Module 4 Unt Bhs 2 Bag 2

ENGLISH FOR STUDENTS NURSE
[MODULE 4]
ARRANGED BY :
TITIES HARJANTI, SS
MEDIKA HEALTH SCIENCE INSTITUTE
2010
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CONTENT
Lesson I Let’s Take Over, Nurse ! 6
Lessons Content
A. Oracy 6
a. Dialogue 1 6
b. Dialogue 2 7
B. Literacy 9
a. Patients’ Medical Record Example 1 9
b. Patients’ Medical Record Examples 2 10
c. Patients’ Medical Record Examples 3 11
d. How To Make The Patients’ Medical Record In English 12
e. Direct – Indirect Statement 13
f. How To Make The Patients’ Medical Record In English
Using The Direct – Indirect Statement 18
C. Practices 19
a. Grammar Pattern Exercises
b. Filling Gap Dialogue Exercises
c. Reading Comprehension Exercises

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Lesson II @ Medical Ward 28
Lessons Content
A. Oracy 28
a. Dialogue 1 28
b. Dialogue 2 29
B. Literacy 30
a. Nursing Communication Skills 30
b. Direct – Indirect Questions 32
C. Practices 37

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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
a. Direct – Indirect Request 48
b. Kinds Of Sentences 52
C. Practices 59

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Lesson IV Making Appointments 65
Lessons Content
A. Oracy 65
a. Dialogue 1 65
b. Dialogue 2 66
c. Dialogue 3 66
B. Literacy 68
a. Subjunctive 68
b. Telling The Time 69
c. Prepositions 72
C. Practices 74

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LESSON 1
Let’s Take Over, Nurse !
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?
Nurse S : Yes, I am. I bring Ms. Jane for you.
Nurse R : Good, is this Ms. Jane?
Nurse S : Yes, that’s right.
Nurse R : let me bring Ms. Jane to her room first.
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 R : Okay, nurse Shinta we can take over now.
Nurse S : Okay
Nurse R : So, what happened with her?
Nurse S : Well, she was hit by a car yesterday evening, after we examined her, we found broken bone
on her leg.
Nurse R : did you take X-rays for her?

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Nurse S : Yes we did, on X-Rays of her, we found compound fracture at tibia and fibula.
Nurse R : I see, did you do something to treat her fracture?
Nurse S : yes, we cleaned up the wound, applied IV solution with Lactate ringer, gave pain killer,
closed monitoring and took blood samples.
Nurse R : did you write all of them on nursing note?
Nurse S : yes I did.
Nurse R : did Dr. Frank make schedule to operate her?
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 S : okay, thanks, good bye.
Nurse R : good bye.
Situation :in the medical ward.
Nurse: Good evening, Mrs. Dani
Mrs. D: Good evening , Nurse
Nurse: Well, Mrs. I just got a phone call from dr. Andrew.
Mrs. D: Dr. Andrew, who is he?
Nurse: He is an orthopedic surgeon.
Mrs. D: I see, so?
N: Dr. Andrew said that I have to take some blood samples from you before you are operated
M: What is it for?
N: We want to know about your blood group, CBC, ESR,, BT, CT, etc.
M: I see you can take it now

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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
N: Can I have your arm?
M: Which one, left or right?
N: The right one, Mrs.
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: And now I will clean your skin by this alcohol
M: That’s good Nurse
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
M: Be careful Nurse, I am afraid of needle
N: Don’t worry you are in a good hand
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.
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B. Literacy
1). Medical Report / Patients’ Note Letters

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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.
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2). Direct – Indirect Statement
 Direct – Indirect Speech Adalah Kalimat Langsung – Kalimat Tidak Langsung!!!!!
a. Rumus Mutlak D – ID :
DIRECT / QUOTED SPEECH INDIRECT /REPORTED SPEECH

 CIRI – CIRI NYA ADALAH :
A. STATEMENT - DIMULAI DENGAN “SUBJECT”.
- DI DALAM ID MENGGUNAKAN “THAT”
B. QUESTIONS :  CIRI – CIRI NYA ADALAH :

a. Yes / No- Questions - DIMULAI DENGAN “TOBE” QUESTIONS.
- DI DALAM ID MENGGUNAKAN “IF / WHEATER”
b. WH - Questions  CIRI – CIRI NYA ADALAH :

- DIMULAI DENGAN “WH” QUESTIONS.
- DI DALAM ID MENGGUNAKAN KEMBALI “WH”
TERSEBUT

REQUEST : a. ( + ) - DIMULAI DENGAN “KATA KERJA POSITIVE”
TANPA SUBJECT.
- DI DALAM ID MENGGUNAKAN “TO + V1”.
b. ( - )  CIRI – CIRI NYA ADALAH :

- DIMULAI DENGAN “KATA KERJA NEGATIVE”
TANPA SUBJECT.
- DI DALAM ID MENGGUNAKAN “NOT + TO +
V1”.
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a. Rumus Mutlak Perubahan Tenses ; Ket. Waktu ; & Tempat Pada D – ID :
a. Perubahan Tenses :
1. SIMPLE PRESENT = PAST TENSE
2. PRESENT PROG. = PAST PROG.
3. SIMPLE PAST TENSE = PAST PERFECT
4. PAST PROG. = PAST PERFECT PROG.
5. SIMPLE FUTURE = PAST FUTURE
6. FUTURE PROG. = PAST FUTURE PROG.
7. SIMPLE PRESENT PERFECT = PAST PERFECT
8. PRESENT PERFECT PROG. = PAST PERFECT PROG.
9. SIMPLE PAST PERFECT = PAST PERFECT
10. PAST PERFECT PROG. = PAST PERFECT PROG.
b. Perubahan Waktu :
1. NOW THEN
2. TODAY NO THAT DAY
3. TOMORROW THE DAY AFTER / THE FOLLOWING DAY
4. YESTERDAY THE DAY BEFORE / THE PREVIOUS DAY
5. LAST WEEK THE WEEK BEFORE
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 :
 Syarat MUTLAK perubahan Direct menjadi Indirect adalah INTRODUCTORY.

Adapun contoh INTRODUCTORY itu adalah : Say ; Ask ; Tell ; Explain ; Order ; & Advice Etc.
 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 :
1. Jim SAYS, “ I’m sleepy ”.
Jim SAYS that he is sleepy
2. Mary SAYS, “ I am planning to go tomorrow “.
Mary SAYS that she is planning to go the day after.
3. Tom SAYS, “ I have already eaten lunch “.
Tom SAYS that he has already eaten lunch.
4. Erica TELLS, “ I will come to your party “.
Erica tells that she will come to my party.
5. Jessica TELLS, “ I was studying yesterday “.
Jessica tells that she was studying the day before.

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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."
Direct Speech Reported Speech

Simple Present Simple Past
He said: "I am happy" He said that he was happy
Present Progressive Past Progressive
He said: "I'm looking for my keys" He said that he was looking for his keys
Past Perfect Simple
Simple Past
He said that he had visited New York the
He said: "I visited New York last year"
previous year.
Present Perfect
Present Perfect
He said that he had lived there for a long
He said: " I've lived here for long time "
time
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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"
How to make an essay using DI statement :
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.
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“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
1). Grammar Exercises:
1. He said, "I like this song."
→ He said
2. "I don't speak Italian," she said.
→ She said
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3. "The film began at seven o'clock," he said.
→ He said
4. "I never make mistakes," he said.
→ He said
1. "I was very tired," she 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....). ….
2. Tim : ' I need a long holiday. ' => Tim said….
3. Bob : I hate selfish people. ' => Bob said ....

4. The shopkeeper : ' I am going to close. ' => The shopkeeper said ...
5. The little boy : ' I go to school ! ' => The little boy said ...
She asked Meriem 'Why didn't you fin

7. 'I saw this film two weeks ago. (he said that....)…..
He said that he ha 'I saw this film two

8. 'You should have a rest . (The doctor advises the
The doctor advise 'You should have

patient....)…..
1. Tim : ' I need a long holiday. ' => Tim said…..
he needed a long Tim : ' I need a lon how long Aunt Ma Lisa : ' How long w
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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…..
he was going to c The shopke epe r :

4. Laura : ' I have forgotten everything about you. '
=> Laura told me …..
she had forgotten Laura : ' I have fo

5. The little boy : ' I go to school ! ' => The little boy
said ....
he wouldn't go to The little boy : ' I w
1) John: "Mandy is at home."
John said that .

2) Max: "Frank often reads a book."
Max told me that .

3) Susan: "I'm watching TV."
Susan said to me that .

4) Simon: "David was ill."
Simon said that .

5) Peggy: "The girls helped in the house."
Peggy told me that .

6) Richard: "I am going to ride a skateboard."
Richard said to me that .

7) Stephen and Claire: "We have cleaned the windows."
Stephen and Claire told me that .

8) Charles: "I didn't have time to do my homework."
Charles remarked that .

9) Mrs Jones: "My mother will be 50 years old."
Mrs Jones told me that .

10) Jean: "The boss must sign the letter."
Jean said that .
1. John said, “I evacuated immediately.”

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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.
4. ================================================================
Change these Direct Statement into Indirect Statement :
9. “I had injected my patients in the medical ward yesterday”, Nurse Jane said.
NURSE JANE SAID THAT SHE HAD INJECTED ……….THE DAY BEFORE.
10. “I was measuring the patient’s blood pressure”, Nurse Syifa tells.
NURSE SYIFA TELLS THAT SHE WAS MEASURING THE PATIENT’S BP.
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11. “I do the heart surgery”, Dr. John said.
DR. JOHN SAID THAT HE DID THE HEART SURGERY.
12. “We have applied the IM injection to Mr. Jim now”, Nurse Shinta & Nurse Tania say.
THEY SAY THAT THEY HAVE APPLIED THE IM INJECTION THEN.
13. “We were in the surgical ward now”, Brooder Brandon and Brooder Tono said.
THEY SAID THAT THEY HAD BEEN IN THE SURGICAL WARD THEN.
14. “We are at the hospital yesterday”, Dr. Jane & Dr. Amanda told.
THEY TOLD THAT THEY WERE AT THE HOSPITAL THE DAY BEFORE.
15. “I am visiting my grandma in the ward yesterday”, Miss. Reiza told.
MISS REIZA TOLD THAT SHE WAS VISITING HER GRANDMA THE DAY BEFORE.
16. “I have been in the laboratory since yesterday”, says nurse Junita.
NURSE JUNITA SAYS THAT SHE HAS BEEN …….THE DAY BEFORE
17. “We are taking the patients’ note last day”, Nurse Alin & Nurse Ida explained.
THEY EXPLAINED THAT THEY WERE TAKING ….THE NIGHT BEFORE
18. “I was in the Siloam Hospital two days ago”, Ms. Shinta says.
MS. SHINTA SAYS THAT SHE WAS ………….TWO DAYS BEFORE.
19. “ I had studied hard, yesterday “, Nita said.

NITA SAID THAT SHE HAD STUDIED HARD THE DAY BEFORE
20. “ I was measuring the patient’s temperature “, he said.
HE SAID THAT HE HAD BEEN MEASURING THE PATIENTS’S TEMPERATURE.
2). Filling Gap Exercises

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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."
REPORTER: "Why do you like to run?"
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."
REPORTER: "What is your favorite part of a marathon?" (a = any)
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?"
RUNNER: "Yes, I am looking forward to running one in Seattle next month."
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!"
RUNNER: "Thank you. I'm honored to be here on your show."

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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.
1. The reporter asked ________
a. how long is it he prepare for race.
b. he prepare how long for the race.
c. how long did he prepare for the race.
d. how long he had been preparing for the race.
2. The runner replied that _______________
a. I have been running for about five years.
b. I was running for about five years .
c. he had been running for about five years .
d. he is running for about five years.
3. Next, the reporter asked him ____________

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a. why he likes to run.
b. why does he like to run.
c. why do you like to run.
d. why he liked to run.
4. The runner said ____________
a. that he is needing to improve his over-all health.
b. he needed to improve his over-all health.
c. that I have needed to improve my over-all health.
d. I needed to improve my over-all health.
2.
5. He added that __________ to get out in the morning and run.
a. I can't wait
b. I couldn't wait
c. he can't wait
d. he couldn't wait
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6. Next, the reporter asked him ___________
a. what is your favorite part of a marathon.
b. what his favorite part of a marathon is.
c. what is his favorite part of a marathon.
d. what is it his favorite part of a marathon.
7. The marathoner replied ______________to the 20-mile mark in the marathon

race.
a. that it is when he gets
b. that it is when I get
c. that it is when he got
d. when he gets
8. He added ___________________
a. what is his most challenging moment.
b. that was it his most challenging moment.
c. that it is his most challenging moment.

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d. is it his most challenging moment.
9. The reporter inquired _____________more marathons in the near future.
a. whether he was going to run
b. that are you going to run
c. whether are you going to run
d. you going to run
10. The athlete answered ___________________
a. that he was looking forward to running one in Seattle in the coming month.
b. that he is looking forward to running one in Seattle next month.
c. that he looks forward to running one in Seattle next month.
d. if he was looking forward to running one in Seattle next month.
11. The reporter asked ________________ about getting back in shape.
a. could he give him some advice
b. whether you could give me some advice
c. that he could give him some advice

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d. whether he could give him some advice
12. The athlete advised ___________________
a. that he eat healthy food and keep moving.
b. that he eats healthy food and keeps moving.
c. that he is eating healthy food and keeping moving.
d. that healthy food he should eat and moving he should keep.
13. The reporter thanked him and _________ his coach as well.
a. told him thank
b. told him that he thank
c. told to him to thank
d. told him to thank
14. The reporter suggested that _______________ some rest .
a. he gets
b. he got
c. he will get
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d. he get
15. The athlete responded ___________________
a. that I am honored to be here on your show.
b. that he is honored to be here on your show.
c. that he was honored to be here on his show.
d. that he was honored to be there on his show.

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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
Answer The Questions Correctly :
1. What does paragraph one tell us about?
2. How many departments are there in a hospital?
3. Where can you get the medicine?
4. What does the word “physicians” in paragraph 3 mean?
5. What does the purpose of the report text above?
6. What Kind of hospitals that the most numerous specialty ?
7. How many kind of hospital that has been mentioned above ?
8. How many departments that hospital has & mentioned it ?

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9. What does the tertiary hospitals provide ?
10. Why does the Psychiatrics hospitals are the most numerous specialty hospitals ?
LESSON 2
@ The Medical Ward
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: Hello Susan. Please call me Anne – Ms Watson is so formal.
Nurse: OK! How are you feeling today, Anne?
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.
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.
32
Patient: Thanks! Bye.
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!
Patient: Thank you, Michael.
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.
33
B. Literacy
1). Communication Skills: Interacting With Patients
Introducing yourself to patients in the ward:
‘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.’
‘Hi there, I’m ____. I’m taking care of you today.’
To check what the patient would like you to call them:
‘Good morning. My name is ____. I’ll be the nursing student looking after you today. What may I call you?’
‘What would you like me to call you?’
‘May I call you Ms Smith or would you prefer Margaret?’
To inquire about the patient’s health:
‘How are you feeling?’
‘How are you feeling today?’
‘Are you feeling any better today?’

34
‘How are you feeling at the moment?’
If the patient has just been admitted today:
‘Can you tell me why you are here today, Mr/Ms ____?’
‘What’s brought you here today?’
‘What brings you here (today)?’
If the patient needs your help:
‘How can I help you?’
‘What can I do for you?’
‘Is there anything (else) I can do to help you?’
‘Is there anything (else) I can do to make you feel comfortable?’
To check if you may ask the patient some questions:
‘I’ve just got one or two questions to ask you, Mr/Ms ____ – it won’t take long. Is that OK?’
‘I just need to check a few things with you, alright?’
‘I just need to check a few things with you. Is that OK?’

35
2). Direct – Indirect Questions :
Direct – Indirect Speech Adalah Kalimat Langsung – Kalimat Tidak Langsung!!!!!



TERSEBUT

TANPA SUBJECT.

TANPA SUBJECT.
V1”.
36
1. NOW THEN
37
6. A GO BEFORE
7. LAST NIGHT THE NIGHT BEFORE
1. THIS THAT
2. THESE THOSE
3. HERE THERE
Catatan Penting :

berbicara !!!!.
b. Questions Forms :
1. “ Where did you buy this book ? “, my sister ASKED.
My sister asked where I had bought that book.
2. “ Do you want to go with me ? “, I ASKED.
I asked if she wanted to go with me.

38
3. “ When do you want to leave ? “, she ASKED.
She asked when I wanted to leave.
4. “ Did you smell something ? “, she ASKED.
She asked if I had smelt something.
5. “ What are you thinking about ? “, Nita ASKED
Nita asked what I was thinking about.
Types of questions Direct speech Reported speech

With question word (what, why, "Why" don’t you speak He asked me why I didn’t speak
where, how...) English?” English.
Without question word (yes or no He asked me whether / if I spoke
“Do you speak English?”
questions) English.
Question without question words (yes/no questions):

Peter: "Do you play football?" - Peter asked me whether (if) I played football.
Question with question words:

Peter: "When do you play football?" - Peter asked me when I played football.
QUOTED QUESTION REPORTED QUESTION

Quoted questions are phrased exactly as is /was Reported questions rephrase the speech and
spoken and is place within quotes. whether or if to join the phrase.
My friend said, "Are you coming?" My friend asked whether I was coming.
My friend asked, "Is your brother coming too?" My friend asked if my brother was coming too.
My friend asked, "Can you drive us?' My friend asked whether I could drive them.
My friend asked, "Will you have enough gas?" My friend asked if I would have enough gas.
My friend asked, "Do we have enough money for My friend asked whether we had enough
gas?" money for gas.
QUESTION VERB TENSE STATEMENT VERB TENSE

Present "Are you tired? " Past She asked whether I was/were tired.
"Do you live here?' She asked if I lived there.
"May I come too? " She asked whether she might come
"Can I help?" " too.
"Will you leave soon? " She asked if she could help.
"Must you do that? " She asked whether would leave soon.
She asked if I had to do that.
Present "Are you working?" Past She asked whether I was/were
39
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
QUESTION VERB TENSE Statements VERB TENSE

Present "How are you? " Past She asked how I was.
Present Progressive "Where are you going?" Past She asked where I was going.
Progressive
Past " Whom did you call?" Past Perfect She asked whom I had called.
Present Progressive " Whom are you calling?" Past She asked whom I was
Progressive calling.
Present Perfect " Where have you been?" Past Perfect She asked where I had been.
Present Perfect " How have you been Past Perfect She asked how I had been
Progressive doing?" Progressive doing.
Present - General "Where is Mars?" Present - She asked where Mars is.
Truth General Truth
C. Practices
1). Grammar Exercises
1) Christopher: "Do you want to dance?"

40
Christopher asked me .
2) Betty: "When did you come?"
Betty wanted to know .

3) Mark: "Has John arrived?"
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?"
Mandy wanted to know .

7) Andrew: "Will Mandy have lunch with Sue?"
Andrew asked me .
8) Justin: "What are you doing?"
Justin asked me .
9) Frank: "How much pocket money does Lisa get?"
Frank wanted to know .

10) Anne: "Must I do the shopping?"
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.
4. “ Do you know what is her Blood Group, Nurse ? “, she asked.
5. “ Where did he stay after having an accident ? “, John asked.
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 ? “.
9. “ Do you understand what I mean ? “, the lecturer asked me.

10. “Have you taken Ms. Jane’s vital signs, nurse?”. Nurse Rosa asked
# YOUR RESPONSE CHECK ANSWER

1. "What did she say?"
-
He asked me
41
2. "Where are you going?"
-
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
7. "How much do you pay for rent?"

Would you mind telling me
8. "How many times have you seen that movie?"
-
He asked me
that movie.
9. "Who is coming for dinner?"
I would like to know
10 "Who did they choose to lead the group?"

.
-
Can you tell me to
lead the group.
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.
42
15 Where did he buy that book?

.
-
He wouldn't tell me where
that book.
Reset

1. "Is this the train to San Francisco?"
He is asking me
2. "Do we have to buy a ticket before boarding?"
-
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
5. "Is this the 'bullet train'?"

I really don't know
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
8. "May I sit with you?"
-
She asked me
9. "Is there a special fare for students?"

Do you happen to know
-
for students?
43
10. "Are you Canadian?"
-
The guy next to me asked
11. "Do you prefer taking the train?"

Do you mind telling me
12. "Is there a seat reserved for handicapped people?"
-
Can you tell me reserved for
handicapped people?
13. "Does this train usually run on time?"
Can you tell me
14. "Are you a regular commuter."
-
May I ask
15. "Is this the final stop?"
-
Can you tell me

Reset
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.
I yelled at the in charge which her.

44
bit calm do found happened know myself neighbour on seems thought white
DOCTOR Hello, Dr Blasco here. What to be trouble?
NEIGHBOUR It's Mr Lindley - I him in his chair. I he'd passed out.
DOCTOR What's ? Now - try to be . Take your time.
NEIGHBOUR Well, I'm Mr Lindley's , next door but one. I come round and see that he's allright,
every so often. He lets me have a key, so I can let in and out.
DOCTOR Go .
NEIGHBOUR I came round about five minutes since I'd promised to do his garden. All I is just cut his
grass and perhaps a of weeding - nothing much.

NEIGHBOUR I opened the door and shouted to him it was me, as usual - and he didn't reply. I thought; that's
funny - he always wants to who it is, as soon as anybody comes. Anyway, I went into his little front room
- and there he was, slumped in his armchair, as a sheet.
be chest comfortable dizzy else fine found hurry idea movement phoning pick pig
sides speak still trying water what yet
DOCTOR Could he when you entered the room?
NEIGHBOUR Just about. He said he was to make a phone-call to his daughter - she lives in Ashford -
45
and as he stretched out to the phone up off the rest, he got this terrible shooting pain up his arm and
across his .
DOCTOR Yes - then ?
NEIGHBOUR He says he went and nearly fell over. He had to sit down in his chair - and that's where I
him. He can't move, he says.
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
terribly thirsty. Shall I give him a drink of ?
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?
NEIGHBOUR All right. Just up!
DOCTOR I'll there as quick as I can.
Nurse Jane Johnson & Her Accident

46
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.
Answer The Questions Correctly !!
1. What was Jane Johnson doing when she was knocked down ???
2. What did people do when they saw the accident ???
3. What did the car driver do to Jane ???
4. What happened when the ambulance arrive ???
5. Who gave her the morphine injection ???
6. Why was she given the morphine ???
7. Which bones and wound had been broken ???
8. Which leg had been broken ???
9. What was Mr. smith asked to sign ???
10. Did she get the hard wound ???
11. Who was the person that sign the surgical form ???
12. Did the Jane’s parents give a punishment to the car driver ???
13. In what hospital that took Jane ???
14. What was Mrs. Smith ask to give ???
15. Did Jane’s parents get shock when they heard about the accident ???
Mr. Jack & His Surgery

47
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.
Answer the questions below correctly :
1. What will Jack be given in the theater ????

2. What will be done to his wound ???
3. What will the X-rays show the surgeon ????
4. What will happen to any small splinters of bone ????
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 ????
48
LESSON 3
Let’s Examine Mrs. Jack, Nurse !
A. Oracy
1. Dialogue 1
Doctor: When did you last come in for a physical exam?

Patient: I had my last physical two years ago.
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: How have you been feeling in general?

Patient: Pretty well. No complaints, really.
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.
Doctor: That would be a good idea. How about your diet?

Patient: I think I eat a pretty balanced diet. You know, I'll have a hamburger from time to time, but
generally I have well-balanced meals.
Doctor: That's good. Now, I'm going to listen to your heart.

Patient: Ooh, that's cold!
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.
49
2. Dialogue 2
Patient: Good afternoon.
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: I see. How long have you had these symptoms?

Patient: Oh, I've had the cough for two weeks, but feeling ill just these past few days.
Doctor: Are you having any other problems?

Patient: Well, I've got a headache. I've also had a little bit of diarrhea.
Doctor: Do you produce any phlegm when coughing?

Patient: Sometimes, but it's usually pretty dry.
Doctor: Do you smoke?

Patient: Yes, a few cigarettes a day. Certainly no more than a half a pack a day.
Doctor: How about allergies? Do you have any allergies?

Patient: Not that I'm aware of.
Doctor: Does your head feel stuffy?

Patient: Yes, for the past few days.
Doctor: OK. Now let's have a look. Could you please open your mouth and say 'ah'?
50
3. Dialogue 3
Patient: Nurse, I think I might have a fever. It's so cold in here!

Nurse: Here, let me check your forehead.
Patient: What do you think?

Nurse: Your temperature seems raised. Let me get a thermometer to check.
Patient: How do I raise my bed? I can't find the controls.

Nurse: Here you are. Is that better?
Patient: Could I have another pillow?

Nurse: Certainly, Here you are. Is there anything else I can do for you?
Patient: No, thank you.

Nurse: OK, I'll be right back with the thermometer.
Patient: Oh, just a moment. Can you bring me another bottle of water, too?
Nurse: Certainly, I'll be back in a moment.
51
B. Literacy
1). Direct – Indirect Request
Direct – Indirect Speech Adalah Kalimat Langsung – Kalimat Tidak Langsung!!!!!



TERSEBUT

TANPA SUBJECT.

TANPA SUBJECT.
V1”.
52
1. NOW THEN
6. A GO
53
BEFORE
7. LAST NIGHT
THE NIGHT BEFORE
1. THIS THAT
2. THESE THOSE
3. HERE THERE
Catatan Penting :

berbicara !!!!.
c. Requests Forms :
1. “ Speak louder “, the teacher says.
The teacher said to speak louder.
2. “ Lock the door “, Mom told.
Mom told to lock the door.
3. “ Don’t go anywhere “, father tells.
Father tells not to go anywhere.
4. “ Don’t cry “, he told.
He told not to cry.
5. “ Don’t move out “, she asked.
She asked not to move out.
Tenses are not relevant for requests – simply use to / not to + verb (infinitive without "to")
54
Example:
She said, “Sit down." - She asked me to sit down.
She said, "don't be lazy" - She asked me not to be lazy
For affirmative use to + infinitive (without to)
For negative requests, use not to + infinitive (without

to).
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.
Affirmative commands Negative commands

Father: "Do your homework." Teacher. "Don't talk to your neighbour."
Father told me to do my homework. The teacher told me not to talk to my neighbour.
2). Kinds Of Sentences
Voice
55
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)
or whether the subject is acted upon (by an 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:
 Active: John ate the apples.

* John, the subject, is the one performing the action of the verb.
 Passive: The apples were eaten by John.

* The apples, the subject in this sentence, are receiving the action of the verb.
a. Declarative Sentence
56
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:
 His name is Jhon.
In this sentence, the subject is "his name" and the predicate is "is Jhon".
Examples:
 Mario plays the piano.

 I hope you can come tomorrow.
 We've forgotten the sugar.
 Ottawa is the capital of Canada.
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.
Exclamative sentence can begin with "what" or "how"

For example
 What a naughty dog he is!

 What an amazing game that was!
 How well everyone played!
Examples
57
 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:
 Give me that tape, please.
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:
 Let's stop now.

 Let's have some lunch.
 Let's not argue
58
 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:
 Sit down now!

* "Sit", "down" and "now" are all stressed, and the tone falls on "now".
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:
 Sit down now!

* "Sit", "down" and "now" are all stressed, and the tone falls on "now".
 Watch out!
 Look out!
 Don't cross!
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:
59
 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:
 Do you speak French?

 Will you go to the supermarket for me?
 How can I do that?
Types
There are four types of interrogative sentences.
Yes/No Interrogatives
Yes/No questions usually will be answered by yes or no.
For example:
 Will you bring your book?

* => Answer: Yes or No)
 Did she pass the test?
* => Answer: Yes or No)
Alternative Interrogatives
Alternative interrogativse offer two or more alternative responses:
60
For example:
 Should I telephone you or send an email?

 Do you want bear, wine, or wisky?
Yes/no interrogatives and alternative interrogatives are introduced by an auxiliary verb.
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:
 David plays the piano, doesn't he?

 We've forgotten the milk, haven't we?
 There's a big match tonight, isn't there?
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:
 When was Lester Pearson prime minister?

=> Direct/Interrogative.
 I wonder when Lester Pearson was prime minister.
=> Indirect/Declarative.
61
C. Practices
1) Andrew: "Clean the blue bike!"
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!"
62
Tom told me .
7) Teacher: "Do your homework!"
The teacher told me .

8) Doris: "Dance with me!"
Doris told me .
9) Sabine: "Meet Sandy at the station!"
Sabine told me .
10) Victoria: "Check your e-mails!"
Victoria told me .

1. Jack shouted "Get your backpack and lunch!"
-
Jack told his brother backpack and lunch!"
2. Jack said "Don't make me late again."
-
Jack told his brother late again."
3. Jack said to his brother, "Hurry up!"
-
Jack told his brother
4. His brother said, "Leave me alone!"
-
His brother told him
5. "OK, then", Jack said, "Walk alone!"
-
Jack told his brother .
63
6. Jack's mother said, "Be kind to your brother."
-
Jack's mother said that .
7. Jack to his brother, "Please be ready on time every morning."
-
Jack said that he on time every morning."
8. Jack's brother said, "Warn me ten minutes before you leave."

His brother told
9. Jack said, "Set your alarm before you go to bed."
-
Jack told
10 Jack said, "Use two clocks if you need to.

. Jack said to him
11 Jack's brother said, "Go ahead without me."

.
-
Jack's brother told him
12 "I will." Jack said, "Don't forget your head!"

.
-
Jack told him
Their mother closed the door gently after they both left.
Reset
appointment few for help is like lovely this welcome you
NURSE Morning, to our ward. I’m Nurse Ordóñez - can I you?
PATIENT Yes, please. I'm Mrs Watson and is my son Ricky who drove me here. I've come my
operation.
NURSE Ah, yes, I’ll take your letter, thank you.
PATIENT It's a place - is it new?

64
NURSE Yes, it , we're very proud of it, was inaugurated by Her Royal Highness last December. Now, if
you’d to take a seat, and help me with a details...
PATIENT Yes, of course. What do want to know?
a eyes it's keen might penalty sure under
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
neighbour be coming out.
DOCTOR That's all right, then. Everything control..
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?
PORTER Straight through.. yes that. Then what?
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.
PORTER Lift.. down.. C.. What you suggest?
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.
PORTER Don't worry - I can manage two floors. No . What's next?
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?
65
PORTER 4334.. Nurse Hamilton.. OK. I'm the way.
NURSE Thanks, love. You're doing me a favour. I owe you one.
PORTER No worries. Be in a tick.
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.
Answer The Questions Below :

66
1. Where are the kidneys situated ???

2. What do the nephrons do ????
3. How often is the blood filtered through the kidneys ????
4. What are the glomeruli ?????
5. What is their function ????
6. Can you explain about the process of filtering blodd ????
7. Where does the concentrated urine finally enter ????
8. How big the kidneys sized are ????
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.
67
Answer The Questions Correctly !!!!!!!
1. What does the patient do in the ward ????
2. What is done for the patient in the ward ????
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 ????
5. When were in – patients allowed up in the past ????
LESSON 4
Making Appointments
A. Oracy
1. Dialogue 1
Administrative Staff: Hello, how can I help you?

Patient: I've got an appointment with Dr. Adams.
68
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: Thank you. OK, that'll be $20.

Patient: Why do I have to pay $20?
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!
Administrative Staff: I agree with that!
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?
Sam: Yes, it's Sam Waters.

Receptionist: Yes, Mr. Waters. Is this the first time you've seen Dr. Peterson?
Sam: No, I had my teeth cleaned and checked last year.

Receptionist: OK, just a moment, I'll get your chart.
Sam: Oh, I changed my insurance. Here's my new provider card.

Receptionist: Thank you. Is there anything in particular you'd like the dentist to check today?
Sam: Well, yes. I've been having some gum pain recently.
Receptionist: Alright, I'll make a note of that.
69
Sam: ... and I'd like to have my teeth cleaned as well.

Receptionist: Of course, Mr. Waters, that'll be part of today's dental hygiene.
Sam: Oh, yes, of course.

Receptionist: Please have a seat and the Dr. Peterson will be with you momentarily.
Sam: Thank you.

Receptionist: You're quite welcome.
3. Dialogue 3
Caller 1: Dr. Peterson's office. How may I help you?

Caller 2: I'd like to make an appointment to see the doctor.
Caller 1: Certainly, are you ill at the moment?

Caller 2: Yes, I'm not feeling very well.
Caller 1: Do you have a fever, or any other symptoms?

Caller 2: Yes, I have a slight fever and aches and pains.
Caller 1: OK, Dr. Peterson can see you tomorrow. Can you come in the morning?
Caller 2: Yes, tomorrow morning is fine.
Caller 1: How about 10 o'clock?

Caller 2: Yes, 10 o'clock is fine.
Caller 1: May have your name?

Caller 2: Yes, it's David Lain.
Caller 1: Have you seen Dr. Peterson before?

Caller 2: Yes, I had a physical exam last year.
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.
Caller 1: Goodbye.
70
B. Literacy
1. Subjunctives :
- Subjunctive adalah Kalimat Pertentangan :
- Seperti yang dijelaskan di bawah ini :
- Subjunctives MUTLAK menngunakan kata2 sbb :
1. Wish
2. If Only
3. Would Rather
4. As If / As Though
Adapun Rumusnya adalah :
SITUATIONS SUBJUNCTIVES
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1. PRESENT TENSE PAST TENSE
2. PRESENT PERFECT PAST PERFECT
3. PAST TENSE PAST PERFECT
4. PAST PERFECT PAST PERFECT
5. FUTURE TENSE PAST FUTURE PERFECT Etc.
1. ( + ) (-)
2. ( - ) (+)
1. YESTERDAY
PAST PERFECT
2. AGO
3. LAST
1. NOW
2. TOMORROW PAST TENSE
3. NEXT
4. EVERY
Catatan Penting :
Apabila Di Dalam Kalimat
Tidak Terdapat Time Marked,
Maka Kalimat Tersebut
MUTLAK milik PAST
TENSE.
72
2. Telling The Time
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.
73
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.
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.
74
There are two types of clocks:
 A clock with hands, called an analog clock

 A clock with numbers only, called a digital clock
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.
What time does this clock show?
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.
Different Ways to Say the Time
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
75
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".
Time Ways to Say the Time

4:00 Four o'clock
Two-fifteen
2:15
Quarter past two
Six-thirty
6:30
Half past six
Two-forty-five
2:45
Quarter to three
Seven-fifty
7:50
Ten to eight
Eight-eleven
8:11
Eleven minutes past eight
Eleven-forty-eight
11:48
Twelve minutes to twelve
Twelve o'clock
12:00 Noon (middle of the day)
Midnight (middle of the night)
Prepositions of Time:
English Usage Example

 on  days of the week  on Monday
 in  months / seasons  in August / in winter

76
English Usage Example

 time of day
 in the morning
 year
 in 2006
 after a certain period of time
 in an hour
(when?)
 for night  at night

 at  for weekend  at the weekend
 a certain point of time (when?)  at half past nine
 from a certain point of time (past

 since  since 1980
till now)
 over a certain period of time (past

 for  for 2 years
till now)
 ago  a certain time in the past  2 years ago
 before  earlier than a certain point of time  before 2004
 to  telling the time  ten to six (5:50)
 past  telling the time  ten past six (6:10)
 to /
 marking the beginning and end of a
till /  from Monday to/till Friday
period of time
until
 till /  in the sense of how long something

 He is on holiday until Friday.
until is going to last
 I will be back by 6 o’clock.

 in the sense of at the latest
 by  By 11 o'clock, I had read five
 up to a certain time
pages.
C. Practises
1. John wishes that his father ......... (allow) him to be a police officer next year.
77
a. has allowed c. allowed
b. had allowed d. allows
2. Nurse Jane wishes that she ....... (speak) English well last Sunday in the English class.
a. speaks c. had spoke
b. spoke d. had spoken
3. If only Mr. Jrank ..... (explain) the Patology lesson clearly.
a. explains c. had explained
b. explained d. explained
4. If only Nurse Dhita ..... (come) to the Pharmacologists class yesterday.
a. had come c. comes
b. had came d. came
5. With a smile he came into his room as though nothing ...... (happen) yesterday
a. happen c. has happened
b. had happened d. happened
6. Nurse Jane measured the patient’s blood pressure as though she .... (know) how to use it.
a. had knew c. had known
b. knew d. knows
7. Nurse Rosa was a very smart student, but sometimes she acted as though she ...... (be) stupid
a. had been c. is
b. were d. was
8. They talked to each other as though they ....... (be) best friend last day.
a. were c. had been
b. was d. are
9. How the way She taught an English to us as though she ...... (teach) the stupid students.
a. have taught c. has taught
b. had taught d. taught

78
10. I wish my sister ........ (enroll) herself to the Nursing Program last month.
a. has enrolled c. enrolled
b. had enrolled d. enrolls
11. If only Mr. Frank ..... (explain) the Pathology lesson clearly last night.
a. explains c. had explained
b. explained d. explained
12. If only Nurse Sarah ..... (come) to the Pharmacologists class now.
a. had come c. comes
b. had came d. came
13. If only you ....... (smoke, not) in the class, yesterday, I would have given you a gift.
a. didn’t smoke c. hadn’t smoked
b. hadn’t smoke d. doesn’t smoke
14. I’d rather you ....... (control) all your patients every day.
a. had controlled c. had control
b. controlled d. controls
15. I’d rather they ....... (make, not) any noise in the middle of our exam.
a. doesn’t make c. hadn’t make
b. don’t make d. didn’t make
16. I’d rather your brother ..... (take) an English course because his English is so poor.
a. takes c. had took
b. took d. had take
17. With a smile he came into his room as if nothing ...... (happen) now.
a. happen c. has happened
b. had happened d. happened

79
18. Nurse Jane measured the patient’s blood pressure as though she .... (know) how to use it last day.
a. had knew c. had known
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
20. He walked away as though he ...... (forget) his obligation.
a. forgets c. had forgot
b. forgot d. has forget
21. Nurse Sarah slept well as if she ...... (be) in the heaven last night.
a. had been c. was
b. has been d. were
22. I wish Dr. Stuart ....... ( not, forget) about the final examination tomorrow.
a. doesn’t forget c. don’t forget
b. didn’t forget d. didn’t forgot
23. I wish Nurse Shanty ...... (bring) my patient’s note last day.
a. brings c. bring
b. brought d. had brought
24. Tarry explained the lesson to her friends as if she ........ (be) the expert of that lesson.
a. were c. is
b. was d. had been
25. I’d rather you ...... (ask) her apologizes after what you had done to her next Sunday.
a. asks c. had asked
b. asked d. have asked
Practice Telling the Time
Try telling the time on this clock:

80
Try this one:
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:
81
You count 5-10-15-20. Then count the minute marks: 21-22-23. The time is seven-twenty-three, or 7:23.
What time is it in these examples?

82
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.
Look at the rules for telling time in English.
In English we use "past" to say times We use "to" to say times

after the hour until half past, or 30 before the hour from 31
minutes past the hour. minutes until the full hour.
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
83
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
Telling Time in Different Ways
Match the time on the right to the time on the left.
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
Various The time in Englis en 332
The time in English
Write the correct time in British English into the gaps.
Write the numbers in words.

84
Example: It's _____________________.
Answer: It's two o'clock.
1) It's .
2) It's .
3) It's .
4) It's .
5) It's .
6) It's .
85
7) It's .
8) It's .
9) It's .
10) It's .
Exercise on Prepositions – Time
Fill in the correct prepositions.
1. Peter is playing tennis Sunday.

86
2. My brother's birthday is the 5th of November.
3. My birthday is May.
4. We are going to see my parents the weekend.
5. 1666, a great fire broke out in London.
6. I don't like walking alone in the streets night.
7. What are you doing the afternoon?
8. My friend has been living in Canada two years.
9. I have been waiting for you seven o'clock.
Exercise on Prepositions – Time
Choose the correct prepositions.
 What are you doing the weekend?
 I don't know yet. Maybe I'll go to the cinema Saturday.
 That's interesting. I haven't been to the cinema so many years.

on
 We could go there together the afternoon.
 That would be great. But I would prefer to go there the evening. I am visiting my grandma
Saturday.
 That's okay. The film starts eight o'clock.
 I can pick you up half seven. How long does the film last?
 It lasts two hours and forty-five minutes.

87
 eight a quarter eleven.
 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
Doctor: What exactly is the young man.
Patient: I was around in the hall and .
Doctor: There is to it than that. Isn't there?
Patient: Well, yes .. I went through the glass door and myself.
Doctor: I had better to see if there is any in the wound.
Patient: I want to know if it will much. .
Doctor: Take off your and I will take a look.
Patient: Can you see any of glass?
Doctor: Yes, I have them all and the wound.
Doctor: The I shall do is you up.

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: Now .... This is where you’ll be you’re with us.
PATIENT: How long will I be ?
NURSE: Not - you'll be home on Tuesday - the doctor will give you when he
comes .
PATIENT: When will that ?
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 ?
88
PATIENT: Cotton. Why? What's the ?
NURSE: We prefer cotton. More . I would’ve asked you some of ours, if you’d been wearing
PATIENT: They should put it in the .
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.
PATIENT: Where shall I put my and shoes ?
NURSE: In your , if you like - and then stand the case next to your . I'll be back in a . And again -
welcome our ward . . .
Mr. Jack & His Surgery
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.
1. What will Jack be given in the theater ????

2. What will be done to his wound ???
3. What will the X-rays show the surgeon ????
4. What will happen to any small splinters of bone ????
5. What will he do to the fracture bone ????
6. What will he do the Jack’s legs ????
89
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.
1. Who is the person that in the article ???

2. What is her occupation ???
3. At what time does she often take the vital signs of the patients ???
4. Where does she live ??
5. Do all the patients love & like her ????
6. What she do when she has the night shift ???
7. What she do if something happen to the patients in her night shift ???
8. What happen to the patients if they break the instruction ??
9. What she do every morning to all patients ???
10. What she do if the patients want to hear about their health condition ???
================ THANK YOU ======================

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Module 4 Unt Bhs 2 Bag 2

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ENGLISH FOR STUDENTS NURSE

MEDIKA HEALTH SCIENCE INSTITUTE

Lesson I Let’s Take Over, Nurse ! 6

a. Patients’ Medical Record Example 1 9

b. Patients’ Medical Record Examples 2 10

c. Patients’ Medical Record Examples 3 11

d. How To Make The Patients’ Medical Record In English 12

e. Direct – Indirect Statement 13

f. How To Make The Patients’ Medical Record In English

Using The Direct – Indirect Statement 18

a. Grammar Pattern Exercises

b. Filling Gap Dialogue Exercises

c. Reading Comprehension Exercises

Lesson II @ Medical Ward 28

a. Nursing Communication Skills 30

b. Direct – Indirect Questions 32

a. Grammar Pattern Exercises

b. Filling Gap Dialogue Exercises

c. Reading Comprehension Exercises

Lesson III Let’s Examine Mrs. Jack, Nurse 45

a. Direct – Indirect Request 48

a. Grammar Pattern Exercises

b. Filling Gap Dialogue Exercises

c. Reading Comprehension Exercises

Lesson IV Making Appointments 65

b. Telling The Time 69

a. Grammar Pattern Exercises

b. Filling Gap Dialogue Exercises

c. Reading Comprehension Exercises

Let’s Take Over, Nurse !

Nurse S : Yes, I am. I bring Ms. Jane for you.

Nurse R : Good, is this Ms. Jane?

Nurse S : Yes, that’s right.

Nurse R : let me bring Ms. Jane to her room first.

Nurse R : Okay, nurse Shinta we can take over now.

Nurse R : So, what happened with her?

Nurse R : did you take X-rays for her?

Nurse R : I see, did you do something to treat her fracture?

Nurse R : did you write all of them on nursing note?

Nurse S : yes I did.

Nurse R : did Dr. Frank make schedule to operate her?

Nurse S : okay, thanks, good bye.

Nurse R : good bye.

Situation :in the medical ward.

Nurse: Good evening, Mrs. Dani

Mrs. D: Good evening , Nurse

Mrs. D: Dr. Andrew, who is he?

Nurse: He is an orthopedic surgeon.

Mrs. D: I see, so?

M: What is it for?

M: I see you can take it now

N: Can I have your arm?

M: Which one, left or right?

N: The right one, Mrs.

N: And now I will clean your skin by this alcohol

M: That’s good Nurse

M: Be careful Nurse, I am afraid of needle