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MODUL 4 Nursing, Hijau
MODUL 4 Nursing, Hijau
MODUL 4 Nursing, Hijau
[MODULE 4]
ARRANGED BY :
TITIES HARJANTI, SS
2020/2021
CONTENT
Lessons Content
A. Oracy 6
a. Dialogue 1 6
b. Dialogue 2 7
B. Literacy 9
C. Practices 19
Lessons Content
A. Oracy 28
a. Dialogue 1 28
b. Dialogue 2 29
B. Literacy 30
C. Practices 37
1
Lesson III Let’s Examine Mrs. Jack, Nurse 45
Lessons Content
A. Oracy 45
a. Dialogue 2 45
b. Dialogue 1 46
c. Dialogue 3 47
B. Literacy 48
b. Kinds Of Sentences 52
C. Practices 59
Lessons Content
A. Oracy 65
a. Dialogue 1 65
b. Dialogue 2 66
c. Dialogue 3 66
B. Literacy 68
a. Subjunctive 68
c. Prepositions 72
C. Practices 74
2
LESSON 1
A. Oracy
1. Dialogue
Situation : Nurse Shinta from emergency room is taking over Ms. Jane to Nurse Rosa in Surgical
ward.
Nurse S : Good morning nurse, I would like to meet nurse Rosa, is she here ?
Nurse R : yes, I am Rosa, you are nurse Shinta from emergency room, right?
Then nurse Rosa brings Ms Jane to her room and moves her onto bed gently and carefully. After that
nurse Rosa asks astudents to take vital signs of her, then she backs to the nurse station for taking over
Ms. Jane with Nurse Shinta.
Nurse S : Okay
Nurse S : Well, she was hit by a car yesterday evening, after we examined her, we found broken bone
on her leg.
3
Nurse S : Yes we did, on X-Rays of her, we found compound fracture at tibia and fibula.
Nurse S : yes, we cleaned up the wound, applied IV solution with Lactate ringer, gave pain killer,
closed monitoring and took blood samples.
Nurse S : hmm not yet, but he told me that you have to make close observation for one day, then he
will operate her after he knows the observation. Btw, this is the medicines from Dr Frank to
Ms. Jane.
Nurse R : okay, thanks and I think it’s enough for now. If I need more information about her, I will call
you later.
Nurse: Well, Mrs. I just got a phone call from dr. Andrew.
N: Dr. Andrew said that I have to take some blood samples from you before you are operated
N: We want to know about your blood group, CBC, ESR,, BT, CT, etc.
4
N: Good, thanks, now would you mind laying down on your bed, please?
M: All right
N: Thanks and now will you raise your arm, please? Because I want to put this rubber sheet
under your arm
M: No problem
M: Here it is
N: Thanks, now would you roll your sleeve up, please?
Good, and now will you fist your hand and I will apply this tourniquet above your elbow
M: Yes
N: Please don’t move when this needle is inserted into your vein, maybe you will feel a bit pain
but it’s all right
Then the nurse inserts the needle into the vein, when the blood appears in the barrel, the nurse pulls
back the plunger slowly until the blood in the barrel is full. Then she withdraws the needle gently then
puts new alcohol swab over the puncture site and fixed it by tape.
5
B. Literacy
6
7
8
How To make a medical record of patients / patients’ note / nursing note
Bed 10 is Mr Abdul Zariff. He's a 60-year [yr] -old male who was admitted from Emerg with a query bowel
obstruction. He's had bowel cancer 3 years ago, and that was resected. This admission they are querying whether
he has adhesions or a stricture at the operation site. His temperature [T] is 37 8 [37.8]; his pulse [P] is 80; resps
[R] are 25, and BP is 150 on [/] 90. He's highly anxious and he thinks that the cancer has re-occurred. He's got
an N/G tube on low-pressure suction to manage the nausea and vomiting. IVT of normal saline [N/saline] at 125
mls an hour [mls/hr], with next bag to have, um next flask to have KCl added – see the orders for that. His skin
turgour indicated he was quite dry (but his skin is intact). Oral mucosa is very dry, so offer mouth care. And his
wife will be in later this afternoon to speak with the doctor [Dr].
Bed 11 is Miss Rachael Wright. She’s a 28-year [yr] -old woman admitted with exacerbation of her asthma via
Emerg early this morning. Her O2 sats are sitting around 98 per cent [%] on 2 litres and she desaturates to 93%
on air. So keep her nasal specs on for overnight; she’s for review in the morning. Her temp T is 38 [°C]; pulse
[P] is a hundred [100]; resps [R] are 30; and BP is 110 on 80 [110/80].
She is able to expectorate moderate amounts of tenacious secretions and a specimen has been sent off for
MC&S. She has IVABs 6-hourly, next due at 1500. Also IV hydrocortisone 8-hourly. She's on nebulised
bronchodilator, which is next due at 1500. She needs pre- and post-peak flows [PEFR] doing, and the chart is
behind the TPR chart. She is to go down for a repeat chest X-ray some time today.
Bed 8, Mr Bernard Chambers, is a 50-year [yr] -old man, and he’s had an elective bilateral inguinal hernia repair
this morning. His wound is covered and dry.
Post-operative observations remain stable. Temp [T] 37; pulse [P] is 80; resps [R] are 18; his blood pressure
[BP] 140 on [/] 70. Can commence diet as tolerated. Ambulate as tolerated. Has not voided post-op. Analgesia is
written up but has not actually been required. Planned for discharge [D/C] tomorrow – his wife can pick him up,
and he will actually need an OPD appointment in 6 over [/] 52. He’ll also need a sick certificate for work from
the MO before he leaves today.
9
2). Direct – Indirect Statement
a. Rumus Mutlak D – ID :
10
DIRECT / QUOTED SPEECH INDIRECT /REPORTED SPEECH
a. Perubahan Tenses :
b. Perubahan Waktu :
1. NOW THEN
6. A GO BEFORE
7. LAST NIGHT
11
THE NIGHT BEFORE
c. Perubahan Tempat :
1. THIS THAT
2. THESE THOSE
3. HERE THERE
Catatan Penting :
Apabila Introductory berbentuk Present Tense / Future Tense maka Tenses di dalam Susunan Kalimat
Indirect TIDAK BERUBAH, yang berubah hanya Pronoun & Ket. lainnya saja mengikuti siapa yang
berbicara !!!!.
Seperti Contoh di bawah ini :
a. Statements Forms :
12
Direct speech Reported speech
He said, "I live in Paris." He said he lived in Paris.
He said, "I am cooking dinner." He said he was cooking dinner.
He said, "I have visted London twice." He said he had visited London twice.
He said, "I went to New York last week." He said he had gone to New York the week before.
He said, "I had already eaten." He said he had already eaten.
He said, "I am going to find a new job." He said he was going to find a new job.
He said, "I will give Jack a call." He said he would give Jack a call.
Backshift of tenses
from to
Peter: "I work in the garden." Peter said that he worked in the garden.
Peter: "I worked in the garden." Peter said that he had worked in the garden.
Peter: "I have worked in the garden."
Peter: "I had worked in the garden."
Peter: "I will work in the garden." Peter said that he would work in the garden.
Peter: "I can work in the garden." Peter said that he could work in the garden.
Peter: "I may work in the garden." Peter said that he might work in the garden.
Peter: "I would work in the garden." Peter said that he would work in the garden.
(could, might, should, ought to) (could, might, should, ought to)
Progressive forms
Peter: "I'm working in the garden." Peter said that he was working in the garden.
Peter: "I was working in the garden." Peter said that he had been working in the
Peter: "I have been working in the garden."
garden.
Peter: "I had been working in the garden."
13
Past Perfect Present Perfect
He said: "They had finished the work He said that they had finished the work
when I arrived" when he had arrived"
Past Progressive Past Perfect Progressive
He said: "I was playing football when the He said that he had been playing football
accident occured" when the accident had occured
Present Perfect Progressive Past Perfect Progressive
He said:"I have been playing football for He said that he had been playing football
two hours." for two hours
Past Perfect Progressive Past Perfect Progressive
He said: "I had been reading a He said that he had been reading a
newspaper when the light went off" newspaper when the light had gone off
Future Simple (will+verb) Conditional (would+verb)
He said: "I will open the door." He said that he would open the door.
Conditional (would+verb) Conditional (would+verb)
He said: "I would buy Mercedes if I were He said that he would buy Mercedes if he
rich" had been rich"
About ten minutes later, the bell rang for dinner, and, as Virginia did not come down, Mrs Otis sent up one
of the servants. After a little time he returned and said that he could not find Miss Virginia anywhere. So,
the whole family started looking for her.
The hours passed, but they could find no trace of Virginia. So, after dinner, Mr Otis ordered them all to
bed, saying that nothing more could be done that night, and that he would contact Scotland Yard in the
morning. Just when everybody was about to leave the dining-room, the clock struck midnight, and when
the last stroke sounded, a secret door opened in the wall and in that door stood Virginia with a little box in
her hand. Everybody ran up to her.
“Good heavens! child, where have you been?” said Mr Otis, rather angrily, as he thought she had been
playing a trick on them.
14
“Papa,” said Virginia quietly, “I have been with the ghost. He is dead, and you must come and see him. He
had been very nasty, but he was really sorry for all that he had done, and he gave me this box of beautiful
jewels before he died.”
Then she led the others down a narrow secret corridor to a little low room. There the family found the
skeleton of Sir Simon, who had been starved to death by his wife's brothers. Virginia knelt down beside the
skeleton, and, folding her little hands together, began to pray silently.
Meanwhile, one of the twins was looking out of the window in the little room and suddenly said, “Look!
The old almond-tree has blossoms.”
“Then God has forgiven him,” said Virginia and stood up.
C. Practices
→ He said
2. "I don't speak Italian," she said.
→ She said
15
3. "The film began at seven o'clock," he said.
→ He said
4. "I never make mistakes," he said.
→ He said
→ She said
2. "I will get myself a drink," she says.
→ She says
3. "I cannot drive them home," he said.
→ He said
1. 'I saw this film two weeks ago. (he said that....). ….
5. The little boy : ' I go to school ! ' => The little boy said ...
he needed a long Tim : ' I need a lon how long Aunt Ma Lisa : ' How long w
16
2. Bob : I can't stand selfish people. ' => Bob said……
he couldn't stand Bob : I can't stand where her glasses Mrs Wilson : ' Wh
3. The shopkeeper : ' I am going to close. ' => The shopkeeper said…..
17
1. ? John said I evacuated immediately.
2. ? John said he evacuated immediately.
3. ? John said he had evacuated immediately.
2. Amy said, “We didn’t even go back to get our things.”
1. ? Amy said she didn’t even go back to get her things.
2. ? Amy said we didn’t even go back to get our things.
3. ? Amy said they hadn’t even gone back to get their things.
3. Tim said, “You should have gone back.”
1. ? Tim said they should have gone back.
2. ? Tim said you should go back.
3. ? Time said they should go back.
4. Tim told Amy, “You could have made a lot of money in the rebuilding boom.”
1. ? Tim told Amy you could have made a lot of money in the rebuilding boom.
2. ? Tim told Amy she could have made a lot of money in the rebuilding boom.
3. ? Tim told Amy she could make a lot of money in the rebuilding boom.
5. He added, “I told you both to rebuild your house.”
1. ? He added that he told them both to rebuild their house.
2. ? He added that he had told them both to rebuild your house.
3. ? He added that he had told them both to rebuild their house.
6. Amy replied, “My insurance company bought us out.”
1. ? Amy replied that her insurance company had bought them out.
2. ? Amy replied that her insurance company had bought us out.
3. ? Amy replied that her insurance company bought them out.
7. Tim told Amy, “Your insurance company is very smart.”
1. ? Tim told Amy that your insurance company is very smart.
2. ? Tim told Amy that her insurance company was very smart.
3. ? Tim told Amy that your insurance company was very smart.
8. Amy told Tim, “We should have listened to you.”
1. ? Amy told Tim they should have listened to you.
2. ? Amy told Tim they should listen to him.
3. ? Amy told Tim they should have listened to him.
9. “I had injected my patients in the medical ward yesterday”, Nurse Jane said.
10. “I was measuring the patient’s blood pressure”, Nurse Syifa tells.
12. “We have applied the IM injection to Mr. Jim now”, Nurse Shinta & Nurse Tania say.
18
13. “We were in the surgical ward now”, Brooder Brandon and Brooder Tono said.
14. “We are at the hospital yesterday”, Dr. Jane & Dr. Amanda told.
16. “I have been in the laboratory since yesterday”, says nurse Junita.
17. “We are taking the patients’ note last day”, Nurse Alin & Nurse Ida explained.
18. “I was in the Siloam Hospital two days ago”, Ms. Shinta says.
SPEAKER INTERVIEW
REPORTER "Congratulations on winning the marathon. How long have you been preparing for
: this race?"
RUNNER: "Thank you. About five years, running twelve miles, three times a week."
RUNNER: "I haven't always been a runner. I started running when my doctor told me I was
over-weight and needed to improve my over-all health. At first, it was hard to go a
few miles, but now, I'm in better shape and I love it. I can't wait to get out in the
morning and run."
RUNNER: "You might expect me to answer 'crossing the finish line', but actually it's when I get
to the 20-mile point of the race. I think I can't go on, and then I do! That's my most
challenging moment. It's "mind over matter"."
REPORTER "Are you planning to run more marathons in the near future?"
:
19
REPORTER "Can you give me some advice about getting in shape?"
:
RUNNER: "Well . . . I guess I would tell you to keep moving. Eat healthy food and keep
moving."
REPORTER "Wonderful! Thank you for talking to us today and please thank your coach as well.
: Get some rest!"
challenging = difficult; marathon - a race of approximately 25+ miles; in shape = good health; "mind over
matter" = the mind is more powerful than the body
Select the answer that best completes the sentence. Pay attention to tense, pronoun agreement and
adverb agreement. A sentence may include mixed time frames.
20
a. I have been running for about five years.
21
a. I can't wait
b. I couldn't wait
c. he can't wait
d. he couldn't wait
d. when he gets
22
8. He added ___________________
a. that he was looking forward to running one in Seattle in the coming month.
23
11. The reporter asked ________________ about getting back in shape.
13. The reporter thanked him and _________ his coach as well.
24
d. told him to thank
a. he gets
b. he got
c. he will get
d. he get
25
3). Reading Comprehension
Hospital
A hospital is the largest and most complex from of medical facility. It deals with patients who need
complex diagnostic procedures. Treatment in a hospital is a team effort. The physicians are directly
responsible for a patient’s welfare. All the hospital personnel support the work of the physicians.
A hospital has many departments in it. They are medical and surgical service, food service, laboratory,
scanning and X-day department, medical records department, pharmacy, and rehabilitation department.
There are many kinds of hospital. Acute-care hospitals include primary, secondary and tertiary
institution. The low –technology primary hospitals are located in rural areas. The Secondary hospitals
provide a greater range of physicians skills and modern technology than the primary hospitals. Meanwhile
the tertiary hospitals provide the latest medical equipment.
Other types of hospitals are specialty hospitals. They admit only those patients who fit a restricted
group of diagnoses. Psychiatric hospitals are the most numerous specialty hospitals. They are the larges
patient population
26
6. What Kind of hospitals that the most numerous specialty ?
10. Why does the Psychiatrics hospitals are the most numerous specialty hospitals ?
LESSON 2
A. Oracy
1. Dialogue
Nurse Susan Johnston is meeting her patient Ms Anne Watson (52) for the first time. Ms Watson has
injured her back.
Nurse: Good afternoon, Ms Watson. My name is Susan and I’ll be looking after you this afternoon.
Patient: Not so good actually, Susan. I had a bad night’s sleep and my back is really aching.
Nurse: I’m very sorry to hear that, Anne. Let me take your obs and then I’ll see if I can do anything about
your sore back. ……………. (later)
Nurse: There you go, Anne. I hope you’re feeling more comfortable now.
27
Patient: Thanks Susan. I feel much better.
Nurse: That’s great. I need to go now, but if you need me at all just use the buzzer. See you soon.
2. Dialogue 2
Nurse Michael Roberts is meeting his patient Gladys Fopp (87) for the first time. She has just had a
hip replacement.
Nurse: Good morning Ms Fopp. I’m Michael and I’ll be taking care of you today. How are you this
morning?
Patient: Good morning nurse. I’m sorry but you have got my name wrong. I am Miss Fopp, not Ms Fopp.
Nurse: Oh, I beg your pardon, Miss Fopp. I’m very sorry about that! I would like to do your observations
now. Would that be alright?
Patient: Very well, nurse. My doctor says I’m doing pretty well for an old girl, but I’m afraid, after this
accident, I won’t be going far in a hurry! ………….. (later)
Nurse: Well, Miss Fopp, you are making great progress. Your observations look very good. Your doctor
was right!
Nurse: I need to see some of my other patients now, but, if you need anything, just press this bell, and I will
come as quickly as I can.
28
B. Literacy
‘Hello Mr/Ms ____. My name is ____ and I’ll be looking after you today.’
‘Hello Mr/Ms ____. My name is ____ and I’ll be taking care of you today.’
‘Good morning. My name is ____. I am a nursing student and I’ll be looking after you today.’
‘Good morning. My name is ____. I’ll be the nursing student looking after you today. What may I call you?’
29
‘How are you feeling today?’
‘Can you tell me why you are here today, Mr/Ms ____?’
‘I’ve just got one or two questions to ask you, Mr/Ms ____ – it won’t take long. Is that OK?’
30
a. Rumus Mutlak D – ID :
31
TANPA SUBJECT.
- DI DALAM ID MENGGUNAKAN “NOT + TO +
V1”.
a. Perubahan Tenses :
b. Perubahan Waktu :
32
1. NOW THEN
6. A GO BEFORE
c. Perubahan Tempat :
1. THIS THAT
2. THESE THOSE
3. HERE THERE
Catatan Penting :
Apabila Introductory berbentuk Present Tense / Future Tense maka Tenses di dalam Susunan Kalimat
Indirect TIDAK BERUBAH, yang berubah hanya Pronoun & Ket. lainnya saja mengikuti siapa yang
berbicara !!!!.
Seperti Contoh di bawah ini :
b. Questions Forms :
33
I asked if she wanted to go with me.
34
She asked if I had to do that.
Present "Are you working?" Past She asked whether I was/were
Progressive Progres working.
sive
Past " Were you married?" Past She asked whether I had been married.
" Did you get married?" Perfect She asked if I had gotten married.
Past Progressive " Were you calling?" Past She asked whether I had been calling.
Perfect
Progres
sive
Present Perfect " Have you called yet?" Past She asked if I had called yet.
Perfect
Present Perfect " Have you been calling Past She asked if I had been calling her.
Progressive me?" Perfect
Progres
sive
Present - "Is the moon a satellite?" Present She asked whether the moon is a
General Truth - satellite.
Genera
l Truth
35
C. Practices
Christopher asked me .
2) Betty: "When did you come?"
Mark asked me .
4) Ronald: "Where does Maria park her car?"
Ronald asked me .
5) Elisabeth: "Did you watch the latest film?"
Elisabeth asked me .
6) Mandy: "Can I help you?"
Andrew asked me .
8) Justin: "What are you doing?"
Justin asked me .
9) Frank: "How much pocket money does Lisa get?"
Anne asked .
1. “ What did you give to Mr. Smith, Nurse ? “ The Doctor asked.
2. “ Did you give the pain killer medicine to the patient ? “, The Head Nurse said
3. “ Is he your Doctor ? “, he asks.
36
6. “ Do you want to go with me, tonight ? “, he asked
7. Jessica said, “ Are you going to take Mrs. Fridolini to maternity ward, now ? “.
8. Nurse Reiza tells me, “ Why did you take the Nurse Program as your major ? “.
-
He asked me
-
He asked me
3. "What time is it?"
-
Can you tell me
4. "How old are you?"
-
I'd rather not say
5. "When are you leaving?"
-
Please let me know
6. "What color are you selecting?"
Would you tell me
-
He asked me
that movie.
9. "Who is coming for dinner?"
I would like to know
37
11 Where is he from?
.
-
Do you know
12 Did he learn English in England?
.
-
I wonder whether English in
England.
13 How long does it take to learn a language?
.
-
Who knows to
learn a language.
14 Where did you buy that book?"
.
-
I would love to know where
that book.
15 Where did he buy that book?
.
-
He wouldn't tell me where
that book.
Reset
-
They asked me before
boarding.
3. "Can you buy a ticket on board?"
-
Do you know
on board?
4. "Will this train stop in Palo Alto?"
I'm not sure
38
6. "Does this train arrive in San Francisco at noon?"
-
Could you tell me in San
Francisco at noon?
7. "Am I able to buy a round-trip ticket?"
Do you know
-
She asked me
-
for students?
10 "Are you Canadian?"
.
-
The guy next to me asked
Reset
39
angry father had run nurse pain upset wards with
The hospital out of space in the when I went there my father who was in dreadful
. I was very irritated and as they had put my in a bed in the corridor.
bit calm do found happened know myself neighbour on seems thought white
NEIGHBOUR Well, I'm Mr Lindley's , next door but one. I come round and see that he's allright,
DOCTOR Go .
NEIGHBOUR I came round about five minutes since I'd promised to do his garden. All I is just cut his
funny - he always wants to who it is, as soon as anybody comes. Anyway, I went into his little front room
40
be chest comfortable dizzy else fine found hurry idea movement phoning pick pig
sides speak still trying water what yet
NEIGHBOUR Just about. He said he was to make a phone-call to his daughter - she lives in Ashford -
and as he stretched out to the phone up off the rest, he got this terrible shooting pain up his arm and
across his .
NEIGHBOUR He says he went and nearly fell over. He had to sit down in his chair - and that's where I
DOCTOR Anything ?
NEIGHBOUR Yes. He says he's very hot. Says he's sweating like a .
DOCTOR Has he got the pain? Does he seem to have lost down one side?
NEIGHBOUR No, he seems OK down both . He says he's still got the pain but not as bad. He says he's
DOCTOR No, not just . Look - I'm on my way. I'm setting off now. Is he fairly ? Can
you stay with him until I arrive? About ten minutes?
NEIGHBOUR Yes. No problem. He's OK, but do hurry up - I've no what to do if he has another turn.
DOCTOR Don't worry - you're doing just . Just stay with him. Don't try to move him or do anything for
him - just leave him in the chair where he's comfortable. I'm for an ambulance for him - if they arrive
before I do, just tell them I'm on my way. Dr Blasco - all right?
41
3). Reading Comprehension
Jane Johnson was going to school this morning, a car knocked her down. Her right leg was broken just
below the knee. Some people who saw the accident laid her in comfortable position on the pavement and
phoned for an ambulance. The driver of the car that knocked Jane covered her with a coat and tried to comfort
her. When the ambulance arrived, Jane was lifted onto a stretcher. Put into the ambulance and driven to a
hospital that was not far away. When she arrived at the casualty department, she was admitted. The nurse was
admitted her gave an injection of morphine to combat the shock and the pain. The doctor who examined her,
comforted her and told her that everything will be all right.
While the doctor was examining her, the nurse who has admitted took her pulse and blood pressure. As
Jane’s wound was lacerated and contused, she was given an antibiotic to prevent the onset of infection. She was
taken to X – ray department, while the X – ray examining was being carried out, Jane’s parents arrived at the
hospital. The doctor who examined Jane told them that Jane had sustained a compound fracture at tibia and
fibula.
He explained that an operation was necessary and asked Mr. Smith to sign a consent form. While Mrs.
Smith was giving Jane’s particulars and previous medical history to the nurse. Before Jane’s parents left the
hospital, they were told when they could visit her and were given a list of things that she would need.
1. What was Jane Johnson doing when she was knocked down ???
42
11. Who was the person that sign the surgical form ???
12. Did the Jane’s parents give a punishment to the car driver ???
15. Did Jane’s parents get shock when they heard about the accident ???
In the theater, jack will be given an anesthetic and his wound will be explored. The X-rays which were
taken by the radiographer will show the surgeon the exact site and extent of the fracture. Dead or dirty tissue
will be excised and any small splinters of bone will be removed. The surgeon will perform the operation using a
“no touch” technique to reduce the chances of infection.
When the surgeon is satisfied that the wound is as clean as possible, he will dust it off with an antibiotic
powder. He will then suture it and cover it with a sterile gauze dressing. Any areas that the raw will be dressed
with the sterile Vaseline petroleum gauze. The surgeon will now be able to treat the fracture as closed. He will
reduce the bone into anatomical position, and the leg will be put in the plaster of Paris. Jack then will be taken
back to an orthopedic ward.
When the post operative patients like jack arrives in the ward, they are carefully lifted from the stretcher
and laid in a specially prepared bed. The foot of the bed is often raised on wooden blocks. The patient is placed
on his back with his head turned to one side. As he is generally still unconscious, an artificial airway is in
position and a nurse stays with him to ensure that his airway is kept clear. She also checks his pulse rate and
volume, his color and the rate and the depth of his respiration.
43
LESSON 3
A. Oracy
1. Dialogue 1
Doctor: Have you had any other exams recently? Blood work, an EKG or an ultra-sound?
Patient: Well, I had a few X-rays at the dentist's.
Doctor: Could you roll up your left sleeve? I'd like to take your blood pressure.
Patient: Certainly.
Doctor: 120 over 80. That's fine. You don't seem to be overweight, that's good. Do you exercise regularly?
Patient: No, not really. If I run up a flight of stairs, it takes me a while to get my breath back. I need to get
out more.
44
Doctor: Don't worry it's just my stethoscope. Now, breathe in and hold your breath. Please pull up your
shirt, and breathe deeply... Everything sounds good. Let's take a look at your throat. Please open wide and
say 'ah'.
Patient: 'ah'
Doctor: OK. Everything looks ship shape. I'm going to order some blood work and that's about it. Take this
slip to the front desk and they'll arrange an appointment for the tests.
Patient: Thank you doctor. Have a nice day.
2. Dialogue 2
Doctor: Good afternoon. Have a seat. So, what have you come in for today?
Patient: Thank you. I'm feeling ill, I've got quite a bad cough, but I don't seem to have a fever.
Doctor: OK. Now let's have a look. Could you please open your mouth and say 'ah'?
45
3. Dialogue 3
Patient: Oh, just a moment. Can you bring me another bottle of water, too?
Nurse: Certainly, I'll be back in a moment.
46
B. Literacy
a. Rumus Mutlak D – ID :
47
a. Rumus Mutlak Perubahan Tenses ; Ket. Waktu ; & Tempat Pada D – ID :
a. Perubahan Tenses :
b. Perubahan Waktu :
1. NOW THEN
6. A GO
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BEFORE
7. LAST NIGHT
THE NIGHT BEFORE
c. Perubahan Tempat :
1. THIS THAT
2. THESE THOSE
3. HERE THERE
Catatan Penting :
Apabila Introductory berbentuk Present Tense / Future Tense maka Tenses di dalam Susunan Kalimat
Indirect TIDAK BERUBAH, yang berubah hanya Pronoun & Ket. lainnya saja mengikuti siapa yang
berbicara !!!!.
Seperti Contoh di bawah ini :
c. Requests Forms :
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Tenses are not relevant for requests – simply use to / not to + verb (infinitive without "to")
Example:
D. Other transformations
Expressions of advice with must, should and ought are usually reported using advise / urge.
Example:
“You must read that book.“
He advised / urged me to read that book.
The expression let’s is usually reported using suggest. In this case, there are two possibilities
for reported speech: gerund or statement with should.
Example:
“Let’s go to the cinema.“=
1. He suggested going to the cinema.
2. He suggested that we should go to the cinema.
Voice
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Definition: Voice shows the relationship between the verb and the noun phrases connected to it.
The "voice" of a verb has to do with whether or not the subject of a sentence acts upon something else (as
agent)
There are two voices in English: the passive and the active:
Active
The verb is active, when the subject (agent) does the action (verb) to something (object).
Passive
The verb is passive, when the subject takes the action upon itself.
For example:
a. Declarative Sentence
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Definition: The declarative sentence or declaration, is the most important type. You can, and often will
write entire essays or reports using only declarative sentences, and you should always use them far more
often than the other four types of sentences (declarative, interrogative, imperative, and exclamatory). A
declarative sentence simply states a fact or argument, states an idea, without requiring either an answer or
action from the reader, it does not give a command or request, nor does it ask a question. You punctuate
your declarative sentences with a simple period.
Formation:
subject + predicate
Declarative sentences consist of a subject and a predicate. The subject may be a simple subject or a
compound subject.
For example:
In this sentence, the subject is "his name" and the predicate is "is Jhon".
Examples:
b. Exclamative Sentence
Definition: Exclamative sentences are used to make exclamations. These are also referred to as
exclamative sentences or exclamatives. These are used to express strong feelings, strong emphasis or
emotion.
Examples
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What a stupid man he is!
What a surprise!
What a nice hat you've got!
How wonderful you look!
I hate homework!
c. Imperative
Definition: Imperatives are verbs used to give orders, commands,warning or instructions, and (if you use
"please") to make a request. It is one of the three moods of an English verb (indicative, imperative and
subjunctive).
For example:
To make the imperative, use the infinitive of the verb without "to"
For example:
Come here!
Sit down!
To make a negative imperative, put "do not" or "don't" before the verb:
For example:
Don't go!
Do not walk on the grass.
You can also use "let's" before the verb if you are including yourself in the imperative. The negative of
"let's" is "let's not".
For example:
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Let's not tell her about it.
Orders
Adults do not usually give each other orders, unless they are in a position of authority. However, adults can
give orders to children and to animals. The intonation of an order is important: each word is stressed, and
the tone falls at the end of the sentence:
For example:
Warnings
You can use the imperative to warn someone of danger. All the words in the warning are stressed, but the
last word has a higher tone than the first word:
For example:
Advice
When you give advice using the imperative, the words are stressed normally.
For example:
Don't tell him you're resigning now! Wait until Monday when he's in a better mood.
Don't drink alcohol
Don't eat heavy meals
Requests
You can also use the imperative to make a request, but you should use a polite word before the verb:
For example:
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Please take a seat.
Please wait here.
Please hold the line.
Please don't smoke here.
Notes:
Note that an imperative sentence does not require a subject; the pronoun "you" is implied.
d. Interrogative Sentence
Definition: An interrogative sentence is a type of sentence which usually asks a question and use a
question mark (?). They may ask for information or for confirmation or denial of a statement. They
typically begin with a question word such as what, who, or how, or an auxiliary verb such as
do/does, can or would.
For example:
Types
There are four types of interrogative sentences.
Yes/No Interrogatives
Yes/No questions usually will be answered by yes or no.
For example:
Alternative Interrogatives
Alternative interrogativse offer two or more alternative responses:
55
For example:
Wh- Interrogatives
Wh- Interrogatives are introduced by a wh- word, and they elicit an open-ended response:
For example:
What happened?
Where do you work?
Who won the Cup Final in 1997?
Tag Questions
They are sometimes tagged onto the end of a declarative sentence.
For example:
Notes:
Be careful to distinguish between direct and indirect questions. Direct questions normally use
inverted word order (verb before subject) and end with a question mark. Indirect questions normally
do not use inverted word order and do not end with a question mark.
For example:
56
C. Practices
Andrew told me .
2) Jessica: "Write a text message!"
Jessica told me .
3) Nelly: "Help Peter's sister!"
Nelly told me .
4) Fred: "Wash your hands!"
Fred told me .
5) Anna: "Open the window!"
Anna told me .
6) Tom: "Come at 8!"
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Tom told me .
7) Teacher: "Do your homework!"
Doris told me .
9) Sabine: "Meet Sandy at the station!"
Sabine told me .
10) Victoria: "Check your e-mails!"
Victoria told me .
-
Jack told his brother backpack and lunch!"
-
Jack told his brother late again."
-
Jack told his brother
-
His brother told him
-
Jack told his brother .
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6. Jack's mother said, "Be kind to your brother."
-
Jack's mother said that .
-
Jack said that he on time every morning."
-
Jack told
Their mother closed the door gently after they both left.
Reset
appointment few for help is like lovely this welcome you
PATIENT Yes, please. I'm Mrs Watson and is my son Ricky who drove me here. I've come my
operation.
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NURSE Yes, it , we're very proud of it, was inaugurated by Her Royal Highness last December. Now, if
DOCTOR You are you've paid - in the car park, I mean? It's a Pay-and-Display, and they're as
mustard, those wardens over there. They'll clamp you, if you haven't got a ticket - and it's a £40 to
release you. They're ever so keen - they clamp us on the medical staff, even though we've got official stickers.
You've got to watch it - they've got like hawks and they go round all the time.
VISITOR Thanks, but OK. My husband's in the car and he's disabled - he'll have got his orange card on
the dash. Or if he hasn't, then that's his look-out. Anyway, I'm only here on flying visit, to see when a
able back big do exercise got next on problem ring take through ward
NURSE So - go left out of the entrance to the and keep straight on down the corridor until you come to a
pair of double-doors. Go straight through. Got that?
NURSE When you're the double-doors, look for some stairs on the left - not very far. Go down these
stairs for two flights to Floor C - or you can the lift down to C.
NURSE I always walk, myself, just for a bit of . And you sometimes have to wait quite a bit for the
lift, if it's busy. Anyway, it's only two floors and a young fella like you ought to be to manage that.
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NURSE As you get down to Floor C on the stairs, or come out of the lift - go left and then right. And it's
just down there. Go to DI Reception and tell them you've come for the envelope for Mr Jackson, up on Nelson
Ward. Any problems, ask them to me on extension 4334 - Nurse Hamilton. OK?
The Kidneys
There are two kidneys in the body and they are situated on either side vertebral column. Between thick muscles
of the back and abdomen. Each kidneys is approximately 100 cm long, 6 cm wide, and 4 cm thick. Each one
weighs about 140 grams.
The major function of the kidneys is to remove waste products from the body by producing urine. They contain
about 1 million microscopic units called nephrons. Their function is to receive and filter all the blood in the
body once every twelve minutes. They remove waste materials from the blood and return useful substances to
the circulation. In this way, they enable the blood pressure to remain constant. The process of filtering the blood
is follows : first of all, blood enters the kidneys from renal artery and flows into glomeruli (small knots of
capillaries, which act as filter). Fluid then passes into Bowman’s capsule but the filter does not allow blood cells
and large protein molecules to enter the capsule.
As the filtered fluid passes on, 80 % of the water and sodium salts in it are removed collecting ducts, where the
water is again removed. The concentrated urine enters the pelvis, passes into urethra and finally enters the
bladder.
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9. What do nephrons contain ????
10. How many kidneys, do we have ?????
The Ward
The ward is the patient’s home during his stay in hospital. It is the place in which he spends his days, eats
and sleeps, and where his personal needs are catered for. A well – planned ward provides a pleasant, safe, and
comfortable environment for patients and staff.
The planning of ward units for new hospitals, and for modernization schemes in older one, has received a
great deal of consideration. In the past, in-patients were allowed up only for short periods during convalescence.
The modern practice of early ambulation has made it essential to provide adequate space for recreations and
sufficient bathing and toilet facilities. Bright colors have been used to create a cheerful atmosphere in the ward,
and furniture has been designed to suit the different needs of patients.
Another problem on which hospital planners have focused their attention is the reduction of unnecessary
noise. The use of plastic equipment, and the provision of central dish – washing and sterilizing department have
been a great help in eliminating noise.
The question of ward cleaning has also been taken into consideration by the planners. Nowdays, the floors
and walls are made of materials that can withstand very frequent washing and polishing. Furniture and fittings
have been designed to permit easy cleaning and maintenance.
3. Name of three things that have received attention in the planning of new hospitals ????
4. Where did in – patients spend most of their time in the past ????
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LESSON 4
Making Appointments
A. Oracy
1. Dialogue 1
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Administrative Staff: Are you Ms Moyers?
Patient: Yes, I am. I have an appointment at ten.
Administrative Staff: We just need to fill in some information for our files. Could you fill out these forms?
Patient: Certainly ... (comes back after filling out the forms) What's this form for?
Administrative Staff: It's just a privacy form informing you of our policies.
Patient: Is that really necessary?
Administrative Staff: I'm afraid it is. Could you also sign that form?
Patient: OK, there you go. Here's my insurance provider's card.
Administrative Staff: It's the deductible for office visits required by your health care provider.
Patient: ... but I'm insured aren't I?
Administrative Staff: Yes, of course. Your health care provider asks for deductibles on office visits.
Patient: Every time I turn around I've got some additional fee to pay. I don't know why I pay for insurance!
Administrative Staff: I know it's frustrating. We also have a lot of paperwork. Every provider has different
forms and requirements!
Patient: This can't continue on like this!
2. Dialogue 2
Dental Receptionist Sam: Good morning. I have an appointment with Dr. Peterson at 10.30.
Receptionist: Good morning, can I have your name, please?
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Sam: Well, yes. I've been having some gum pain recently.
Receptionist: Alright, I'll make a note of that.
3. Dialogue 3
Caller 1: OK, Dr. Peterson can see you tomorrow. Can you come in the morning?
Caller 2: Yes, tomorrow morning is fine.
Caller 1: Yes, here you are. OK, I've scheduled for ten o'clock tomorrow morning.
Caller 2: Thank you.
Caller 1: Drink plenty of warm fluids and get a good night's sleep!
Caller 2: Thank you. I'll do my best. Goodbye.
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Caller 1: Goodbye.
B. Literacy
1. Subjunctives :
1. Wish
2. If Only
3. Would Rather
4. As If / As Though
SITUATIONS SUBJUNCTIVES
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2. PRESENT PERFECT PAST PERFECT
1. ( + ) (-)
2. ( - ) (+)
1. YESTERDAY
PAST PERFECT
2. AGO
3. LAST
1. NOW
3. NEXT
4. EVERY
Catatan Penting :
Apabila Di Dalam Kalimat
Tidak Terdapat Time Marked,
Maka Kalimat Tersebut
MUTLAK milik PAST
TENSE.
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Learning to Tell Time
Clocks and watches have both a big hand to tell the minutes and a little hand to tell the hour. Look at the picture
below. The hour hand is pointing to the 1, and the minute hand is pointing to the 12 (or 0 minutes). It is exactly
one o'clock.
Another way to write one o'clock is 1:00. The symbol : is called a colon. It separates the hours from the
minutes. The number on the left side of the colon tells the hour and the number on the right side tells the
minutes.
To tell the time, you look at the hour hand first and then the minute hand.
In the picture above, the hour hand is pointing to the number 1, and the minute hand is pointing to the number
15 (look at the outside of the clock), so it is one-fifteen, or 1:15. You can also use the red hour marks to count
the minutes by fives: five, ten, fifteen.
Notice that the hour hand is not pointing exactly at the 1, but has moved a little to the 2. As the minute hand
moves all the way around the clock, the hour hand moves from one hour to the next. You will be using a
program that shows you how the two hands move as we just described.
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Most clocks only show the hour numbers. Some have no numbers at all. From now on, our examples will only
show the hour numbers. The program that you will be practicing with has no numbers. You just need to
remember where they are. If you forget, go back and look at the picture at the top of this page.
In this lesson you are learning to tell time on an analog clock. A digital clock tells you both the hour and the
minutes using numbers, such as 11:35. Later you will practice telling and setting the time on both types of
clocks.
In this picture, you can see that the hour hand is pointing a little bit after the 2. The minute hand is pointing to
the 4, so you know it is 20 minutes past the hour. Remember that you can count the minutes by 5's using the
hour marks. The time on this clock is 2:20, or two-twenty.
You can divide an hour, which is 60 minutes long, into four parts. The parts are divided by the 0, 15, 30, and 45
minute marks as shown in the picture below. Each of the four parts are called quarters. In the table below, you
will learn some ways to say the time using the word "quarter".
o'clock
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quarter to quarter past
half past
When the number of minutes is greater than 30, instead of saying the number of minutes after the hour, you can
say the number of minutes before the next hour, or the number of minutes to the hour.
The following table shows different ways to say the time, including the word "quarter" and the word "to".
Prepositions of Time:
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English Usage Example
on days of the week on Monday
months / seasons
in August / in winter
time of day
in the morning
in year
in 2006
after a certain period of time
in an hour
(when?)
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C. Practises
1. John wishes that his father ......... (allow) him to be a police officer next year.
2. Nurse Jane wishes that she ....... (speak) English well last Sunday in the English class.
b. explained d. explained
5. With a smile he came into his room as though nothing ...... (happen) yesterday
6. Nurse Jane measured the patient’s blood pressure as though she .... (know) how to use it.
b. knew d. knows
7. Nurse Rosa was a very smart student, but sometimes she acted as though she ...... (be) stupid
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a. had been c. is
b. were d. was
8. They talked to each other as though they ....... (be) best friend last day.
b. was d. are
9. How the way She taught an English to us as though she ...... (teach) the stupid students.
10. I wish my sister ........ (enroll) herself to the Nursing Program last month.
11. If only Mr. Frank ..... (explain) the Pathology lesson clearly last night.
b. explained d. explained
12. If only Nurse Sarah ..... (come) to the Pharmacologists class now.
13. If only you ....... (smoke, not) in the class, yesterday, I would have given you a gift.
14. I’d rather you ....... (control) all your patients every day.
b. controlled d. controls
15. I’d rather they ....... (make, not) any noise in the middle of our exam.
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16. I’d rather your brother ..... (take) an English course because his English is so poor.
17. With a smile he came into his room as if nothing ...... (happen) now.
18. Nurse Jane measured the patient’s blood pressure as though she .... (know) how to use it last day.
b. knew d. knows
19. Nurse Rosa was a very smart student, but sometimes she acted as though she ...... (be) stupid last day.
a. had been c. is
b. were d. was
21. Nurse Sarah slept well as if she ...... (be) in the heaven last night.
22. I wish Dr. Stuart ....... ( not, forget) about the final examination tomorrow.
23. I wish Nurse Shanty ...... (bring) my patient’s note last day.
a. brings c. bring
24. Tarry explained the lesson to her friends as if she ........ (be) the expert of that lesson.
a. were c. is
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b. was d. had been
25. I’d rather you ...... (ask) her apologizes after what you had done to her next Sunday.
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Sometimes the minute hand will point between two hour marks. You can count by 5's up to the hour mark
before the minute hand, then count the minute marks up to where the minute hand is pointing. For example, look
at this clock:
You count 5-10-15-20. Then count the minute marks: 21-22-23. The time is seven-twenty-three, or 7:23.
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Read the short description below:
I usually get up at a quarter past seven - that's seven fifteen in the morning. I have breakfast at eight o'clock and
then take the bus to work at half past eight. I usually arrive at work at a quarter to nine. Sometimes, the bus is
late and I arrive at about nine. My morning is usually pretty busy and I like taking a coffee break at twenty to
eleven if possible. I then work to lunchtime at noon. In the afternoon, I usually have another break at three
fifteen. I usually finish work at a quarter to five and arrive home around six in the evening. At night, I usually go
to bed at eleven o'clock.
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We can also just say the
In English we use o'clock only at the numbers in groups of two.
full hour. Example: It's eight o'clock Example: It's seven twenty-
five
When speaking about the different
times of the day we often use: in the Be careful! In English we use
morning, in the afternoon, in the at night NOT in the night
evening
a. 20 minutes to 5
1. 3:45
b. 40 minutes to 9
2. 4:40
c. 15 minutes to 4
3. 1:50
d. 35 minutes to 12
4. 6:35
e. 25 minutes to 7
5. 11:25
f. 10 minutes to 2
6. 8:20
g. 10 minutes to 11
7. 2:10
h. 15 minutes to 1
8. 9:35
i. 50 minutes to 3
9. 10:50
j. 25 minutes to 10
10.12:45
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1) It's .
2) It's .
3) It's .
4) It's .
5) It's .
6) It's .
7) It's .
8) It's .
9) It's .
79
10) It's .
3. My birthday is May.
80
Exercise on Prepositions – Time
That would be great. But I would prefer to go there the evening. I am visiting my grandma
Saturday.
I can pick you up half seven. How long does the film last?
That's right. But I must hurry home the film. I have to be home eleven
o'clock.
bits closer cut disinfected fooling glass hurt look more next thing problem removed
shirt slipped stitch
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Doctor: There is to it than that. Isn't there?
Patient: Well, yes .. I went through the glass door and myself.
I agree a better idea absorbent after all the time at the latest be be back case clothes
curtain difference in letter locker long minute on or round see you synthetic tell
to to get changed to give you a hand to put you
NURSE: Not - you'll be home on Tuesday - the doctor will give you
when he comes .
NURSE: Just nine, usually. Meantime, I'm going to draw the round your bed and ask you
into your nightie. You can keep your knickers and your bra. Are they cotton
synthetic ?
NURSE: We prefer cotton. More . I would’ve asked you some of ours, if you’d been
wearing .
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NURSE: . I'll them. While I’m away, ask your son if you need any help. I'll
in a minute.
PATIENT: Thank !
NURSE: So - in a minute.
NURSE: In your , if you like - and then stand the case next to your . I'll be back in a .
In the theater, jack will be given an anesthetic and his wound will be explored. The X-rays which were
taken by the radiographer will show the surgeon the exact site and extent of the fracture. Dead or dirty tissue
will be excised and any small splinters of bone will be removed. The surgeon will perform the operation using a
“no touch” technique to reduce the chances of infection.
When the surgeon is satisfied that the wound is as clean as possible, he will dust it off with an antibiotic
powder. He will then suture it and cover it with a sterile gauze dressing. Any areas that the raw will be dressed
with the sterile Vaseline petroleum gauze. The surgeon will now be able to treat the fracture as closed. He will
reduce the bone into anatomical position, and the leg will be put in the plaster of Paris. Jack then will be taken
back to an orthopedic ward.
When the post operative patients like jack arrives in the ward, they are carefully lifted from the stretcher
and laid in a specially prepared bed. The foot of the bed is often raised on wooden blocks. The patient is placed
on his back with his head turned to one side. As he is generally still unconscious, an artificial airway is in
position and a nurse stays with him to ensure that his airway is kept clear. She also checks his pulse rate and
volume, his color and the rate and the depth of his respiration.
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5. What will he do to the fracture bone ????
6. What will he do the Jack’s legs ????
7. Where will Jack be taken after the operation ????
8. What will the nurse check ????
9. How is he placed in bed ????
10. Why does a nurse remain with him ????
Midwife Maria
Midwife Maria is my favorite midwife, She cares all patients in the ward very carefully. She is a very
good and great midwife. She is speak calmly and explains about the progress of patients diseases clearly, she is
beautiful and smart. Every morning, she always smiles and says hello to all patients in the ward. But sometimes
she is angry with patient when the patient does not follow the instruction. She always controls all of patients’
conditions. At 10 o’clock in the morning, she often takes vital signs of patients. And sometimes, she gives us
medicines to take.
When she has night shift, she always controls all patients in the ward in the middle of night. It there is
something with her patients, she usually calls and reports to doctor in charge at emergency room. Midwife
Maria lives in hospital dormitory. So she doesn’t need a transportation to go to her dormitory. All patients in the
ward like midwife Maria very much.
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