and movement N: [N=Nurse; D=MrDubois] OK, Mr Dubois, it's important to these exercises T: N: T: N: N: D: N: every day to help you All right; you're the boss Can I stay in bed? Yes, sir It's important that you are comfortable Let's start with your feet Now keep your heels on the bed and oush vour toes to the end of the bed D Like this? N Yes, that's right Push D That's easy No problem That's good because this exercise is really important N your left foot, then your right foot Good Now try and rotate your foot in a circle try your legs now? Oh that will hurt Can we D: N: D: N: D: N: Et B: [N=Nurse; T-Thelma] T: N: T: N: T: N: hurt too much T: OK Now lift your right leg Bend your knee just a little Now move your leg to the side of the bed That's right Let's that again ten times N: OK, Thelma, let's see what you can today Our goal is three sets of ten on each leg What you think? I'll try It's more difficult on the left leg OK, we'll try the right leg first, then Ready? OK, yes Move your leg out to the side as far as you can, That's A' B: A: 4A: right B: That's OK? You're doing very well, Thelma And then back Now let's repeat that Good, good And once more Out to the side and back Again and relax Very good A little B: A: B: rest? I'm OK, thanks Now for the left leg Are you ready? Tell me if it hurts, OK? oK So, let's try Move your leg out to the side That's it, Just a little higher and back That's better, well done! Yeah, that's really difficult Yes, but it's much better than yesterday Much better Let's try again Out to the side a littte higher and WE 1A: B: 2A: back T: N: B: I'm sorry, it's too painful Let's stop now I think it's a good idea, Yes, ten Let's count together One, two, three, four You're doing really well 3A: B Well, you are taking pain medication, so it might not Tenl What you want to today? Cao you this exercise three times a day? What can you do? Can you that? A: 3A: [C = Nurse Carter; SN = senior nurse] Joe is doing much better today SN: That's good to hear C: Yeah, he's just done his nine o'clock exercise session He has normal movement in his right shoulder now - he performed both rotation and flexion exercises very well SN: What about the hip exercises? C: He can the abduction and the extension exercises but he still has a lot of pain in his right hip And as for exercises for the left shoulder, he can only the shoulder flexion to 100 degrees and he can't the shoulder extension exercises at all for the moment I'm writing up the flow sheet now Do you need any other C: [N = Nurse; P = Patrick; H = Hugo; J = Juan] Patrick, back already from physio? How are the N: exercises going? P: N: P: N: P: It's slow, Nurse, but you know Well, what's your long{erm goal? For the moment, I just want to climb the stairs by myself It's very simple, realty My wife usually helps me It's difficult in our house Uh huh? I sleep in the living room but the bathroom is upstairs, so N: H: N: H: N: H: N: J: N: J: N: J: 76 OK, Hugo, so one of your goals is to be able to eat by yourself Yeah, sure After the accident this is still difficutt for me OK What you want to todav? My shoulder is really painful I can't the shoulder exercises today That's fine What can you do? I think the wrist exercises are OK Good Well, let's start with those We'll stop if it hurts I think my arms are getting stronger I can already put on some of my clothes by myself That's great news, Juan Well, for today our goal is three sets of ten on each arm Can you that? OK with me Can you this exercise three times a day? Yes, I think so information? Unit Medication 1A: B: B: A Good morning, Katy How are you feeling? A little tired Do you still have the nausea? Yes, I OK I can give you something to control the nausea if you want B: A: B: B: Oh yes, please Do you have enough water? Good Please take two tablets now You can swallow them with water I think I'll have to give my husband his drops Ted won't be able to it himself Yes, I think you're right What is the dosage? That's three drops into his right ear now, Mrs Mathews, and then again just before he goes to bed a A: Today rt commol side elfr the sam examplt suffer d possiblt this typ may car Stomacl well as I Valium r rash Tr [N=Nu N: Rig D: rec me He N: an( OK the D: OK lns yor N: Wt D: I'm LL 'e^qpooD :V a^g 'lr alelJa-rdde qrnur d.te.a s>1ueq; :g '3u1uoe e;,no,{ lpql JolJop s,ralsrs tnod urolur '>1;ed rer 11,1 1q319 'uP) I se uoos s? ereql aq II.l 's{u€qJ srolISI.\ e s.ereqJ 'peog fpauue; 77 s,11 'pP3qP oD 'se^ no-{ oq iqllfi\ elllr\ o] Sulqleuos aleq essarpp€ eql s,teq/v\'l€q] op II.l Iulql I 'se^ ;p11dsoq eq] ]P ll€1t\ pu€ euro) o1 a4t1 no,t p1no16 '{ra8.rns Jo lno s.eqs ueqir rolf,op raq o1 >1eeds ol peau II.no 'uolteur.roJur orolrt.{ue no{ allE l,uBe I pletJ" tu,l 'tO s.eqs JI /vrou>l o1 paau.{1par I ;e;ns no,t ary leads ol paau ILnoA 'llal o1 {pea oo1 s,11 e)O s.eqs JI ou>I nod oq lssaupoo8 du qg rolrop -raq o1 euueef s fl s 'ploJ p"q e a^€q I 'Jueruoru aql 1€ nlJlrrrsJ nurl€l tu.l :c euorl€)rpelll telunoJ-eql-.ra^o ]noqe ]€ql :N ^^oq aas ,{ur :V :B :v :g laseald 'atu€u s,Jalsls rno.{ a,req ue3 :V Jr ^ oul ol peeu,{lleal I laq ]noqe s.eqs rualqord og Fuqeeds plplll,41 esrnN Jo oa.rql pr€,lr,s1ua11ed eqt ueatu nof'qg tr-Y-J-t-ht '1dozy "']"r{1 11ads no.{ salaqElp r{ur lo; utlnsul sa.{a ,(ur roJ tsrlJ ')O - uEqJ eql S SJ :C 1e >1oo1 E Isrroq=qlas;ng=1q] paJ's lal oru al €esn€u '8nrp srqt Jo ]JalJe aprs Jeqlou€ a.Ip srotuell qse.I uqs e 1aE '{eur sraqlo lssauts,norp eeuapadxa deut urntpn alel oqrv\ sluarl€d uorledtlsuoc pue a111edde Jo ssol s€ lla.4\ se 's8nrp ,(3re11e-r1ue orxos Jo lraJJe epls P ele saqJ€q)"uols 'sluarled euos roJ a1ls uo1lralu1 aq1 1e 3u111a,ns asnBo deur dlsnoue.,rerlur sBnrp 8ur1eelul 'uorl€f,Iporu ul?d Jo ed^] slq] 'Sutlturol'eeoqJfttp al"q ol alqrssod qlr.+\ saqJep€aq ua,Le osl€ s.ll snoasn?u leeJ lqElur sreqto pue sseutzzlp reJJns ,{eu aldoad aruos uol}eJlperu uted uorutrroJ drezr e 'alduexa ro; 'ualordnqr reprsuoc s,la'l Ieqlle slJeJJe epls au"s eq] ra;1ns sluarled Ilp ]ou puv l,uop sJaqlo pu? slJaJJe epls ragns sluarled auros ',l\oul nof sy lsrly s8nrp uoutuoe lsour aql le {ool ILa A slJeJJe epls }noqe Suptlel e;,arvr.{epo; raqlo ur.J'luo 3ql eq] o S€ SASIJ, 'lle^ :g alq8lr reqt nod 11y* sue;8rllru :g Z :V :g ;1eq16 ;lueurlredep luarled srql lou }sn[ sl slq] 'looqs s1 'Etu 77 art8 l eq :V ^te - Mou 'uolssi uaql qrlq^,\'g'I {q patldtllnur &{ 8Z op I 11 :g zurq eAId :g aploq uo dueu.trog '81 97 sqFter* aq pue Iorpeunlog ;o ure.t8o1t1 rad 3u g'1 spaau d11g :V e s,leqt'qee1 :V ']qEIr equlqr I :V I s1 B qO :V I llel 'qo lnoq rad 1u 971 slenba qrrq,vr's;noq orrnl dq pep4lq 0gZ "')O 'urq :fl e.Inoq Ieo elPl 1v\olJ lno.\ sl ]eq1v\'11 dq srnoq o,^al re^o 1ur gg7 asn;ut no,t;1 :Y :Y 'eseald :B +,ro11 no.{ ;ure8e 1eq] 'llay' sa1 g{epo1 ,tep {ru 'tl-l-O-t s,te'I IIJnuPle6l uaQl ' uaql I-d-O-Z-y s,1eq1 ul uorl"Jrpaur qJ€e Jo euleu eql u.4 op elult 44.ou ')O :N 'IrJnrxelel l eql pu€ ul1nsu1 rtur 'sa.{a.,{ur ro1 sdorp aq} s,a-req - a.te nod a;ep1 :c l,lsrll uolleJlpetrl rnod 11e aru,^aoqs no.{ ue3 [at\ Ileqs 'raqlaFo1 p.toea-t e^eq silal 's1;oq '1q3ry :N uolleJlpeu rno.,{ B I ']uetuottr aq1 1e dra8rns ul s.eqs '8ulurour slq] Ug eqt l€ pa^l.t.I€ relsls InoA ltou ees I 'qY :V '>paqr 1sn[aut la1 'sa1 '1q31.r s,1eq1 e^-u-u-3'erllleeg uI s€ g :Y {.traq-'o1'1 :g A-U alqnop-g-g i^-u-n-c ;d.rnptse16 {rros " euuEaf auueaf qn ',{:req1sa16 ')o perrro,rdllear tu,l pue luaprJlP leJ € ul s€^\ aqs ielsls dru lnoqe uorlerrrroJul au,ros la8 o1 3ut11ee tu,l lq 'sa 'poog 1q3g s,teqt 'qPa ;no,t dlaq I u€J ^\oH uoslty'A eslnN 'pre16serpeedoqlrg'1e11dsog lPltuaJ l€rauoD'olleH :V '8ru 77 slenbe 1re.rr nod 1nd lsnl ue3 perll 1q € urq sel€u uuq Suprt8 er,e^ uorl€Jrpeu eqJ 'no,{ ra;suerl II,l ueql pue ale^\€ s,eq >paqr 1sn[ 11 ualqo:d oN ggz uroog '9gz tuoou d.Iros 6l€q] t€eder no.{ p1no3 eraq esrou eql lnoq" 'ggz uloor ur pueqsnq {ur o1 leads I 'ollaq 'sa1 ;nod dleq deur 'Z ple1\ sluatl"d :Y uroo5 :g '8ueg;61 'tgz se,44 requnu urooJ leqm 'qee1 'auoqd aq] uo ru,l ipuoJes e aru a,rr8 lsn[ nod ueJ puoJes € uo SuPH alpq^\ orez o^u uroog'qead "'uo Fueq'qeed qg 'tgz ruoo.t uI eH 'pueqsnq ,.{iu.to; 11el 'rueql to8 el,e16'spuedap ]r V erPqA{ ;tuaruuedap luarled slqt sl'lq "' qn iolleq 'sa,{ Burqlfrarre srl€ql >lulqt I lulql l,uop I tnq 'poo8 s.leqJ :N :c 'slelqel eerql s,lPq] os 'earql slenba qrlq^\'02 ,{q 3u gg ep$lp.l zturq a^ln MoH 'pueq uo s1a1qe1 8ur 67 e^pq a A'xrs€.I Jo 8ru 69 1aB o] s[ uosuqof rhl 11rm s1a1qe1 ,{ueu-r r,1l t,usl lallaq ]ol e sr qs€J ul{s srq :rellrce IIV iv\ps 41en1ty'16 '00'zzlp-'Euluarre eql ur eq 1I,u uorlca[u1 lxeu sIH 'puelsrepun I 'pr€.Ue ur,l 'qr1e'vr dluo uel no,.{ luepnls P sv ;uo11ra[u1 eLIl tulq Eu1n1E as11ce.td ue3 ial.resqo pup euroJ o1 a4t1 nod plnol6' \ou uotlralut eururelsrquue srq peppeH r1y err13 o1 EuloS al,al 'nol{ go pu11 ,{rarr s,1eq; peep 'no,{ pynorll ano,( ro; u1r\op seuru eql ellr4\ ol erlj e>ll[ nod p1no16 raqlxeluer ol lol P s,lPql qo 'peq o1 oB no.{ uaq,ra, euo }spl eql puv'uld punore le ure8e ueql 'eullqrunl ]e euo puoJes aqJ 'reler* norl'a8esop aql ;o sse13 'urlnsul Jo ]leJJe eprs e sr uorledrlsuo:r 49.{6 :N 'lrJnurelehl aru peqprsa.td urlnsur aq} Jo lreJJe eprs e s,tr lulqt I 'se1 :C zsuoc 'luauoru aql le uoll"dllsuor qlll\ rt\ou Eur 97 pu" z "ralleq :g ieut ]sn[ 1[ s, :V t :8 EIT]II :v V aql ol ln( :B {roN :V :g :vv s,1"qJ :V :8 :v Z r sr leo8 a>1e1 " 1r\oN eurr] oJ arurl uorJ laBro; ureldxa eru lel 4;ros ur,1 ,1a8.roy lqFlt 11e a16 s,]pqJ :g :V 'eurdue eql roJ 'xoC srl ruo.r;8uge;;ns a;,notr 'Fu1qy{rela u.4 op e}!.I^\'se :N Zoot 'u1v\op eseql alu1v\ I IIeqS 'sulru€ll^lllnu lsnf :C lsurue11,r fuu a1e1 no{ oC 'llel ueJ I 'sa1 :N 'srualqord lreaq rno{.ro; e;e salnsder aq1 'uelloB.roJ al.l ZasrnN :oJ eseql ar€ t€ql 'erlloJlell\ al.nol 'd1aq rnod JoJ s{ueqJ 'q8noua dsea s,1eq1 :8 :V e :g 'y6 :y Unit The hospital team A: B: A: B: A: B: A: B: A: A: B: A: A: B: A: B: A: A: B: A: B: A: A: B: A: B: A: Dan, can you come and help me with Ms Marsh, please? No problem She has a rope ladder, so she can pull herself up to a sitting position but she'll need some help to get out of bed Are we going to use a hoist? No, I don't think we need a hoist Ms Marsh onlv weighs about 45 kilos, poor thing Oh, OK Mr Baxter, we're going to help you into your chair You'll be more comfortable for watching the TV Carol is going to lower your bed first And what's that? You've never seen one of these before? Great, isn't it? It's called a banana board Now can you sit up first, please? That's it Now swing your legs over the side of the bed I'm going to put the banana board on your bed and - and now you can slide onto the chair Careful now slowly There you are Kenny, are you ready? We're going to roll you over onto your left side Just a second - my leg OK I'm OK Are you sure? OK, so we'll roll you over Good I'm going to put this slide sheet on the bed and now we'll roll you over again onto your back Hello, is that the Porter's Office? Yes, it is Can I help you? Yes, please This is Sister Marshall from Kelmann Ward, and I'd like a patient transferred to Occupational Therapy, please Certainly Can you give me the name of the patient and the room number, please? Yes, that's Room 211 and the patient's name is Tony Montana Shall I spell that for you? Yes, the Porter's Office, please Yes, you're through How can we help you? Good morning This is Staff Nurse Ania Pershik in Paediatrics I'm calling to ask for a porter to transfer one of my patients to Radiology for his scan No problem Can you give me the patient's details, please? Yes It's Ali Murad, ID number 992163 Good evening, Porter's Office Yes, hello I'd like a [S=Sam; G=Glenda] S: Good afternoon, East Ward Staff Nurse Sam Turner speaking Can I help you? G: Hello, Sam This is Glenda Davies from Pathology Can I speak to Nurse Wright, please? S: I'm sorry, she's on her lunch break at the moment Can I take a message for her? G: Yes, please Can you ask her to call me back? I have Ms Shapiro's test results S: Yes, of course What's your number? G: It's extension 8391 S: OK, so if I can iust check the message: that's Nurse Wright to call Glenda I'm sorry can you repeat your family name, please? S: G: S: Davies D-A-VI-E-S Nurse Wright to call Glenda Davies in Pathology about Ms Shapiro's test results on extension 8391 That's right Thanks very much for your help Goodbye Bye Unit € the el [N = Nurs Mrs N: W: N: C: L' C: L: I Hi, Louis Sorry I'm late I was in the laboratory and I had to wait for some results I'm here to help you with the inventory OK, Cynthia, you can use this scanner and I'll take this one And you scan the items we need to order For example, we need new hospital gowns and sheets for the patient rooms on the fourth floor So you scan the code like this and you enter the number we need We need nine of each To finish that order, press 'enter' on the scanner OK, I understand I know we need to order some more bedpans And we need a lot more gauze and surgical tape OK We also did a lot of blood tests this week during the blood donation campaign, so we need some more specimen tubes and lV bags ordered, tied, changed worked, fixed, stopped disinfected, protected, needed surgi chec you W: N: Yes Ona ten t rioht W: I gue W: No I Here W: Bettt [N Nurs N: = N: E: OKI It's E Onl-r' placr nelgi N: Yon E: N: E: and Sour Wha I like yest{ r hear the s Wec N: go fc Wea you and after I mis : E: The I organised, reviewed, showed, used, continued purchased, passed, decreased participated, decided, included, created, reported N: Yes, gooc mor( abor E: Mys lives porter to transfer a patient of mine, please OK Can I have some details, please? Sure, the patient's name is Karina Abramowicz She's in Room 210 and she needs to go to the Maternity Department As quickly as possible, please OK I just need to take a few more details first I'm ) W: Goo< N' T'm o N: [C=Cynthia;L=Louis] Yes inter N: I can don' you E: [N N: Sure = Nurs Goor nam your DG: Nice N: Now that DG: Yes, N: First DG: I pre 78 6L lnod ')O s,ler{t JI {pdlq etu IIeJ ot aldoad ra;erd I :gq o] sn elrl nod p1no.,rrr leqrvr :uo1lsenb 1sr1g :N 11ec 'eslnoJ Jo 'sa^ :DC e)o reql sl relleq no,{ rrtoul o1 1a3 uet e,^A lpql os lsru suorJsanb autos no,{ 4se ol Fulo8 1sn[ ru,1 ,.,nog :N 'oo] 'no^ Jaeru ol eJrN :CO Surrnp no.{;o arer 3u1>1e1 'seqJeeg eql lp tnof ^els aq TIr^\ ru€el dW puuv s.eueu rl^ 'uoouratJe pooD :N l€dlq = CC :esrnN = N] ,{61 'no,{ laaul ol aolu '11errre.r{g [r1emud9 nI 8urqf,le.,r -roJ rueql pseu I :pelq8ls-]roqs ur.l ,se^ :DC 8ur.reeq asesssl3 paeu nod op ]ng Jo preq ]ou " os 'pl€ Euueeq e J€el\ l.uop no^ /{ll€ulJ puv aIII no{ }l raqqer8 e qlri no^ epr^o.rd uer e A :N 'dn sEu1q1 >p1d o1 ]lnJUJrp ]l pulJ op I ]nq epouuroJ € peeu t.uop I ,oN daporuuroJ e esn oJ paau nof op ro 'aldruexa ro; ';lasrnod dq utootqlpq eq] ot IIe.,!\ noi{ ue3 rnod;o ]se.r aqt lnoqe rvroH pelou s,tpql ,)O ;d111qour '1r :DCI :N lnoqlrr\ aur11 3uo1 e loJ >llp.tr l,uer aldruexe -ro; ,sdoqs eql ol oF ol auerJ 3u111ern e asn ol pesn I pu€ 'se1 :DC Zaruoq eqt ur lJrls 8ur41err,i e asn nod aas :N 'q8noql saurze8eu pear ,{11ea.r 1,uop 'orpe.r eql uo s^\eu aql ol ualsrl pue 'slrods aql loJ AJ dJeoeos.4{eu :DC B ro saurze8Bru ppe.r 'olp€l eql ol uelsll n1 qrlervr no,{ oq :N 'Jrsnlx uerpul Ipuorlrpell puu lp)rsselJ oo] 'Jrsnul^e{rl :Dcl I aEuIop ,)O :N a1t1 nod asle Surql-{uv leql laqueulal ol a^pq ILe^\ ^-n.j dzlcl ddJylu ^., -. - qJlcu lalJuJ 8lq aql qrter'r ,,(llensn I pue - 31q leuulns eql ul lxau aql IIII\ la{rul :DCI uaqlA 1J uo sarup8 pu€ sluuel a{ll I :N :CCI a,uo11o; no.{ op slrods teq1A.sof 'qO :N 'suoos elll I'sa^ :DC l1edrq 'sarqqoq {ue e^eq no.{ oC :N [t1eme,{9 ledlq = gq lesrng = g] 'uraql elEq ',{1a1eun1ro;un'op l 'sa^ :DC 'salnluep ifplv\ eql :earvr no,{ oq no{ >1ueq] /rrou{ o1 sn ro; 1ue1;odur! ^q s,}€qJ :N 's33a ol erFrallu ue I 's33a pup upJ e tou ru.l spupueg :DC Ze{ll },uop no,( spoo; due areqt arv poog :N "' o8ueur 'alddeeuld - lrnrJ puv 3urq1 yo pul{ leqt'e1sed 'drrnr os 'pooJ u€rpul pu€ uellell a^o[ I {;8unq 3u111a8 serrr 'qluou lsel ueql peIS$ I :N :Dcl eull 11a1 nof u"C ise1 'p€s el]]!l v 'arng :! u1 u1 :g :N :g :N 'sal]llqns eql a111r1 Eu111aF 111s ur,1 'a,lrt ssan8 l,rirou lq8rr urcd rnof s[ laqunu leqm ,u1ed lslom aql Eulaq ua1 'TlE lp ur€d ou 3u1aq auo 'ual ol euo uo.rJ elers p uO :N 'spnq ]seqr,{61 'se1 :16 Z1r^r eqterrq no^ ueJ teqt dlaq 11trn >lsplll srql slarrey uaS,txo rnof lcaqe pue salnulul g1 ,{.ta.ra su8rs 1e11,,r rnod a>1e1 ol Eulo8 ur,l :N 'pooc :/ '11errr lue/!\ dra8.rns ssedfq lreaq lno1'astnu uoor fraaolar rnod ru,; 'sa^ aloI 3ur uo ,lel eA\.pa aQ] u JoJ S i srql e 'afqpo lnoqP rnod asl sw e^€ :N :IA reeq no{ ue3 LIIepue \ sr4 :N [1ppua4srl l =/ :es]nN = Nl Zaru eur q]l,!r I PU :DCI eleq no.{ oq 'spoo; elltno.\eJ rno,t ,rrrolq y6 :N dlpuelr;un ro a111odru1 l.uop I 'llelA i.{l8ue our seleur lpqilA :CC a1r1 ld.r8ue no.{ uaql ]noqe alour etu lle] ueJ no^ ,4ru qll.^^ ^\oq 'sreqlo aq];o auos o1 nof aJnpoJlul o] luelr\ I euroo.r 8uru1p aql olur oF e,,r,r 1,uop ,,tq4 qeunl roJ errrr] lnoq€ s,lr ,ua1s11 'aurEeurl uer :N 'aur o1 luelrodutr d;a.t sr ]eutelur daal I oS eppu€J ur salll eqJ'lr€tua fq lreluoc relq8nep pue 'erlerlsny ur ele eJrM slq pue uos fl l dut ;a.Lr1 daql op ereql6 ;,{lrue1 rno,{ lnoqe ]eqm puv slueprsal eql qlll\ rclndod e-rour pup arour s,11 ralnduoe eql asn ol eturl e alJesal o1 eapl poo8 € s,ll'uloot telnduroJ lpurs € a^pq a A.sl elaql ,se1 'ssoJJp Jaulalul sem eleql pres ra8eueu eq1 assaJJp JeuleJur lnoqe leq1A s{ueql,l€q} op }q8lul I u'd t IIIf uado s,11 ZuoouralJe srql frerqrl eq] ol oF no,{ 1,uop dq16 saurze8eu pue sle^ou r{}l,l\ {terqrl 11eus e aleq a,lr ,8u1pear a111 nof Jr puy selrs lpJrrolsrq ol sdul dep esluu8ro osle e A 'spoo.4\ eql olur 'q)paq eql Suole sllervr lroqs ro; oB dllensn 's{[pm arn]eu asrue8.ro a16 aiA reurttrns eq1 pPaJ o] aJuel]€d aq1 aleq ],uop I pup sualqord Sulreaq a^eq I - aroru due n1 a41 dlpar ].uop I lnq fepralsez{ uroo.r AJ aql ry\ps l lol p peel I pue etnleu a{rl I :x Zserqqoq due a.,req nod oq l8urop a111 nod op l?qlA :N ;1ou {q16 'eepl arru e ellt spunos :g e>111 nod;r ^Aol.rourol e.leqt ]no lls pup eJru e s.otaql Mou>l no1 :N {11e1cadsa'srnoqqFrau 06 plnor e A'areq uep.re8 ,.{u pue uepre8 dru - euoq ulAo dtu ssrur f11ea.r are1d 'o8e sfep ;o aldnoc e.{Jug :g urapg s.]l :N ;aarrre nod plp uaq/$ r,ll t,usl aql ot pasn [u1mpg=g:esrnN=N] 's{ueqt ?e]]eg :l zleq] sr ,!roH ']aluelq e s.otaH :N 'plor laal I ln8'oN :lA isnoesneu 1aa; nod oq 'y6 :N :16 espooJ eluno^eJ ^ue er€ oqm aldoad sa{€ru leqlA xalel ld1tue; rno, ees ls€l no,,t prp uarllA ilnJrlneeq ar,.{aq1 ,qy :N 'nze5 s,teql pue 'Elruns ,ua.rppqrpue;3 dtr{ :DO ;oloqd eq1 ur ua.rplrqf, eq] aJ€ oql\ puv :N pueds I uaqin - dsea s,leqJ :CC dgue; ,oS fe1v\.,(ue ;.{ddeq [eeJ nof op ueq/r{ ',,(r1 o1 Suro8 ar,a16 no.{ loJ latsee ll alpru uer am adoq 'luetuotu aq] ]€ nod loJ llnJrJJrp s.1l puelsrapun ,)o s,ll :N I nod os ,acuapuadepul 'esnoq uino dur ssnu :DCI ru,1 ru,[ 'aes I ueple8 ,{rros ,{ur a1r1 ^tu ;fqr* op ueJ ]u rrD^ ,{ :N :DCI elaaJ no{ - {edlq 'areq dep lstr; rno,{ s.ll estno) }o ,se1 :N Apeple eq1 bulssesse pue fuenoceg g ilun -Iau Pearson Education Limited Edinburgh Gate Harlow Essex CM20 2JE England and Associated Companies throughout the world www oearsonelt.com @ Pearson Education Limited 2012 The right of Ros Wright, Bethany Cagnol and Maria Spada Symonds to be identified as authors of this Work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988 All rights reserved; no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the prior written permission of the Publishers First published 2012 ISBN : 978-1-4082-6993-0 Set in ITC Cheltenham Book Printed by Graficas Estella, Spain Acknowledgements The publishers and author would like to thank the following people and institutions for their feedback and comments during the development of the material: Peggy Labat; France; Krystyna Key, Germany; Shobha Nandagopal, Oman; Anke WinklerPrins, USA The publishers would like to thank the following for their kind permission to reproduce their photographs: Alamy lmages: Bubbles Photo Library 4tc, By lan MilesFlashpoint Pictures 4bl, Catchlight Visual Services 16 (A), itanistock 45 (Ali), 54 (2), Medical-on-line 52 (B), Sam Edwards 32c, Science Phoio Library 20 (A), UpperCut lmages 4Iri Arl Directors and TRIP Photo Library: Helene Rogers 10 (D), 20 (B), 52 (A), 52 (C), 52 (D), 66 (B); Corbis: moodboard 54 (3); Courtesy of MEDesign Ltd @ www.medesign.co.uk: 52 (F); DK lmages: Andy CraMord 20 (C); Fotolia.com: Alexander Raths#31062925 35, dotweb.dk#21226728 66 (F), fred goldstein#453082 20 (D), Hakan Krzrltan #34370069 10 (B), Konstantin Shevtsov #77 26133 (A), unamarina#25259948 54 (1 ), Natalia Merzlyakova#28402383 66 (D), romarti#2Ol40160 66 (E), Tom McNemar#36364 66 (C), Yuri Arcurs #22472326 45 (Ted); Getty lmages: Berhard Lang21 , Felbert + Eickenberg 321; Pearson Education Ltd: Jules Selmes 33 (A), 33 (B), Photodisc / Kevin Peterson 33 (C), 45 (Katy), Photodisc / C Squared Studios 66 (A); Photofusion Picture Library: John Birdsall 4tl; Quintal Healthcare Ltd: 52 (E); Science Photo Library Ltd: Dr P Marazzi 16 (B), MarkThomas 4br, PR PH Franceschini 16 (C); Shutterstock.com: James Steidl 10 (C), sima 45 (Suzanna), Supri Suharjoto 32r l Cover i mages: Front Construction Photography: Buildpix l; Getty lmages: David Trainor background, LWA Larry Williams c; SuperStock: Tetra lmages All other images @ Pearson Education Every effort has been made to trace the copyright holders and we apologise in advance for any unintentional omissions We would be pleased to insert the appropriate acknowledgement in any subsequent edition of this publication / education and for employees in training at work Written by health care practitioners, it combines a strong grammar syllabus with the specialist vocabulary and skills that learners need to succeed in their chosen field English for Nursing is designed for students with a basic knowledge of general English, who now require an elementary (CEF level A1-A2) Level course in this specific field It includes: topics that reflect the latest developments in nursing, making them immediately relevant to students' needs clearly defined language and function objectives which are backed up by comprehensive on-the-page language boxes essential online support for teachers, including teacher's notes, fully editable tests and multilingual glossaries a student CD-ROM with interactive glossaries in both British and American English and full course book audio in MP3 format Other titles in the series include: English for Banking & Finance English for Construction English for Information Technology English for Oil & Gas www.pearsonElT com/vocationalenglish [...]... '3u1uuey1 da1 ,1ua11ed aq] teq.r\ uaqJ'0I uolJ suralr alg asooqJ esrnu lr.r.l :lelol e are nod,V luepnls s;red ur >1ro16 (oeaae17 z1 (l//o4 D Oe L dnos e1qe1e0e1 ! ]uoq D OE t dnos o1euol ! po1 (ednc q) Llltm llru 2ge I ! ! (odnc z1 7) (1ru) E) OOt lunouy D Oge ecrnI eOuerg tt f-l ue (aaooe17 z1 D Oge {rm E Lueerc ecl ]uoq D OE t ! ) gy7 acrnl {rrequer3 ! (aoe10 uowel q11rur ee1 (ec;) selcrsdo4 1uoq... ' laay nod y1 g fu / I) ',nou >1 aru 1a1 ' Iaay no,{ y 7 0{ / D 'etu IIet ' laay no,t y1 1 ft / ,1) /v\oDI eur lel ' 'saJuelues asaql elalduoJ pue ualsl'I 'f,zz1p pue parpJs 1ae; nod pue 1ue11ed zl ll uollelcunuold eql erc no g luapnls req/u1q xeler ot lualled eql o] {1el o1 la8ro; l,uoq 'nod dlaq o1 t ul seJuelues aq] esn 'g luepnls uror; aydures poolq E Eu11e1 eJe no1 'esrnu eql eJ" no1 v luapnls... birth for your partner to write down 10 II 'sdals aql I1e dlrlrlre aq1 leadar pue salor dezvrg per\olloJ arreq no,{ leql >lDoqD pu€ ualsrl o1 rpd Jaqloue {se uaqJ 'esrnu d8ololper aql ol lualted aq1 arnpo.rlul 'elqepoJruo) s1 1ue11ed rnod arns e1e1 41 'luatulredaq d8olorpeg aq1 o1 oE ol lue.ry\ daql rtoq lualled aql >lsv lalaleJq ,rqrluapr s,Juerled aql >lJaqJ 'tsel rreql roJ atull s1 11 1ua11ed aql... - esJnu elqlsuodsar B 1o sa ;1; ;enb aq1 'sal1lca[pe eroru rnoJ lseal le eullJepun ueq1, 'ru.ro; arrrle8au ro arrrlrsod aql asn '8 uroJJ sarrtlcalpe qtyv\ alJlu€ s1q1 e 111 odotqFeupeurroJur- e1e1duo3 5 Eupec dlpualry o^rluell? g I v 'wt- to -un'-ut es1 'anl1e8au sangloa[pe eseql e{EI 0{ / D req peau sluaped raq uaqa eullnor raq sa8ueqe eqs pue elqrxeg d;arr s1 1[ eq1n6 esrng 's1ua11ed eql l? slnoqs uauo... s,aqg 'salpaeu o{ll }(useop aqs pue p1o sread 1q81a s1 eqsly V 'poolq sees aq uoqlvr sluleJ eH 'JISnu s08 oJler Eu{e1d 'uo11e1s olper aulluo ue uo fC arull-lred pu" luepnts s)lruouoJe ue ' 61 s1 d;reg ';aq1a8o1 1e aql 11 16 JIOE s,{e1d eg 'sJolJe snoueJ s}eetu ue4o eq pue rellrp lxel e s.aH 'poo1q sarrf oq uaql/\ snoesneu slae; sdeAp eq puB salpaeu a{ll }rusaop sl1oE;e 61 JIJg Jhtr z 'lol e - ueql ]noqe... luervr.ro1de; s.r 61 l,usaop ,{q16 t i8ullea ro1fe1 srIAtr sl leqlA Z ;raq dleq ol esrnu eql 1u3-.vr ro1^{e1 sr6 seop dq16 I 'suollsenb aseql Je^\sue pue up8e uelsl'I 's;pd u1 >1ro16 iolelod lae1n[ a8uero 'ile/v\ laeln[ e8ue.ro ;nod roJ s.t 11 Euldlaq sl - lsnf e >11 ileq6 - 6 e6en6uel I L g V lnoqe rvroH g s,leqJ, aJ.no t a 411 - ;,{epo1 leaur rno,t Hllm alaldruoe pue uelsl'I ro1de1 ;Eugop esrnu aqt sl nod... turen lal dleq 9-I UI zl t t 6u;>1eadg 7 I lo$oq 'sJeMSue rnor{ loaqc pue ure8e uelsrl uaql 'xoq oql ur spJod\ oql qllrvr suolssardxa asaql e1a1duro3 'alqpuoJruoJ 3u11aa1 s1 1ua11ed Jaq leql {JaqJ ol suolssardxa ureyeJ sasn d11ay 0t '0t'I I I 0€' 01 I 00'0t W s1 luarulurodde s,a>1e1 g ',QtpS I alpy I arrDlJ peller sl esrnu ,ffio1o1peg eql t 'la4uDlq I nlacotq I 4ooq e u1q sazrf asrnu eql t (sremsue 7)... 18 9: onela hundred and eighty-nine 956: nine hundred and fifty-six 5 ,12 0: five thousand, one hundred and twenty tn 7396: seven thousand,three hundred and ninety-six Jtntd, ,tr: :l€ lK = 2 :1 a:: Listening 1 I-isten and circle the numbers you hear | 2 3 16 0 19 0 I I 1, 015 I 11 6 4 1, 200 11 9 5 8 011 8 I 6 r.2s 1, 050 I 1, 300 12 5 Work in pairs Write the numbers in words Then practise saying the numbers in 1. .. :g ,suDDtsfqd tJ! sl ataq14 eqs/eq lueurpedap 1ua11ed E 's! alaqt'sa "Y :g Zuoot a)ualaJuo) D ataql SJ ;V ,fi1rr11ce aql lBadel pue salor dervrs uaql 's,l\ou>l lnoqe suorlsenb reuu€d rnof {sV 's.rpd u1 >1. ro16 pug nod uee 1eq16 I ep.r?1v\ s(e^els u1 a8unol ,soslnu eql ul rtueu mog v epJe1v\ s,e^als ul eroql oJe suoll€ls ,saslnu ip.rervr s,d11e; ul suooJ eJueJaluoJ u{ue a;aq1 a;y t ipr" v\ s(e^als ul... oE ol ta11ot1 ttoqt1aaqm I 4c1ls Eurylnrn e sesn e{€f I I 's,llDl! ur spJon lJerro) eq] esooqJ pu€ uorlesreluo) eql;o yed puo]es eq] ol ue]sl'I 6 '1 pue I t e>let pup [11 a ;1 uaa,nlaq '1 Ut S;arvrSUe rnO.{ lJoq) pup 'luaurlredeq d6o1o1peg aq1 o1 EurpoJsa sr eqs luarled e 'esrnu ypls e {1ya; uaa^Uaq uollesraluoc e ;o lred }sJg eqt ol uelsrl '.a>lef pue g 6u;ue1s ;1 ; / apor eql / aseald ' / edrms 1 uer ... | 16 0 19 0 I I 1, 015 I 11 6 1, 200 11 9 8 011 8 I r.2s 1, 050 I 1, 300 12 5 Work in pairs Write the numbers in words Then practise saying the numbers in and to your partner 3 1, 200 A 2,500 3,450 5.66 1. 76... '3u1uuey1 da1 ,1ua11ed aq] teq.r uaqJ'0I uolJ suralr alg asooqJ esrnu lr.r.l :lelol e are nod,V luepnls s;red ur >1ro16 (oeaae17 z1 (l//o4 D Oe L dnos e1qe1e0e1 ! ]uoq D OE t dnos o1euol ! po1... s1ql ala1duro3 L 6u ;11 r14 'uollBJIpelu aq] raqe uoouraup s1q1 (r*o1s) ere slualuelou '1eer8 s,leql ldepol (ttarvt) lol e llrls s,areql '8al lqEU,ttu ueql 'o8e s4eervr ]JII o1 Ea1 4ay s,d 111 1