English For Nursing Students Ii

HEALTH POLYECHNIC OF SEMARANG
NURSING STUDY PROGRAM OF BLORA
ENGLISH
FOR
NURSING
STUDENTS II
[Document subtitle]
SUTARMI;TEGUH W,
TARYATMO, M. MAHMUD
ENGLISH FOR NURSING II 2020
CHAPTER I
THE HOSPITAL
A. READING
The earliest hospitals date back to the ancient pre-Christian empires of India, Persia , Egypt,
Greece , and Rome. Treatment of the ill was often closely associated with religious practice. In Egypt,
medical instruction and treatment were given by priest, while in Rome and Greece the ill gathered in
temples where they would spend the night in the hope of receiving a divine cure.
Charity hospitals appeared, first in Rome, and later in other parts of Europe in the Middle Ages,
under the influence of Christianity. Hospitals became well established, both in monasteries of Europe and
in the Muslim empire of the East. The later were highly developed as in the hospital founded in Cairo in
1283, which had separate sections for woman and for patients with fever and eye diseases.
Hospital development received its greatest stimulus in modern times from discoveries concerning
the nature of infection. The success of the Scottish surgeon Joseph Lister in reducing postoperative infection
through the use of antiseptic phenol (carbolic acid) opened the era pf aseptic surgery and helped
establish the hospital as a place where the bacteria-free conditions necessary for surgery could best be
achieved.
The development of X-ray, of elaborate medical apparatus, and of complex laboratory
procedure foe examining blood, urine, and spinal fluid has given the modern hospital a strategic rule
diagnostic and therapeutic procedures and team medical practice which represent the best combined
capacities of modern medicine.
B. VOCABULARLY
TERMS ENGLISH INDONESIA
Acute disease Very serious and quickly become severe disease
Chronic disease A disease suffered for a long time
ENT Short for ear, nose, and throat
Maternity service Service that has something to do with giving birth
Otopedics The branch of medicine concerned with injuries and
diseases of bones or muscles
Pediatric service Service on a branch of medicine concerned with injuries
and diseases of bones or muscles
Psychiatry The study and treatment of mental illness
Restraint An act that limits or controls something because it is
necessary to do it
Surgical condition Condition that has something to do with operation
Antiseptic phenol Poisonous white chemical that kills bacteria used as
antiseptic (carbolic acid)
Aseptic surgery Surgery that is free from bacteria
Charity hospital A hospital for the poor
Cure (v) ; cure (n) To make an illness go away
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Diagnostic (adj); Connected with identifying something, especially illness

Diagnose(v);
Diagnosis (n)
Diagnostic procedure Procedure for finding the exact illness
Hospital A place where sick or injured people are given
medical treatment or care
Postoperative infection Infection after an operation
Spinal fluid Liquid of backbone
The nature of infection The characteristic of infection
Therapeutic (adj) Design to help treat an illness
Therapeutic Procedure of curative treatment
Treatment (n); treat (v) Something done to cure illness or injuries
x-ray apparatus An instrument for Rontgen
C. EXERCISE I
Choose the correct word/phrase in the list to fill out the space g each sentence in the following sentence.
Only six words/phrases are used.
a. Antiseptic phenol b. Aseptic surgery
c. Charity hospital d. Cure
e. Diagnostic procedure f. Nature of imperfection
g. Spinal fluid h. Therapeutic procedure
I. Treatment j. X-ray apparatus
1. In the area of …, an operation room is supposed to be free from bacteria
2. Many people cannot go to a property hospital because the cost is very expensive. They go to…
3. To make the bathroom free from germs, people use a kind of antiseptics called….
4. In spite of using the correct…, sometimes it is difficult to find the exact illness.
5. Long time ago, hospital was a place for …, but nowadays it is also a place for…
D. EXERCISE II
Cross the correct word to fill in the blank space of each of the following sentences a, b, c, or d!
1. He never complained about any serious disease before people said that he died yesterday of …
heart attack.
a. Chronic
b. Acute
c. Expected
d. Previous
2. The nurses took to the … ward because she was expecting a baby.
a. ICCU
b. ICU
c. Maternity
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PROGRAMME 2
d. Laboratory
3. Because of her …, she was not allowed to work hard.
a. Mental illness
b. Surgical condition
c. Good spirit
d. Physical strength
4. It is wise for the patient with heart attack to … eating the meat of animals.
a. Restraint
b. Restrain
c. Restraining
d. Restrained
5. The baby is seriously ill. It should be taken to the … immediately.
a. Pediatrician
b. Orthopedic an
c. Maternity ward
d. Psychiatry
E. GRAMMAR
Structure focus: English sentence
Arrange the following words/phrases to make good sense!
1. The patient – successfully – yesterday morning – operated on – the surgeon.
2. The ICCU – suffering from – was taken – the heart attack – the patient – to
3. The man – the medicine – Orally – could not take – because-injected – it intravenously – the nurse.
4. The new comer patient – a very contiguous disease – was taken – suffering from – the isolated
room – to
5. Mexican flu – Swine flu – instead of – prefer to say – people.
CHAPTER II
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PROGRAMME 3
THE HOSPITAL TEAM
A. CONVERSATION: WHO WORKS IN A HOSPITAL
Joe starts to work in a public hospital as a nurse. Today, he is having training with the manager of the
hospital.
Manager : Welcome to Queen Hospital. I do hope you can work best here.
Joe : Thanks a lot, Mrs. Janette. I also hope that I can work well here.
Manager : Today, I am going to explain you the hospital team.
Joe : Sure.
Manager : A hospital is like a city. It needs thousands of people to run it. Furthermore, they must
work together in order to run everything well. Do you know what the highest position in
hospital is?
Joe : A hospital manager.
Manager : You’re right. This hospital has two big teams. The first is clinic department, and the second
is non-clinical clinical.
Joe : I see.
Manager : The clinical department consists of doctors, nurses, and pharmacists.
Joe : So I am in the clinical department, aren’t I?
Manager : Yes, you are. All the members of this team must perform good team work. Therefore, all
the duties can be performed well.
Joe : Sure.
Manager : The clinical department is divided into several units. So you will be in the pediatric unit.
Joe : I see.
Manager : I do hope you can work well here with team. Let me introduce the members of your unit.
Joe : Sure.
B. HOSPITAL TEAM
A hospital is usually divided into two parts, clinical unit and non-clinical unit. The following
are workers in a hospital
Clinical Unit Hospital Jobs

1. Animal-assisted therapy
2. Advanced practice nurses (An APN is an RN who has taken additional training beyond
nursing school)
3. Anesthesiologist (who administers medicine during surgery to help you relax and fall
asleep).
4. Attending physician
5. Cardiologist
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6. Clinical nurse specialist (A CNS provides a wide range of care in hospitals, clinics, nursing
homes, private offices, and community health centers ).
7. Certified registered nurse anesthetist (A CRNA specialize in giving and monitoring
anesthesia).
8. Dietician
9. Doctor on call
10. Endocrinologist
11. Fellow
12. Gastroenterologist
13. Hematologist
14. Hospitalist
15. Licensed practical nurse (LPN provides basic care).
16. Medical Assistants
17. Medical Lab Technologist
18. Medical student (who are training to be doctors).
19. Nephrologists
20. Neurologist
21. Nurse (CRNA, RN, LPN/LVN, CNS)
22. Nurse practitioner (An NP has additional training in a particular area, such as family
practice or pediatrics).
23. Oncologist
24. Otolaryngologist
25. Psychiatrist
26. Psychologist
27. Pulmonologist Pharmacists
28. Physician (ER doctors, surgeons, hospitalists).
29. Physician assistant (PA work under the supervision of a doctor).
30. Registered nurse (RN gives medication, performs small procedures such as drawing blood,
and closely follows a person`s condition.
31. Resident (A doctor who has graduated medical school and is now training in medical
specialty area).
32. Rheumatologist
33. Specialists
34. Surgeon
35. Other Medical Staff
36. Child life specialist (offer comfort and the chance to talk about feelings).
37. Dietitian
38. Health educator (specialist who works as part of a medical team, teaching patients about
a particular health condition and how to manage it).
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39. Occupational therapist (work with people to improve coordination and motor skills).
40. Pet therapy volunteer
41. Pharmacist
42. Physical therapist
43. Respiratory therapist
44. Social worker (focuses on improving the emotional well-being of kids and their families,
and helps coordinate health care).
45. Speech-language therapist
46. Volunteer
47. Techs (Radiology Tech, Ultrasound Tech)
48. Therapist (Physical Therapist, Radiation Therapist)
Non-Clinical Hospital Jobs

1. Case manager / Social worker
2. Accountants
3. Human Resources & Recruiting
4. Executives – CEO, CFO, CIO
5. Information Technology
6. Administrative Assistants
C. GRAMMAR
Fill the following sentences with the appropriate tenses!
1. Surgeons (performs/are performing/ perform) operations right now
2. A midwife (delivers/ delivering/ deliver) babies
3. A paramedic (responds/is responding/respond) to an emergency
4. (Do you work/does you work/have you working) in a hospital?
5. I (want/wanting/wants) to qualify as a pediatrician.
6. I like (to working/working/work) in a hospital.
7. Nadine (has undergone/is undergoing/undergoes) the therapy twice.
D. VOCABULARY
Complete the following sentences with the words in the list.
a. Nursing officers e. Challenging
b. Auxiliary nurses f. Medical
c. Part-time g. Rewarding
d. Qualified h. Apply for a job
1. This hospital only hires well _____________staff

2. _____________often work in administration.
3. Not many students can do a______________ job while studying
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PROGRAMME 6
4. This new work is ______________for me

5. Contact with patient must meet ________________ procedures.
6. ______________ are on the bottom grade of an institution.
7. I am a psychiatric nurse. My job deals with _________________in mental health.
8. All applicants must send a CV when they_________________.
E. READING
Read the following passage and answer the questions
A multidisciplinary team involves a range of health professionals, from one or more organizations,
working together to deliver comprehensive patient care. The ideal multidisciplinary team for the
delivery of the Health One NSW model of care includes: general practitioners, practice nurses,
community health nurses, allied health professionals, and health educators.
Multidisciplinary teams convey many benefits to both the patients and the health professionals
working on the team. These include improved health outcomes and enhanced satisfaction for clients, and
more efficient use of resources and enhanced job satisfaction for team members
To ensure optimum functioning of the team and effective patient outcomes, the roles of the
multidisciplinary team members in care planning and delivery must be clearly negotiated and defined.
This requires: respect and trust between team members; the best use of the skill mix within the team;
agreed clinical governance structures; agreed systems and protocols for communication and interaction
between team members. These issues are complex and achievement of the can
Involve significant change to work practices and organizational arrangements, as well as
multifaceted implementation strategies.
Answer the Following Questions!

1. What is the best title for the text ?
2. What is the text about ?
3. What does multidisciplinary team deal with ?
4. What are the benefits of multidisciplinary team ?
5. What are needed to conduct strong multidisciplinary team ?
F. WRITING
Write your profile in the following space provided. Your writing must explain:
1. Why you learn nursing;
2. What you are doing now;
3. Why you want to becomes are nurse; and
4. What your career plans.
TEAM ENGLISH INDONESIA

Acute disease Very serious and quickly become
severe disease
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PROGRAMME 7
Chronic disease A disease suffered for a long

time
ENT Short for ear, nose, and throat
Maternity service Service that has something to do
with giving birth
Orthopedics The branch of medicine
concerned with injuries and
Diseases of bones or muscles
Pediatric service Service on a branch of medicine
concerned with injuries and
diseases of bones or muscles
Psychiatry The study and treatment of
mental illness
Restraint An act that limits or controls
something because it is necessary
to do it
Surgical condition Condition that has something to
do with operation
EXERCISE
Cross the correct word/phrase to fill in the blank space of each of the following sentences a, b, c, or d!
1. He never complained about any serious disease before people said that he died yesterday of …
heart attack.
a. Chronic
b. Acute
c. Expected
d. Previous
2. The nurses took to the … ward because she was expecting a baby.
a. ICCU
b. ICU
c. Maternity
d. Laboratory
3. Because of her …, she was not allowed to work hard.
a. Mental illness
b. Surgical condition
c. Good spirit
d. Physical strength
4. It is wise for the patient with heart attack to … eating the meat of animals.
a. Restraint
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PROGRAMME 8
b. Restrain
c. Restraining
d. Restrained
5. The baby is seriously ill. It should be taken to the … immediately.
a. Pediatrician
b. Orthopedic
c. Maternity ward
d. Psychiatry
DISCUSSION QUESTIONS
Discuss the following questions with the class!
1. How many categories can hospitals be classified? What are they?
2. What do you mean by acute and chronic attack?
3. Explain the meaning of general and specialized hospital!
4. Can you give an example of a patient who needs restraint technique of treatment?
5. What did special treatment of mentally ill patients lead to?
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PROGRAMME 9
CHAPTER III
NURSING DEPARTMENT
A. READING
NURSING STAFF
Nursing services are essentials to care for the personal needs of patients, to assist the doctors in their
diagnosis and treatment, and periodically to record their observation of patients. Nursing departments are
usually organized by patient wards or units. For each unit, there is a head nurse or charge of nurse, under
whom are a number of registered nurses and in some cases student nurses, practical nurses, aids, and
orderlies.
A group of patient units-usually for related medical specialties-is in the charge of nursing supervisor
who is concerned with the standards of care and general well-being of the patients in those units. The entire
nursing program is headed by a director of nursing with assistant directors in charge of evening and night
shift and other special responsibilities.
A recent development of nursing is progressive care, in which patients are cared for in units
arranged and staffed according to the degree of patient disabilities and intensity of care request. There
are three basic levels of care: intensive, intermediate, and limited. These levels differ chiefly in the amount
of nursing and personal care required, the complexity of the patient treatment, and the degree of the
patient’s abilities. The more the patient is able or permitted to do for himself, the less nursing personal care
are needed. Progressive patient care is aimed at improving the overall needed. Progressive patient care is
aimed at improving the overall qualities and effectiveness of hospital care.
Ward nurses are responsible for the execution of medical order and the administration of
medication. They also assist the medical staff in diagnosis and treatment of patients. In modern hospital
practice, nurses are restricted to professional nursing duties and have been largely relieved of the clerical
and housekeeping tasks which formerly consumed much of their time.
Philip D. Bonnet
B. VOCABULARLY
Term English Indonesian

Blood transfusion Injection of bottled human blood
into a patient
Diagnose Say exactly what an illness or
the cause of a problem is
Dressing A bandage that usually covers
the stitches after a surgery
procedure
I.V Short for intravenous
Licensed practical nurse A nurse who has completed a
course in nursing school
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PROGRAMME 10
Nurse A person whose job is to take

care of sick or injured people
Nurse’s aid A person without a nursing
degree who assist the nursing
staff
Nurse’s station Central area on the floor where
nurses are based
Nursing director A nurse responsible for the
nursing staffs in a hospital
On duty Term used to refer to the time
when an employee is to work
Medical Orderly A person who assist with various
routine nursing duties
Registered professional nurse A nurse who has completed a
two four year course at an
approved nursing school and has
been licensed to practice after
passing an official examination
Shift Period of duty
To duty To prepare a patient, for
example, operation
Vital signs Indications of life in a patient
Ward A room with many beds
Well-being Good bodily health
C. EXERCISE
Match each word/phrase in the column at the left with its meaning on the right!
1. Nursing director a. Tour of duty
2. Registered professional nurse b. The on who is allowed to practice
3. Licensed practical nurse c. A place for patients in a hospital
4. Orderly d. To find the cause of an sickness
5. Diagnose e. Covering for injuries
6. Well-being f. The duty is to oversees nurses
7. Ward g. Helping nurses in general
8. On duty h. Time for working
9. Shift i. Qualified as an expert in nursing
10. Dressing j. In good condition
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PROGRAMME 11
D. GRAMMAR FOCUS
Structure focus : Active participles ( ing - form) and passive participles (ed - form)
Replace the underlined clause in each of the following sentences with its participial phrased !
e.g. a. The man who entered the room is a young famous surgeon.
The man entering the room is a young famous surgeon.
b. The man who was carried to the emergency room is a victim of hit-and-run.
The man carried to the emergency room is a victim of hit-and-run.
1. When the sick woman entered the hospital, she began dying.
2. Because her family was confused, they did not know what to do.
3. The doctor shook his head while he said he could not help her.
4. I am familiar with the doctor who wrote the prescription.
5. The prescription that is left on the table is mine.
Arrange the following sentences to make a good paragraph and use the sequence of place!
1. The emergency room is situated in the first floor, close to the front office.
2. The fourth floor is for patients suffering from contagious diseases.
3. The operation room is rather separated from the main building not far from the radiology.
4. Delivery and maternity units are in the second floor far from the wards of contagious
diseases.
5. Some of special wards are in the third floor.
6. Each floor has its own nurse’s station.
E. WRITING
1. Why do you think that nursing services are very important for the doctors?
2. How are the nursing departments usually organized?
3. How are units usually organized? and who is in charge of each unit ?
4. In recent development, what do you mean by a progressive care? How are units arranged
and staffed?
5. In the modern practice, what do nurses not do?
Write your profile in the following space provided. Your writing must explain:
1. Why you learn nursing;
2. What you are doing now;
3. Why you want to becomes are nurse; and
4. What your career plans.
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PROGRAMME 12
CHAPTER IV
THE SURGICAL WARD
A. READING
Jane Johnson works in a surgical ward in a London hospital. Jane does Shift work, so she does not go
to work at the same time every day. When she is on an early shift, she goes on duty at 7 a.m. and comes
off at 3 pm late shifts start at 2 pm and finish at 10 p.m.
Jane does not like late shift. Jane always goes to work by bus when she is on an early shift. The bus
stops outside the outpatient department. When she in on a late shift, Jane generally walks from her home
to hospital. When she comes off duty at 10 p.m., she is usually rather tired, and takes the bus home.
Sometime she goes to the taxi – rank outside the main entrance of the hospital and goes home by
taxi. Jane is not a qualified nurse. She is a student nurse, so she does not work in the ward every day.
On certain days, she has to attend lectures on general nursing, anatomy and physiology, hygiene and
various subjects. She wants to pass the final examinations and become a state registered nurse. As a state
registered nurse she becomes a staff nurse and can, in time, become a nursing officer.
Answer the Following questions

1. Where does lane Johnson work?
2. At what time does she go on duty when she is on an early shift?
3. When does she come off duty when she is on an early shift?
4. At what time do late shift start?
5. When do late shifts finish?
6. When does Jane go to work by bus?
7. Where does the bus stop?
8. When does she take the bus home?
B. NAMES OF WARD AND DEPARTMENT IN HOSPITAL

TERMS INDONESIAN
Medical ward : CSSD :
Surgical ward : Admission dept. :
Pediatric ward : Nutrient dept. :
Maternity ward : Body death room :
Delivery room : Pharmacy :
Laundry dept. :
Operating theater : X- ray dept. :
Out patient dept. : Information Center :
Emergency room : Dispensary :
Nurse station : Dentistry clinic :
ICU : E.N.T :
CVCU : Pediatric clinic :
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PROGRAMME 13
Orthopedic ward : Laboratory room :

Geriatric ward : Doctor's lounge :
Perinatology : Nurse's lounge :
Vocabulary Late shift :
Early Shift : Comes off :
On duty : Tired :
Out Patient Dept. : Attend :
Taxi rank : Lectures :
Main Entrance : Become :
In time : State Registered Nurse:
C. CONVERSATION
Carol : Hi! Tom, good to see you again. How are you doing?
Tom : Hello! Carol, pleasure to see you again. I am fine and you?
Carol : Pretty good, thanks.
Tom : By the way, where do you work now, Carol?
Carol : I work in Arneza Hospital.
Tom : Working in Hospital! What do you do there?
Carol : I am a nurse. I take care some patients there.
Tom : That's sound interesting and what ward do you work in Arneza Hospital?
Carol : I work in the surgical ward and what about you?
Tom : You mean 'where do I work'?
Carol : Yes.
Tom : Well Carol, I work for Dr. Frank's clinic.
Carol : What do you do in Dr. Frank's clinic?
Tom : I am a lab technician.
Carol : Oh. Really? It's a good job.
Tom : Yes, it is.
D. WORD POWER: WORK PLACES AND JOBS

a. How many work places can you find for each job in a hospital
Work places Jobs
Operating Theatre ________ an Anaesthetist ____a Lab Tech.
1. Out Patient Department ________ a Nurse ____a Paediatrician
2. Medical Ward ________a Midwife. ____an Obstetrician
3. Nursing Department ________ a Physician ____a Surgeon
4. Laboratory Dept. _________a Radiologist ___an Ophthalmologist.
5. Maternity Ward ________ a Dentist ____a Cardiologist
6. Mental Illness Hospital ________ a Physic iatric ___ a Pathologist
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PROGRAMME 14
7. Radiology Dept. ________ a Director of nursing service.
4. GRAMMAR FOCUS
+ Subject Verb I+ s/es Object

- Subject Do/Does + Not Verb I Object
? Do/Does Subject Verb I Object
Examples:
1. I buy a kidney dish in pharmacy (+)
I don't buy a kidney dish in pharmacy (-)
Do l buy a kidney dish in pharmacy (?)
2. Ns. Shanty brings her sister to hospital (+)
Ns. Shanty does not bring her sister to hospital (-)
Does Ns.Shanty bring her sister to hospital (?)
Exercise
Complete the sentences. Use the correct form of these verbs.
Boil close cost cost drink have have
Like meet open teach wash speak go
1. Dr. Stuart is very smart. She speaks four languages.
2. Rosalyn __________ four cups pf tea a day.
3. Shanty and I usually ___________dinner at 7 o’clock.
4. I _______ movie. I often ________to the movie with my friends.
5. Water ________ at 100 degrees Celsius.
6. In my hometown, the Bank __________ at 9 o’clock in the morning.
7. The city museum _________ at 5 o’clock on Saturday.
8. Food is expensive. They ________ a lot of money.
9. Shoes are expensive. They __________ a lot of money.
10. Sue is a teacher. She __________ English to young children.
11. Peter __________ his hair everyday.
12. Your job is very interesting. You _________a lot people
13. An insert __________ six legs.
5. GRAMMAR FOCUS: MODAL
Expressing Positive
Can Ability and Mr. John can come to the party. Can + Main verb
Possibility (Present I can sing a song beautifully. Can + not - Can’t
form) Can you inject antibiotic? For present and future
Exercise:
Exercise: Exercise:
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PROGRAMME 15
Could Ability and She could sing a song when she was Could not - couldn’t
Possibility young For past form
Exercise: Exercise: Exercise:
May and Possibility It may rain tomorrow. For present and future.
Might Maybe John is sick. Maybe - adverb
John may be sick. (perhaps)
May be - verb form
May and Permission She may examine me, now. May is more formal than
Can Ms. Jane can call a nurse. Can.
Should, Advice My instruments are dirty had better - This is a good idea
Ought to, wash them - This is a good advice
Had For present and future
better Exercise: Exercise: Exercise:
Have to, Necessity I have a very important test - The idea is necessary
Must, tomorrow. - Have got to for
Have got I have to study tonight. informal speech and
to I have got to (gotta) study to night. writing.
I must study to night.
Do not Lack of necessity I finished all of my homework this The idea is not necessary.
have to afternoon, I don’t have to study
tonight.
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PROGRAMME 16
Must not Prohibition Mr. Tony, you must not smoke here. Don’t do this
a. EXERCISE A
Complete the sentences by using can/couldn’t. Use the expressions in the list.
a. Call you f. Go to the movie
b. Come to class g. Listen the music
c. Do my homework h. Smoke his pipe
d. Get into my car i. Use the pay phone
e. Go swimming j. Watch TV
1. I ___________ last night because I was to tired.

2. I ____________ today because my telephone is okay now.
3. Rosalyn _____________ yesterday because her TV set is broken.
4. Tony _____________again because he will buy matches tomorrow.
5. The teacher ______________ yesterday because he was sick.
6. Next week, my friend will repair my record player, so I _________ again.
7. Today, she ___________ for long distance call.
8. Shanty _____________ yesterday because the water is too hot.
9. Arnez _____________ because I give my key to her last week.
10.Next Saturday Rosalyn and I ____________ together because I am free.
b. Exercise 2
Complete the sentences by using should, ought to, or had better. Use the expressions in the list.
Call the police Find a new girl friend Speak English everyday
Drink a glass of water
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PROGRAMME 17
1. A. I have a toothache, this tooth is hurt, what should I do?

B. --------------------------------------
2. A. Rosalyn wants to improve in English, what should she do?

B. ---------------------------------------
3. A. Someone stole his motor bike, what should he do?

B. --------------------------------------
4. A. I asked Rosalyn to marry me. She said no, what should I do?
B. -----------------------------------------
5. A. My wife snores. I can’t get to sleep at night, what should I do?

B. --------------------------------------
CHAPTER V
MEDICAL INSTRUMENT
A. Medical Instruments
1. Medical instruments are used for measuring vital signs
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PROGRAMME 18
A watch A TPR / BP or art of book

(to calculate pulse/ resp. Rate) (to record the result of TPR & BP)
A Thermometer A Stethoscope
(a measure body temperature) (to listen the sound of artery)
A Sphygmomanometer Thermometer jar

(to measure blood pressure) (to keep thermometer)
A tray/ a trolley Gauze/ tissue

(to bring the instruments) (to keep dry thermometer)
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PROGRAMME 19
This is a needle holder. That is a syringe. These are gloves.

(to hold a needle) (to inject liquid) (to put antiseptic solution)
Those are crutches. Plain dissecting forceps IV catheter

(to support disable (to handle sterile dressing) (to give liquid into vein)
“P” to walk)
Desk sphygmomanometer Bowl stand Gauze

(to measure B/P) (to hold the bowl) (to cover the wound)
Suture scissors Urine specimen glasses artery forceps

(to take out stitches) (to collect/measure urine) (to camp the artery)
Screen/room cubicle Bandage scissors Bowl (to bring

(tp give privacy of P) (to cut the bandage/gauze) same water)
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PROGRAMME 20
Cylinders Examining couch Forceps

(to keep big forceps) (to examine the patient) (to used sterile gauze)
Urine catheter
(to take out the urine)
Now practice these medical instrument bellow using possessive adjective and possessive pronoun and are
they for?
Hot water bottle Stretcher Laryngeal mirror

(..............................) (..............................) (..............................)
Tower clip vagina speculum scarcer handle art blade

(..............................) (..............................) (..............................)
Otoscope Spitting mug Instrument tray a cover

(..............................) (..............................) (..............................)
Dressing jar Urinal Bedpan

(..............................) (..............................) (..............................)
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PROGRAMME 21
Infusion stand/pole infusion set reflex hammer

(..............................) (..............................) (............................)
Teethe forceps A wheeled stretcher foot step

(.....................) (..............................) (..............................)
B. EXERCISE
1. WRITE 20 MEDICAL INSTRUMENTS AND USAGES!
2. WORKING WITH YOUR PEER GROUP TO EXPLAIN YOUR EQUIPMENTS IN FRONT OF THE CLASS!
CHAPTER VI
NURSING PROCEDURE
A. CONVERSATION
A Nurse Comes To Mr. Jack’s Room To Take His Vital Signs
Nurse : Good morning, Mr. Jack.

Mr. Jack : Good morning too, Nurse.
Nurse : How are you doing now, Sir?
BLORA NURSING STUDY
PROGRAMME 22
Mr. Jack : I am feeling terrible.

Nurse : Terrible! What is going on with you?
Mr. Jack : I have pain on my head.
Nurse : I see, do you have any else complaint, Sir?
Mr. Jack : And little stiff on my leg.
Nurse : Okay, Mr. Jack, let me check your blood pressure and your temperature first.
Mr. Jack : Yes, please.
Nurse : Would you mind laying down on your bed, please?
Mr. Jack : No problem.
Nurse : Can I have your arm, Mr. Jack?
Mr. Jack : Here it is.
Nurse : Good. Will you roll your sleeve up, please?
Mr. Jack : Yes.
Nurse : Good, now, I want to put this cuff around your upper arm then I’ll search your pulse
(brachialis artery) on your inner of lower arm.
Mr. Jack : Okay
Nurse : Now, I am going to pump this bulb to inflate the cuff, maybe you will have tingling on
your fingers for a while but it’s okay.
Mr. J : I see.
After the nurse pumps the bulb to inflate the cuff then she puts stethoscope over brachialis artery and
listens the sound of artery (corotcof) from beginning to ending, after she gets the result of B/P, she releases
the cuff then puts it back onto trolley.
Nurse : Well, Mr. Jack, I am going to check your temperature now?

Mr. Jack : Okay.
Nurse : Could you raise your arm because I’ll put this thermometer on your armpit?
Mr. Jack : Like this nurse?
Nurse : Yes, thanks (then the nurse puts it at his armpit) and now place your left hand on your
shoulder for a moment.
Mr. Jack : With my pleasure.
Nurse : Very good.
After 5 minutes, she takes thermometer back from Mr. jack’s armpit.
Nurse : Well, Mr. Jack, your blood pressure is high enough, it’s about 160/90 mmHg and
temperature 37,5oC, pulse 88 bpm, RR : 20x/m, I will report to Dr. Frank about your complaints. I’ll be
back in a few minutes.
Mr. Jack : Thank you very much, Nurse.
Nurse : Welcome.
B. VOCABULARLY
1. Special Terms
Term English Indonesian
Cardiac care unit A hospital specialized in the care of patient
with cardiac conditions that require continuous
monitoring and treatment
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PROGRAMME 23
Cardiology medical specialty on heart problem

Delivery room A room where a mother give birth the baby
Department of surgery The medical department responsible for
performing operation on patients
Electrocardiograph Machine recording heart movement through
electronic impulses
Maternity floor The part of the hospital where mothers give
birth to babies and are cared for afterwards
Maternity unit The one for mothers who give birth to their
babies
Medical department A division of medical services in the hospital
that offers diagnosis and treatment in one
area
Newborn nursery Caring newborn babies
Pediatric unit The one specially designed for children
Premature newborn Babies born before the normal time
2. Exercise
Choose the correct word/phrase in the list to fill out the space of each sentence in the following
sentences. Only five words/phrases are used.
a. Medical department
b. Maternity unit
c. Delivery room
d. New-born nursery
e. Premature
f. Paediatric unit
g. The department of surgery
h. Cardiac care unit
i. Cardiology
j. Electrocardiograph
1. The normal baby is in the womb of its mother for 9 months and 10 days, but the new-born baby
was only 8 months and 15 days. Its belongs to …
2. The doctor wants to be specialized in the problem of heart. So he takes … as his major subject.
3. The young woman is expecting a baby. I think it is the time for the nurse to take her to …
4. The patient needs operating. It is wise him to go to …
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PROGRAMME 24
5. … should be separated from any other units to avoid the babies from being infected by
contagious Diseases.
C. GRAMMAR FOCUS
Structure focus: To-infinitive, Infinitive and Verb -Ing
Supply the correct form of each of the verbs in the brackets!
1. The patient did not like the doctor to give any injection, so he only gave some oral
medicine ... (take).
2. Her sister was very happy ... (hear) that she had recovered from her illness.
3. I heard the doctor ... (say) that he had done everything possible but he could not save his
life.
4. Because of my business, I forgot ... (visit) my friend in the hospital.
5. I am sorry it is high time for me ... (leave) now because the visiting time is only half an hour
left.
6. The doctor advised the visitors … (not talk) too much to the patient. He needed a lot of
rest.
7. He suffers from high blood pressure. So he avoids (take) too much salt.
8. Because he did not want the IV injection, the doctor let him … (take) the medicine orally.
9. She is expecting a baby and is predicted … (deliver) her baby next three days.
10. The hospital did not want to discharge the young mother and her baby before … (pay)
the hospital fee.
D. PRACTICE
1. Working with peer group
2. Make a list the instruments to take a blood pressure
3. Write a procedure to take a blood pressure
CHAPTER VII
NURSING PROCEDURE
A. CONVERSATION
Let Me Inject This at Your Buttock, Sir!
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PROGRAMME 25
Nurse Rosalyn comes to Mr. Black room. She wants to give pain killer injection to him
Nurse : “good morning, Sir how are you feeling now?”
Mr. B : “I am falling bad, Nurse. I still have pain on my leg, i can’t stand it anymore.”
Nurse : “yes, I understand it, I came here to give you pain killer injection.”
Mr. B : “really! Oh... you’re very good nurse”
Nurse : “okays, I am going to prepare the instruments and wash my hands first.”
Mr. B : “Please.”
Then the nurse takes instruments for intramuscular injection, such as.
 Syringe 3 ml
 Alcohol swab
 Pain killer injection ampoule
 Medication administration record
 Disposable gloves
 Kidney dish
 Then withdraws 2 ml of pethidine.
Into syringe and comes back to Mr. Black room.
Nurse : “Now, would you lay into your tummy, please?”
Mr. B : “No, problem.”
Nurse : “very good, and now would you mind lowering your pant down, please?
Mr. B : “No, I don’t mind.”
Nurse : “Thanks, now I am going to put on this glove.”
Mr. B : “good”
Nurse : “firstly, I will clean the site of injection using this alcohol swab (on dorsa gluteal muscle), please
don’t move while I am injecting this medicine okay, sir!”
Mr. B : “yes”
Nurse : “and now inject this needle quickly and firmly with 90 angles and then pulls back on plunger to
aspirate medication, if no blood in syringe and i will inject medication slowly. After that withdraws it then
applying alcohol gently over site and massage site lightly.”
Mr. B : “is it finish, nurse?”
Nurse : “yes, sir.”
Mr. B : “thanks a lot”
Nurse : “your welcome”
B. GRAMMAR FOCUS
FUTURE TENSE WITH BE GOING BE GING TO

+ SUBJECT Am/is/are Going to Verb 1
- SUBJECT Am/is/are not Going to Verb 1
? SUBJECT SUBJECT Going to Verb 1
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PROGRAMME 26
Note :
1. Use be going to far an intention (what we have decided).
2. Use be going to far a prediction.
3. Adverb of time for future tense is; tonight, tomorrow, tomorrow after-noon, next week, next month,
next year, next summer, next weekend, by the end of the week.
Example
1. She is going to prepare the instruments (+)
She is not going to prepare the instruments (-)
Is she going to prepare the instruments (?)
2. We are going to come to Ms. Arnez party tomorrow(+)
We are not going to come to Ms. Arnez party tomorrow(-)
Are we going to come to Ms. Arnez party tomorrow(?)
C. EXERCISE
Complete the sentences. Use be going to the expression listed below
Look it up in a dictionary. Get something to eat.
Major in English. Go to the beach.
See the dentist. Go to the bed.
Stay in bed today. Go to the grocery…..
Take it to the post office. Go to the Chinese restaurant
Take them to the laundry and dry cleaning. And restaurant a while.
1. Dicky and Yanti want to go out to eat, they ______________________________________________

2. I feel terrible. I think I am catching a cold, I ______________________________________________
3. I want to be an English teacher. When I go to university, I ___________________________________
4. I have a nastily headache. I __________________________________________________________
5. My friend and I want to go swimming. We _______________________________________________
6. Miss Sri has to mail a package, she ____________________________________________________
7. I am writing my book report. I don’t know how to spell a word, I _____________________________
8. Purwanty has a toothache. It hurts, She _________________________________________________
9. My clothes are dirty. I ______________________________________________________________
10. It’s 2.00 am. Now I am sleepy. I ______________________________________________________
11. Wulan needs some sugar. She ________________________________________________________
12. Rini is hungry. She _________________________________________________________________
D. PRACTICE
1. Working with peer group
2. Make a list the instruments to inject a patient
3. Write a procedure to take intramuscular inject
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PROGRAMME 27
CHAPTER VIII
NURSING PROCEDURE (TAKING VITAL SIGNS)
A. CONVERSATION
Can You Convert Fahrenheit into Celsius, Please?
Nurse Rosalyn in medical ward calls Dr.Frank at his home to report about condition of Mr. Tony.
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PROGRAMME 28
Ns.R : Hello, Can I speak to Dr. Frank, please?

Dr.F : Dr. Frank’s speaking, who is speaking?
Ns.R : This is Nurse Rosalyn from Arneza Hospital.
Dr.F : Yes, Ros ,is there anything I can do for you?
Ns.R : Yes, doc, I am going to report about Mr. Tony’s condition.
Dr.F : What’s going on with him?
Ns.R : Well. Doc, This morning his temperature rises and he has headache too.
Dr.F : I see, how high is his temperature?
Ns.R : It’s about one hundred and four Fahrenheit.
Dr.F : Excuse me, can you convert it into Celsius, please?
Ns.R : One hundred and four equals forty degrees Celsius.
Dr.F : How often the temperatures come on and off?
Ns.R : The fever usually comes on in the afternoon or evening and off in the morning.
Dr.F : How is his pulse and respiration?
Ns.R : His pulse is 100 B.P.M and his respiration rate is 24 X/minute.
Dr.F : And what about his blood pressure, is it high too?
Nr.R : Not really, his BP is 120/90 mmHg.
Dr.F : So, what have you done for him?
Nr.R : I have given tepid water compress, a lot of fresh water.
Dr.F : Okay, you can give him Paracetamol 500 mgs 4x1 and I’ll be there in a few minutes.
B. GRAMMAR FOCUS
ADVERB OF FREQUENCY
Always Usually Often Sometimes Seldom Rarely Never

100% 99-90% 90-75% 75-25% 25-10% 10-1% 0%
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PROGRAMME 29
A. Bob always comes to class. Always

B. Marry usually comes to class. Usually
C. We often watch TV. Other
D. Shanty is never late for class. Subject + Sometimes + Verb
E. They are seldom on time. Seldom
F. The bus is rarely on time Rarely
Never
Am
Subject Is + Adverb of frequency + Non Verb
Are
(Noun/ Adjective/ Preposition)
Exercise
1. Jane is on time for class. (always)
2. Jane comes to class on time. (often)
3. Dave is happy. (never)
4. Jack works over time. (seldom)
5. The patients take medicines at 12.00 m.d. (usually)
6. Ms. Jane is angry with me. (sometimes)
7. The weather is hot in July. (rarely)
8. The nurse injects pain killer on the buttock. (often)
9. Dr.Franks teaches us about anatomy. (never)
10. The needle of syringe is sharp. (always)
11. Dr. Tony comes to the ward at 10 o’clock ever morning. (often)
a. My chief nurse explains the injection procedure completely. (always)
b. Arnez is lazy to do homework. (never)
c. Nurse Rosalyn is late for lecture. (sometime)
d. Ms. Syfa smiles to everyone who see her. (always)
C. ABBREVIATIONS
The following abbreviations are commonly used by doctor when they prescribe drugs
3X500 mg : three five hundred milligrams b.i.d : twice a day
4x250 mg : four two hundred and fifty milligrams t.i.d : three times a day
1/5 : one over five or one fifth q.i.d : four times a day
1/12 : one over twelve or one twelfth 4 hrly : every 4 hours
120/80 : one hundred and twenty over eighty 2 hrly : every 2 hours
+ : add/plus/and P.R.N : if necessary
= : equal/same with a.c : before meal
- : Minus /subtract 3X1 : three times day
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PROGRAMME 30
CHAPTER IX
MEDICAL STAFF
A. READING
In most voluntary hospitals, members of the hospital staff, which may include dentists and
psychologists as well as physicians and surgeons are affiliated with the hospital by admitting their patients to
the hospital but are not employed by it. They obtain the privilege of admitting their patients to the hospital
if their application is approved by the medical staff credentials committee and by the board of trustee. Their
fees are paid by their patients (or their patients’ insurance carrier).
A chief of staff usually presides over the medical staff. In addition, each of the various specialties-
internal medicines, surgery, and otolaryngology has its own chief. Physicians in the government-owned
hospitals and those owned by some HMO’s and by hospital corporations are salaried employees.
In large hospitals, each medical or surgical specialty is organized as a clinical division under a chief
of service. In small hospitals, all doctors are members of the medical staff.
A medical director, or chief of staff, oversees the staff of physicians. He or she is appointed by the
hospital board of trustees. Sometimes the physicians recommend a member of medical staff and the board
approves or disapproves. The medical director is responsible to the hospital board, and not to the hospital
administrator. These two employees, however, must obviously work together to enable the hospital to deliver
adequate and efficient health care.
Suzanne H. Javitt
B. VOCABULARY
Term English Indonesia

Admitting officer The one responsible for checking
in/admitting patients on arrival and
checking out them as they leaving
the hospital
Dentist A person whose work is to cures and
treats a person suffering from
toothache
Gynecology The science of the female
reproductive system
Obstetrics A branch of surgery connected with
childbirth
Orthopedics A branch of surgery dealing with
bone deformities or diseases
Otolaryngology Science that has something to do
with the diagnosis and treatment of
disorders of the ear, nose, and
throat
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PROGRAMME 31
Pediatrics Science dealing with curing the

diseases of children
Psychologist An expert in the study of mind and
its process
Surgeon A doctor who performs operations
C. EXERCISE
Cross the correct word/ phrase to fill in the blank space of each of the following sentences a, b, c or d
!
1. He wants to be a specialist in ear, nose, and throat. So he has to study...
a. Orthopaedics
b. Paediatrics
c. Otolaryngology
d. Obstetrics
2. He suffers from serious toothache, so it is wise for him to be taken to a/an…
a. Paediatrician
b. Obstetrician
c. Orthopaedic
d. Dentist
3. He is a surgeon operating a woman who has a trouble in giving birth normally. He studied in German
7 years ago. He is a/an…
a. Paediatrician
b. Otolaryngologist
c. Gynaecologist
d. Psychologist
4. If you are supposed to be operated next two days, consult the…to see whether there is any room
empty or not.
a. Surgeon
b. Admitting officer
c. paediatrician
d. Obstetrician
5. Mr. Nurhadi is the…who is going to operate on you tomorrow morning.
a. Surgeon
b. Admitting officer
c. Psychologist
d. Dentist
D. DISCUSSION QUESTION
Discussion the following question with the class!
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PROGRAMME 32
1. Medical staff is not employed by the hospital. What kind of privileges do they have?
2. In the hospital owned by government, by whom is the chief staff’s salary paid?
3. Where are all doctors considered to be the members of medical staff?
4. Sometimes the medical director is appointed by the board of trustee but sometime by whom is it
recommended?
5. Why do you think that the board of trustee and the medical director must be a compact team?
E. GRAMMAR
Structure focus: Gerund
Supply the correct form!
1. (Use) a microscope is what he likes to do to see small microbes.
2. I cannot stop (smoke) cigarettes although I know it is bad for my health.
3. After (have) finished his study at the university, he went abroad.
4. One of my ideas is (be) a specialist in diseases in tropical countries.
5. He does not like the (cook food) in the hospital. It is tasteless.
F. COVERSATION
ASKING THE COMPLAINT OF A PATIENT.
Doctor : Good morning, Ms.Carter. What can I do for you?
Patient : I feel unwell, doctor.
Doctor : What’s the matter?
Patient : I have a terrible headache, a sore throat and I am nauseous now.
Doctor : That’s too bad. How long have you been feeling these?
Patient : Since last night.
Doctor : Did you cough?
Patient : Yes I did, but not so much.
Doctor : Have you taken any medicine?
Patient : Not yet, doctor.
Doctor : Well, Let’s take your temperature and find out.
G. WRITING
Write a paragraph telling the reason Maria went to see a doctor by answering the following
question. Use any possible conjunction and time sequence.
1. What time did Maria get up this morning?
2. What did she feel? Did she also feel feverish?
3. What did she do then? Did she feel any better?
4. What did she decide to do?
5. Who was the doctor she wants to see?
6. How did she go to see the doctor?
7. How does she feel now?
CHAPTER X
SPECIAL HOSPITALS
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PROGRAMME 33
A. READING
Special hospitals treat particular categories of patients who may require treatment which is
unobtainable in a general hospital or who need special techniques of isolation and restraint.
The first hospital used conductively for the mentally ill was built in Virginia in 1773. Since then the
trend has continued toward specialized treatment of psychiatric patients in mental hospital.
Patients requiring long-term hospitalization for certain conditions may be sent to a hospital
specializing in chronic diseases. This may be a wing of general hospital or a separate unit.
Although special hospitals for tubercular patients are still maintained, it is expected that as the
number of beds needed for the purpose declines, tuberculosis sanatoriums will be supplanted by a
special wards in general hospitals.
Less well known special hospitals include those which treat exclusively diseases of the eyes, ears,
tumours, joint diseases, or other restricted categories of diseases.
Daniel Monroe, M.D.
B. SPECIAL TERMS
TERM ENGLISH INDONESIAN
Isolation the state of being separated
Mentally ill sick in the mind
Psychiatric have something to do with mental
illness
Restraint the act of controlling or limiting

something because it is reasonable to
do so
Sanitarium A place like a hospital where patients

who have a lasting illness or who are
getting better after an illness is
treated
Supplant Replace somebody/ something
tuberculosis A serious infectious disease in which

swellings appear on the lungs and
other parts of the body
C. EXERCISE
Match each word/phrase in the column at the left with its meaning on the right!
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PROGRAMME 34
1. Isolation a. experiencing mental disorders

2. Restraint b. avoiding eating something because necessary to do so
3. Mentally ill c. having relationship with mental disorder
4. Psychiatric d. in separation from other patients
5. Tuberculosis e. taking the place of something older
6. Sanatorium f. a serious illness attacking skin and very often lungs
7. Supplant g. a place for patients who just recovered from a sickness
D. DISCUSSION QUESTIONS
1. Why do some patients stay in a special hospital instead of the general one?
2. What kind of special hospital was firs successfully built in Virginia?
3. Where do patients requiring long-term hospitalization sent to?
4. Why do you think that the number of beds in tuberculosis sanatorium is decreasing in number?
E. GRAMMAR (ADVERB CLAUSE)

What kind of adverb clause does each of the underlined clause in the following sentences belong to?
Adverb of time, place, manner reason, purpose, concession or condition.
e.g. When I was sick I decided not be an in –patient because my house is next to the hospital (adverb
clause of reason)
1. When he was hospitalized, he stayed in this room. ( )
2. The accident happened where the street makes a sharp turn. ( )
3. Even though the doctor made any effort to save him, at last he died. ( )
4. My decision is as the doctor thinks it the best. ( )
5. If you want to go the dispensary, I will accompany you. ( )
F. ROLE-PLAY
Patient : You are a 35 years old female patient who has just been informed that you have active
TB. Currently, you are a daily wage-earner and work at the market selling goods, You are
reluctant to go to the hospital as you think that your husband will not be able to take care
of your children. You also don’t agree to direct observation of treatment as you do not
want to miss work.
Doctor: You have just received the diagnosis for this patient, who has active TB disease. She seems
very scared and cries. You don’t know how to deal with her emotions. You inform her that
TB is curable, but she needs to go to the hospital for up to two months. The patient refuses
to go to the hospital and wants to get treatment at home and continue working. She
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PROGRAMME 35
irritates you by not listening to what you are saying. You constantly interrupt her. Also, a
nurse comes to the room saying that you have a phone call in the neighboring room.
Note:
Suggested outline for an ongoing TB treatment visit
1. Greetings
2. Review of how the patient is feeling, any problems, and concerns.
3. Review of clinical progress based on any test results.
4. Review of medications and how to take them. Discussion of any side effects.
5. Assessment of adherence and reinforcement of messages about continuing treatment to cure.
6. Follow-up on any referrals made.
G. WRITING
FOCUS
Write a short paragraph telling that you prefer going to see the doctor….. to any other doctor in your town.
Use argumentation form.
CHAPTER XI
MONITORING PATIENT
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PROGRAMME 36
~ Giving several information connected with monitoring patients which is essential for nurse
~ Giving a list of important vocabularies connected with monitoring patient
~ Take you turn!
A. CONVERSATION
Practice the following dialogue with your colleague

Marta and Tina are nurse in a hospital. They are talking about some important signs needed to be
monitored during a patient’s postoperative period. Here is their conversation.
Tina : What are you doing?
Martha : I’m reading news. It’s quite interesting. Look at this.
Tina : What is about?
Martha : It’s about a new invention in doing medication.
Tina : Really? What did they find ?
Martha : A game for medication.
Tina : Sounds great. Anyway, I heard there was a problem with a patient in
postoperative period. Is that right?
Martha : You mean the kids from France.
Tina : That’s true.
Martha : Mrs. Julia found that the patient got a temperature, so she reported to the
doctor immediately.
Tina : How could such thing happen?
Martha : Dr. Andrew said that its caused by an infection.
Tina : Really ? Is everything alright?
Martha : Everything’s fine. We’re monitoring him carefully, and he’s getting better.
We’re trying to consider every vital sign such as temperature, blood, pressure, oxygen,
pulse, and so on.
Tina : And hopefully no readmission.
B. CONTENTS OF REPORTS
1. IMMEDIATE POSTOPERATIVE CARE

Postoperative patients must be monitored and assessed closely for any deterioration in
condition and the relevant postoperative care plan or pathway must be implemented. The NCEPOD
(2011) report found that patients whose condition was deteriorating were not always identified and
referred for a higher level of care. Patients should be made as comfortable as possible before
postoperative checks are performed.
Postoperative patients are at risk of clinical deterioration, and it is vital that this is minimized.
Knowledge and understanding of the key area of risk and local policies will help reduce potential
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PROGRAMME 37
problems (National Patient Safety Agency, 2007, National Beatitude for Health and Clinical
Excellence,2007).
2. VITAL SIGNS
Vital signs should be performed in accordance with local policies or guidelines and
compared with the baseline observations taken before surgery, during surgery and in the recovery
area. Nurses should also be aware of the parameters for these observation and what is normal for
the patients under observation.
When assessing patients recovery from Anaesthesia and surgery, these observation should
not be considered in isolation; the nurse should look at and feel the patients. This is also applying to
children and should include observation of other Signs and symptoms. For the example abdominal
Tenderness or poor urine output, which Could indicate deterioration (royal college of nursing 2011).
The RCN (2011) provides guidance on vital signs performed postoperatively on children. Many trusts
now insist that vital signs are performed manually to provide more accurate recording and
assessment. Here is some vital sign needed to be considered in monitoring patient.
3. AIRWAY AND RESPIRATIONS

Respiratory rate and function is often the first vital sign to be affected if there is a change
in cardiac or neurological state. It is therefore imperative that this observation is performed
accurately, however studies show is it is often omitted or poorly assessed (NPSA,2007;
NCEPOD,2005).
Nurses should observe and record the following:
1. Airway
2. Respiration rate (regular and effortless), rhythm and depth (chest movements symmetrical);
3. Respiratory depression : indicated by hypoventilation or bradypnoea ,and whether opiate-
induced or due to anaesthetic gases.
4. OXYGEN THERAPY
Oxygen is administered to enable the anaesthetic gases to be transported our of the body,
and is prescribed when patients have an epidural, patient –controlled analgesia or morphine infusion.
Nurses should ensure and record the following:
1. Oxygen therapy is prescribed
2. Oxygen is administered at correct rate.
3. Continuous oxygen therapy is humidified to prevent mucous membranes from drying out.
4. The skin above the ears is protected from elastic on the mask.
5. PULSE OXIMETRY
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PROGRAMME 38
Oxygen saturation should be above 95% on air, unless the patient has lung disease ,and
maintained above 95% if oxygen therapy is prescribe to prevent hypoxia or hypoxemia. An
abnormal recording may be due to shivering, peripheral vasoconstriction or dried blood on the
finger.
Nurses should ensure that :
1. The finger probe is clean;
2. The position of the probe is changed regularly to prevent fingers become sore.
6. HEART RATE, BLOOD PRESSURE AND CAPILLARY REFILL TIME

The following should be checked and recorded:
1. Rate rhythm and volume of pulse;
2. Blood pressure
3. Capillary refill time to assess circulatory status, along white the colour and temperature
of limbs ,also identifying reduce peripheral perfusion.
Particular attention should be paid to the systolic blood pressure as a lowered systolic
reading and tachycardia may indicate haemorrhage and/shock, although initially the blood pressure
may not drop and will remain within normal limits as the body compensates. Tachycardia may also
indicate that the patient in pain, has a fluid overload or is anxious. Hypertension can be due to the
anaesthetic or inadequate pain control.
7. BODY TEMPERATURE
Children, older adults and patients who have been in theatre for a long period are risk of
hypothermia. Shivering can be due to anaesthesia or a high temperature indicative of an infection,
while a drop in temperature might indicate a bacterial infection or sepsis.
Patients’ temperature should be monitored closely and action taken to rectum it to within normal
parameters.
1. Use a bar hugger (forced-air blanket) and blankets to warm the patient if their temperature
is too low;
2. Choose an appropriate method to cool the patient if their temperature is too high
(antipyretics/fanning/tepid sponging)
8. LEVEL OF CONSCIOUSNESS
Postoperative patient should respond to verbal stimulation, be able to answer question and
be aware of their surroundings before being transferred to be ward and throughout the
postoperative period.
A change in the level of consciousness can be a sign that the patient is in shock. The AVPU
scale (box 2) is appropriate for assessing consciousness in adult, children and young people unless
they have had neurosurgery (RCN,2011).
9. FLUID BALANCE
BLORA NURSING STUDY

PROGRAMME 39
Nurses should observe / undertake and record on the fluid balance chart the following ;
1. IV fluids (colloids and crystalloids used to replace fluid loss postoperatively) and infusions
2. Oral intake ;
3. Urine output : catheter urine measurements should not be less than 0.5ml/kg/hour Oliguria
can be sign of hypovolemia and should be reported to medical staff immediately. Check
that the catheter is not kinked or that the patient is not lying on the tubing if urine output is
reduced
4. Colour of stoma ( where appropriate) and whether there is any bleeding;
5. Nausea of vomiting: if necessary, administration of antiemetic should be checked and vomit
bowls and tissues should be within easy reach of the patient
6. Oral care;
7. Nasogastric tube drainage ( aspirate if patient feels nauseous unless otherwise indicated )
8. Colour and amounts of wound drainage : large amounts of fresh blood could be an
indication of haemorrhage; if there is no wound drainage, it is advisable to check that the
drain has not fallen out .
10. INTRAVENOUS INFUSIONS

The RCN (2010)and Health Protection Scotland (2012) recommend that peripheral venous
catheters (PVC) are checked daily as minimum and consideration given to removing any PVC
that has been in situ longer than 72 hours ( Health Protection Scotland, 2012 ) or 2-96 hours
(Department of Health,2011). A phlebitis scale can be used to help asses the PVC site; the Visual
Infusion Phlebitis Scale (Jackson,1998) is frequently used and recommended by the RCN (2010).
These national guidelines should be used as a resources in caring for PVCs . The following should
be checked and recorded :
1. The PVC site when changing IV fluids, before administering IV medication
2. Signs of phlebitis (redness, heat and swelling).
C. WORD POWER : CONNECTED WITH MONITORING PATIENT
WORDS MEANING
abnormality
anaesthetic
blood pressure
capillary
consciousness
coordination
deterioration
Fell
fluid balance
heart rate
BLORA NURSING STUDY

PROGRAMME 40
Heat
Monitor
observation
observe
paralyze
Parameter
perform
Phlebitis
postoperative
premedication
pulse
recovery
recovery room
Redness
respiratory system
rising
scan
shiver
stable
surgery
swelling
symptom
up and down
vital sign
C. VOCABULARY BUILDING
Complete the following sentence using the following words
monitored operation monitoring
swelling paralyzed recovery room
temperature postoperative scan
1. If you notice redness and _______ after the injection, please let me know.
2. The patient has been ____________ since last month . He is getting better.
3. The accident has left him _____________from waist down .
4. There are some important signs which require to be observed by the nurse in _________ period.
5. Based on the result of his brain ________the doctor suggests him to have an _______ as soon as
possible
6. The nurse said that our sister is now in _______
BLORA NURSING STUDY
PROGRAMME 41
7. As an experienced nurse, Julia is highly skilled in __________ the patients properly.

8. She is running a____________. Let’s report in to the doctor .
D. READING
Read the following passage then answer the questions
BLOOD PRESSURE
Blood pressure (BP) refers to the pressure exerted by blood against the arterial wall. It is influenced
by cardiac output , peripheral vascular resistance blood volume and viscosity and vessel wall elasticity
(Fetter, 2006) . BP is an important vital sign to measure as it provides a reflection of blood flow when
the heart is contracting (systole) and relaxing (diastole) . It is also one of many indicators of cellular
oxygen delivery.
Changes or trends in BP may reflect underlying pathophysiology or the body’s attempts to maintain
homeostatic . A drop in BP , for example has been found to be a common sign in patients prior to cardiac
arrest (Rich,1999) . A change in BP alone, though does not indicate the patient will have a cardiac arrest
but should trigger the nurse to perform a more detailed assessment. The importance of measuring BP
accurately cannot be over –emphasized ;and yet it is one of the most inaccurately measured vital sign
( Pickering et al,2005). If a BP a reading consistently underestimates the diastolic pressure by 5 mm Hg
, it could result in two thirds of hypertensive patients being denied preventative treatment (McAlister
and Strauss , 2011) .
Heavy clinical workloads or nurse: patient ratios may result in nurse using automated BP monitors to
save time. Inadequate psychomotor skills, lack of confidence or local culture may also contribute to their
use . However, using automated BP monitors significantly increases the risk for measurement error. In a
study of 95 patients comparing digital and aneroid monitors with a sphygmomanometer, only34%of
systolic
Blood pressures measured with a digital device were within 5 mmHg of the sphygmomanometer
(Johnson et al, 1999).
Automated BP monitors should also not be used as ‘random number generators’. If one of these
machines records a BP measurement that is outside normal range, it is easy for the nurse to perform
another reading using the machine and keep doing so, until a value within normal range is obtained.
This has been described as observer bias or prejudice, where the nurse simply ‘adjust the BP recording
to what he or she thinks it should be or wants it to be (Beevers et, 2001)
This practice indicates a lack of critical thinking and may also be defined as professional misconduct.
Vital signs recorded by a nurse must be a true reflection of the patient’s condition. In the situation where
an automated monitor gives varying BP readings, the BP should be assessed using a sphygmomanometer.
In a systematic review, the use of auscultation to ensure accurate BP measurement is recommended
(Lockwood et al, 2004).
Taken from : Elliot and Coventry (2012: 622-623)
BLORA NURSING STUDY

PROGRAMME 42
Answer the following questions

1. What are the factors that might influence blood pressure?
2. Why is blood pressure essential to be measured?
3. What is the drawback of automated BP monitor?
4. What is observer bias or prejudice?
5. Find out the synonym of the following words.
a. Maintain
b. Trigger
c. Denied
d. Inadequate
e. Obtained
F. SPEAKING TIME
Pay attention to the following pictures
https://www.oakbendcenter.org/i https://onlinenursingprograms.eku.edu/
Discuss the following questions with your colleagues.

1. What are the nurse in each photo doing?
2. Why are they doing such thing?
CHAPTER XII
MEDICAL DEPARTEMENT
A. READING
BLORA NURSING STUDY

PROGRAMME 43
Often the medical specialties with direct responsibilities for patient care control a certain
number of beds and those may be grouped together in individual area of hospitals. For example,
the maternity unit in clued labour rooms for mothers to give birth, delivery rooms, a new-born nursery,
and hospitals rooms for new mothers. Some hospitals have a specialty equipped nursery for
premature new-borns and those who need special care.
The paediatric unit is specially designed for children, with brightly coloured wall and
pictures, and a playroom for patient who are allowed out of bed.
The department of surgery is in charge of patients waiting for surgery and those recovering
from one. Its specialties include operating rooms and recovery room, where patient are closely
watched immediately after surgery and until they are well enough to be moved back to their rooms.
Critically ill patients may be kept at surgical intensive care unit.
The department of medicine is charge of adult patients with illnesses that do not require
surgery. Patients with acute heart problems are often care for in cardiac care unit; they are connected
to electrocardiographs machines so their heartbeats can be monitored minute by minute.
Suzanne H. Javitt
B. VOCABULARLY
Cardiac care unit A hospital specialized in the care of
patient with cardiac conditions that
require continuous monitoring and
treatment
Cardiology Medical specialty on heart problem
Delivery room A room where a mother give birth the
baby
Department of surgery The medical department responsible
for performing operation on patients
Electrocardiograph Machine recording heart movement
through electronic impulses
Maternity floor The part of the hospital where mothers
give birth to babies and are cared for
afterwards
Maternity unit The one for mothers who give birth to
their babies
Medical department A division of medical services in the
hospital that offers diagnosis and
treatment in one area
Newborn nursery Caring newborn babies
Pediatric unit The one specially designed for
children
Premature newborn Babies born before the normal time
BLORA NURSING STUDY

PROGRAMME 44
C. EXERCISE
Choose the correct word/phrase in the list to fill out the space of each sentence in the following
sentences. Only five words /phrases are used.
k. Medical n. Newborn nursery q. The department of
department o. Premature surgery
l. Maternity unit p. Pediatric unit r. Cardiac care unit
m. Delivery room s. Cardiology
Electrocardiograph
6. The normal baby is in the womb of its mother for 9 months and 10 days, but the newborn
baby was only 8 months and 15 days. Its belongs to …………
7. The doctor wants to be specialized in the problem of heart. So he takes ………….. as his
major subject.
8. The young woman is expecting a baby. I think it is the time for the nurse to take her to
………
9. The patient needs operating. It is wise him to go to ………
10. ……….… should be separated from any other units to avoid the babies from being infected
by contagious diseases.
1. Why do you think a standard hospital should possess medical specialties?
2. The paediatric unit should be designed with brightly coloured wall pictures, and a playroom.
Why ?
3. Why must a crisis patient be taken to the ICU for ?
4. What is the difference between ICU and ICCU ?
5. What is department of medicine used for ?
E. GRAMMAR
Please complete these sentence using to infinitive!
1. The doctor advised the visitors …… (not talk) too much to the patient. He needed a lot of
rest.
BLORA NURSING STUDY

PROGRAMME 45
2. He suffers from high blood pressure. So he avoids (take) too much salt.
3. Because he did not want the IV injection, the doctor let him … (take) the medicine orally.
4. She is expecting a baby and is predicted …… (deliver) her baby next three days.
5. The hospital did not want to discharge the young mother and her baby before …… (pay)
the hospital fee.
F. CONVERSATION
Mr. Green : What happens to my wife, doctor ?
Dr. Brown : She is going to give birth soon, but I think she need operation.
Mr. Green : Does she need blood transfusion ?
Dr. Brown : I don’t know. But, don’t worry. We still have enough blood reservation in the blood
bank.
Mr. Green : Can I see her now ?
Dr. Brown : Oh, no. She is going to be taken to delivery room.
Mr. Green : Thank you doctor.
G. WRITING
FOCUS: Order of Time
Arrange the following sentences to make a good paragraph. You are supposed to use time
order. Use any conjunction if necessary.
1. The doctor ask several question concerning your complaints.
2. You have to enlist your name in the front office to make sure that you come at the time of
appointment.
3. To make a good relationship you are supposed to greet the doctor.
4. The doctor examines you and writes a prescription for you.
5. When you want to see a doctor you have to make an appointment first.
6. Your name will be called before you enter the examination room.
CHAPTER XIII
MEDICAL DEPARTMENT
A. READING
BLORA NURSING STUDY

PROGRAMME 46
In addition to the usual department, some large medical centres have special surgical units
for open-heart surgery. A few serve as transplant centres that are able to replace kidneys, livers,
and even hearts. Hospitals that are designated as trauma centres have specially trained teams of
surgeons, anaesthesiologists, orthopaedists, neurosurgeons, and nurse to operate on severely injured
accident victims. Often these hospitals have helicopter landing facilities so that patients can be flow
in. Specially equipped and staffed burn centres can now save the lives of many critically burned
patients and restore function to affected parts of their bodies.
Some medical specialties, such as anaesthesiology, radiology and pathology, provide direct
diagnoses and therapeutic services for patients but do not have day-to-day responsibility for their
care. Physician who are specialists in these areas are often employed directly by the hospital.
Anaesthesiologists administer general and local anaesthetics, usually in conjunction with
surgical procedures.
The department of radiology houses the X-ray machines and possibly some of the newer
equipment such as CAT (computed axial tomography) scanners, ultrasonography equipment, and
magnetic resonance imagers that are used to diagnose and treat disease. Radiologists direct the
department read and interpret all films. However, the actual photography and the processing of the
films are done by radiology technicians.
B. VOCABULARY
Anesthesiologist A doctor who studies the use of
anesthesia and anesthetics
CAT (computed axial Medical imaging scanner that

tomography) scanner utilizes computer-processed X-
rays to produce topographic
images or slices of specific
areas of the body
Neurosurgeon A surgeon who is in charge of

nervous operation
Orthopedist A doctor who studies bones and

their illnesses
Pathology Science dealing with the causes

of diseases
Radiology Science dealing with the use of

X-ray
BLORA NURSING STUDY

PROGRAMME 47
Therapeutic Something to do with curative

treatment
Transplant Taking an organ from one

person and put it into or onto
another
Trauma A mental or physical injury

condition caused by severe
shock
C. EXERCISE
Cross the correct word/phrase to fill in the blank space of each of the following sentences a, b, c,
or d!
1. To see whether the baby in the womb is male or female the doctor uses ...
a. Pathology
b. Therapeutic instrument
c. CAT
d. Transplant
2. He got a serious accident last night and broke his leg. He was taken to the emergency room
and he was supposed to see a/an ...
a. Orthopedist
b. Neurosurgeon
c. Therapeutics
d. CAT
3. After the big earthquake, she is ... to enter a building with several stories.
a. Therapeutics
b. Trauma
c. CAT
d. anaesthetic
4. I think the doctor used too much ..., so that it took longer time for him to be conscious and he
got severe headache.
a. Pathology
b. Trauma
c. anaesthetic
d. Radiology
5. Two of his kidneys fail to function. He urgently needs ... other wise, he will die in a few days.
BLORA NURSING STUDY

PROGRAMME 48
a. Transplant
b. Neurosurgeon
c. Therapeutic
d. Orthopaedist
1. Besides the usual departments, what special units do some medical centres have?
2. What is a helicopter in this hospital used for?
3. Who employs such people like anaesthesiologists, radiologists, and pathologists?
4. What is the function of an anaesthetics?
5. What is CAT? And what is it used for?
E. GRAMMAR
Structure focus : To-infinitive
Supply the correct form of each of the verbs in the brackets!
1. The patient did not like the doctor to give any injection, sp he only gave some oral medicine
... (take).
2. Her sister was very happy ... (hear) that she had recovered from her illness.
3. I heard the doctor ... (say) that he had done everything possible but he could not save his
life.
4. Because of my business, I forgot ... (visit) my friend in the hospital.
5. I am sorry it is high time for me ... (leave) now because the visiting time is only half an hour
left.
F. COVERSATION
Focus : Asking and showing a department in the hospital
X : Excuse me, nurse. Where is the radiology department?
Y : It’s on the second floor, in front of the dispensary, between laboratory and
Endoscopy department.
X : How can I get there ?
Y : Walk along the corridor and then go upstairs. On you right side, you will see the
endoscopy department. The radiology department is next to it.
G. Writing
Focus : Order of importance
Arrange the following ideas to make a paragraph with the order of importance.
Use any conjunction when necessary.
BLORA NURSING STUDY

PROGRAMME 49
You should begin the sentence with I prefer staying in this hospital to staying in this hospital to
staying in any other hospital in this town.
1. The location of this hospital is strategic and not far from my house.
2. The hospital is very clean to stay in.
3. The price is comparative inexpensive
4. The nurses are professional, kind, and helpful.
5. The hospital has a lot of professional doctors who are ready to help in emergency
cases.
CHAPTER XIV
ACCIDENTS AND EMERGENCY
A. READING
BLORA NURSING STUDY

PROGRAMME 50
Once you’ve treated the injury or illness you are not quite out of the woods until further help arrive. In
that time, correct positioning of the casualty can aid recovery in the same way that poor positioning can
very easily aggravate the injury or exacerbate the condition. Here are a few positions to consider.
Without airway management equipment or techniques unconscious casualties will die on their back.
We can open their airway with a simple head tilt but this does not prevent fluids (blood or saliva) draining
down or coming up (vomit or blood) and entering the airway.
Any unconscious casualty (even with a suspected spinal injury) should be positioned onto their side
because, quite simply, if you don’t have an airway, you don’t have a casualty.
Regardless of whether you call it the Safe Airway Position. Recovery Position, Drainage Position, Left
lateral Recumbent or Three-Quarter Prone, we’re going to flip them over.
The Safe Airway Position is often called Left lateral Recumbent, especially in the US. There is
sometimes mileage in positioning the casualty on their left; the most cited reason – and most plausible –
is significant for women in the later stages of pregnancy when positioning the casualty on their right will
apply pressure from the foetus onto the superior vena cava (one of the two large vessels which return
deoxygenated blood to the heart) impeding circulation. Other reasons include:
 Stomach curves to the left, so vomit would have an extra curve to overcome
 Stomach curves to left, so contends won’t be pushing against sphincter.
 In the ambulance, attendant can watch him better facing toward him
 Improved ventilation given the right lung being slightly larger than the left and left main stem
bronchus being at an angle.
The is no real evidence for any of these justifications so it would seem that many of the reason given
are – as is often the way in First Aid – largely historical cliché’s perpetuated because it is really easy to
teach people what you have been taught rather than actually looking into what you are teaching.
(taken from: www.realfirstaid.co.uk)
B. VOCABULARLY
A basic first aid kit may contain:
 Plasters in a variety of different of sizes and shapes
 Small, medium and large sterile gauze dressings
 At least two sterile eye dressings
 Triangular bandages
 Safety pins
 Disposable sterile gloves
 Tweezers
 Scissors
 Alcohol-free cleansing wipes
 Sticky tape
 Thermometer (preferably digital)
BLORA NURSING STUDY

PROGRAMME 51
 Skin rash cream, such as hydrocortisone or calendula.

 Cream or spray to relieve insect bites and stings
 Antiseptic cream
 Painkillers such as paracetamol (or infant paracetamol for children), aspirin (not to be given to
children under 16), or ibuprofen
 Cough medicine
 Antihistamine tablets
 Distilled water for cleaning wounds
 Eye wash and eye bath
Autopsy An official examination of dead body by a
doctor in order to discover the cause of the death
The scientific study of bacteria

Bacteriology
The scientific study of the chemistry of living
Biochemistry things
A room for a sudden serious and dangerous

Emergency room event or situation which needs immediate action
to deal with it
The scientific study of blood and its diseases

Hematology
The branch of biology concerned with
microscopic study of tissues
Histology
The building in which dead bodies are kept
before they are buried
Morgue
C. CONVERSATION
Janet got an accident when she drove her car. Some people helped her and called an ambulance to
bring her to a hospital. Now she is in the hospital. The doctor, helped by a nurse, is treating Janet. Finally,
Janet’s family comes and wants to visit Janet.
Janet’s mother : Hello, doctor. We are Janet’s parents. How is our daughter?
Doctor : Hello. We are taking care your daughter, and she is now getting better.
Janet’s father : My daughter does not have any serious injure?
BLORA NURSING STUDY

PROGRAMME 52
Doctor : Lucky her that she does not have any serious injure. She was terribly bleeding, but
we had got blood for her.
Janet’s mother : Can you tell us why the accident happened?
Doctor : Some witnesses said that she got the accident because of some trouble on the car
engine. She could not brake, so she turned the gear.
Janet’s mother : It must have been terrible.
Doctor : Don’t worry. We have taken care Janet. Though she has not been conscious, her
condition develops.
Janet’s mother : Thanks a lot, doctor. Can we meet our daughter?
Doctor : Sure, you can meet her. The nurse will help you.
Janet’s mother : Thanks a lot.
Nurse : Please follow me.
Janet’s mother : Here is Janet’s room. You must wear this before come in.
Janet’s father : Sure.
Nurse : You only have 15 minutes to meet her.
Janet’ mother : But why?
Nurse : She needs more resting time. Furthermore, her condition is not stable yet.
Janet’s father : I see.
Nurse : If you have any need, just let me know.
Janet’s mother : Thanks a lot.
D. EXERCISE
1. Complete the following sentence with the words in the list. Patient’s information.
Casualty minor victim priority stable critical
1. The doctors in this hospital give …….. for immediate treatment to seriously ill patients.
2. Please, use a stretcher to bring the in the ………. because his legs are injured.
3. Though Meenah’s condition is ……. at the moment, she needs to see a doctor soon.
4. Because the patient is in serious danger, his condition is ……..
5. A …….. of violence may have cuts and bruising to her face.
6. The doctor said that Mike’s ……….. injuries could be life threatening.
2. Find the synonym of the underlined words. Choose the synonym on the lists.
a. Awake and alert d. Take off

b. Critical e. Right now
c. Immobilize f. Repeat BLORA NURSING STUDY
PROGRAMME 53
1. You can talk to the patient now because he is conscious.

2. The next step is to remove the pads from his chest.
3. Make sure you keep her heard still. If not, you may injure het spine.
4. The patient needs treatment immediately, unless she will die soon.
5. If the therapy is not successful, the patient must do it again.
6. Her condition is serious, but it is not life-threatening.
3. Match each word/phrase in the column at the left with its meaning on the right!
1. Morgue a. Science dealing with the chemistry of living thing.
2. Haematology b. It is open day and night.
3. Bacteriology c. The dead body is taken from the place
4. Biochemistry d. Science dealing with the structure of the tissue of the organism
5. Histology e. The study of blood
6. Autopsy f. To see why someone dies
7. Emergency room g. To study this, you should have a microscope
E. GRAMMAR
Structure focus: Conjunctions
Combine the following pairs of sentences using the conjunctions in the brackets.
e.g Her illness was very serious. She was not able to walk. (so ... that)
Her illness was so serious that he was not able to walk.
1. He is very healthy. It is impossible for him to die in such a way. (so ... that)
2. He suffered from complication of many illnesses. He pretended
to be very healthy. (but)
3. He is very healthy. He is very rich. ( not only ... but ... as well)
4. He suffered much from his illness. He never complained. (although)
5. She does not have any house. She does not have any relatives.(and ... either)
BLORA NURSING STUDY

PROGRAMME 54
REFERENCES
Pardiyono (2006). 12 Writing Clues for Better Writing Competence. Penerbit

Andi:Yogyakarta
Surayin (2004). Perfect English Grammar: Lengkap, padat, Praktis. Yrama Widya:
Bandung
Adrian Doff, Becket.C (2005). Listening Student’ Book 1. Cambridge University Press.
Reprint by Kanisius
Printing and Publishing House: Yogyakarta
Simanjuntak. H. Bahasa Inggris Sistem 52 M, Mahir Berbahasa Inggris Tanpa Guru:
Visipro
Pardiyono (2001). Bahasa Inggris 16 Tenses. Penerbit Andi: Yogyakarta.
Hidayat. R., Silawati.S.(2001). Active English for Nurses. Widya Medika: Jakarta
REFERENCES
Pardiyono (2006). 12 Writing Clues for Better Writing Competence. Penerbit

Andi:Yogyakarta
Surayin (2004). Perfect English Grammar: Lengkap, padat, Praktis. Yrama Widya:
Bandung
Adrian Doff, Becket.C (2005). Listening Student’ Book 1. Cambridge University Press.
Reprint by Kanisius
Printing and Publishing House: Yogyakarta
Simanjuntak. H. Bahasa Inggris Sistem 52 M, Mahir Berbahasa Inggris Tanpa
Guru: Visipro
Pardiyono (2001). Bahasa Inggris 16 Tenses. Penerbit Andi: Yogyakarta.
Hidayat. R., Silawati.S.(2001). Active English for Nurses. Widya Medika: Jakarta
Ardiansyah (2004). Let’s Speak English Nurse!. EGC: Jakarta
Ardiansyah (2004). Let’s Speak English Nurse!. EGC: Jakarta
BLORA NURSING STUDY

PROGRAMME 55

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How did hospitals develop over time?

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What are some of the terms related to different medical fields mentioned in the text?

HEALTH POLYECHNIC OF SEMARANG

NURSING STUDY PROGRAM OF BLORA

BLORA NURSING STUDY

Diagnostic (adj); Connected with identifying something, especially illness

BLORA NURSING STUDY

BLORA NURSING STUDY

THE HOSPITAL TEAM

A. CONVERSATION: WHO WORKS IN A HOSPITAL

Clinical Unit Hospital Jobs

BLORA NURSING STUDY

Non-Clinical Hospital Jobs

1. This hospital only hires well _____________staff

4. This new work is ______________for me

Answer the Following Questions!

TEAM ENGLISH INDONESIA

BLORA NURSING STUDY

Chronic disease A disease suffered for a long

BLORA NURSING STUDY

BLORA NURSING STUDY

Term English Indonesian

BLORA NURSING STUDY

Nurse A person whose job is to take

BLORA NURSING STUDY

BLORA NURSING STUDY

Answer the Following questions

B. NAMES OF WARD AND DEPARTMENT IN HOSPITAL

BLORA NURSING STUDY

Orthopedic ward : Laboratory room :

D. WORD POWER: WORK PLACES AND JOBS

BLORA NURSING STUDY

7. Radiology Dept. ________ a Director of nursing service.

+ Subject Verb I+ s/es Object

5. GRAMMAR FOCUS: MODAL

BLORA NURSING STUDY

Exercise: Exercise: Exercise:

Exercise: Exercise: Exercise:

Exercise: Exercise: Exercise:

BLORA NURSING STUDY

1. I ___________ last night because I was to tired.

Drink a glass of water

BLORA NURSING STUDY

1. A. I have a toothache, this tooth is hurt, what should I do?

2. A. Rosalyn wants to improve in English, what should she do?

3. A. Someone stole his motor bike, what should he do?

5. A. My wife snores. I can’t get to sleep at night, what should I do?

1. Medical instruments are used for measuring vital signs

BLORA NURSING STUDY

A watch A TPR / BP or art of book

A Sphygmomanometer Thermometer jar

A tray/ a trolley Gauze/ tissue

BLORA NURSING STUDY

This is a needle holder. That is a syringe. These are gloves.

Those are crutches. Plain dissecting forceps IV catheter

Desk sphygmomanometer Bowl stand Gauze

Suture scissors Urine specimen glasses artery forceps