5. Listen to Rachel having a job interview and answer the questions.

1. Where is Rachel working now?

2. Which part of the hospital does she work in?

3. Why is she looking for a new job?

6. Complete the sentences using words below. Then listen and check.

applying for fully-qualified

lectures part-time

night shift rewarding

1. Are you a ________ scrub nurse?

2. At the moment I’m doing a _________ course and working at the same time.

3. It’s hard, especially when I’m working a _________ and going to _________ next day.

4. … it’s the contact with the patients that’s most _________.

5. Why are you _________ a new job?

7. What answers does Rachel give to the following job interview questions. Prepare your own answers to these questions.

1. Are you a fully-qualified scrub nurse?

2. Tell us about your job. What do you do everyday?

3. What do like best about being a scrub nurse?

4. Why are you applying for a new job?

Unit 6

Medical documentation

1. Study the patient’s record form. Is it the same in Russia?

Surname John	First name Smith
DOB 2.3.50	Gender M F
Occupation	retired
Marital status	widowed
Next of kin Contact no.	son + 7 987 654 3210
Smoking intake	n/a
Alcohol intake	30 units per week
Reason for admission	suspected fractured arm
Medical history	high blood pressure
Family history	heart disease (mother’s side)
Allergies	none
GP	Dr Parkinson, Central Surgery

2. Find words and abbreviations in the patient record with these meanings.

1. job occupation

2. bad reactions, for example to certain medications _________

3. family doctor _________

4. closest relative _________

5. the amount of smth. you eat, drink, etc regularly _________

6. date of birth _________

7. male/female _________

8. past illnesses and injuries _________

9. married/single/divorced/widowed _________

10. not applicable (not a question for this patient) _________

11. in each (day, week, etc.) _________

12. number _________

3. Listen to the nurse get personal details from a patient. As you listen, complete the form. Try to remember all the questions the nurse asks the patient.

Surname

First name

Gender M F

DOB

Place of birth

Occupation

Marital status

Next of kin.

Contact no.

Smoking intake

Alcohol intake

Reason for admission

Family history mental illness HIV/AIDS diabetes tuberculosis

4. Students As work together in pairs. Students Bs work together in pairs. You are going to play the role of a patient admitted to hospital. Use the points of the patient record from the previous exercise.

Student A – you are the doctor. Ask students B, the patient, questions to complete the patient record from 3. Now change roles.

5. Read the summary about Mustapha Hussein, find three mistakes in it.

Mustapha Hussein was admitted with possible concussion after falling from a ladder and hitting his head. Mr Hussein was born in 1982. He is divorced, and works as a painter. His next of kin is his brother, Yusuf. He can be contacted on 07709-401229. Mr Hussein smokes 40 cigarettes a day. He does not drink alcohol. He is not allergic to anything. There is a family history of diabetes on his father side.

6. Write a similar summary about John Smith from 1.

7. Study the form. What questions can the nurse ask to get necessary information? Make up a dialogue between the nurse and the patient. Now change roles.

PATIENT HISTORY FORM-CONFIDENTIAL

Name: Age: Date:

Past Medical History (check all that currently or previously apply to you personally):

System Review:

High blood pressureSkin Cancer or LesionsStomach Ulcers

Heart AttackLymphomaLung Disease

Diabetes - Type I or Type II (Circle)LeukemiaLiver Disease(specify)______________

Headaches (specify) Prostatitis / Elevated PSAKidney Disease(specify)____________

Cancer (specify) _______________EndometriosisHyperthyroid

StrokeSleep ApneaHypothyroid

AsthmaAnxiety / Depression (please circle)

Pacemaker / Arterial Stent(s) Allergies(specify)____________

Autoimmune / Inherited Condition (Ex. Blood Disorders, Polio, Chron’s Disease, IBS, Paget’s disease)

If yes, please list:

List All Family History: (Office use only)

Musculoskeletal Review:

GoutLupusNeuropathy

OsteoporosisFibromyalgiaPeripheral Circulatory Problems

ArthritisReiter’s SyndromeSwelling of the hands or feet (specify)

ScoliosisReynaud’sColdness of the hands or feet (specify)

Psoriasis / Psoriatic ArthritisTMJ / BruxismFoot Drop / Weakness

Disc Degeneration (Jaw clenching)Dizziness / Vertigo

Bone SpursDouble VisionFacial Numbness or Pain

Rheumatoid ArthritisWeaknessMultiple Sclerosis

Other:

Medical / Artificial Implants / Previous Bone Fractures

If yes, please list:

Recent steroid injections / current corticosteroid prescription

Please indicate if you use the following substances:

Tobacco Never Rarely Daily (amount)

Alcohol Never Rarely Daily (amount)

Recreational Drugs Never Rarely Daily (amount)

Caffeine / Carbonated soda Never Rarely Daily (ounces per day) Diet Soda

Please list all previous trauma / auto accidents / surgeries & hospitalizations with dates and treatment: Please list all current medications / dietary supplements / all routine exercise & physical activities:

Do you have Hepatitis B / Hepatitis C / Tuberculosis or HIV infection (Circle any that apply)

What is your dominant Hand (please circle): R / L

Are you pregnant? YES / NO

# Of children and their respective ages:

What is your current stress level (1(no stress) – 10(intolerable stress))

Unit 7

Lab test interpretation

1. Study the blood test description. Do you know your blood test results?

CBC

A CBC stands for Complete Blood Count. It includes RBC (red blood cell count), HCT (hematocrit), Hgb (hemoglobin), WBC (white blood cell count), MCV (mean corpuscular volume), MCH (mean corpuscular hemoglobin), MCHC (mean corpuscular hemoglobin concentration), and Platelet Count.

2. Identify each type of blood cell in the picture below.

- platelets - white blood cells - red blood cells

3. There are four main blood groups: A, B, AB, and O. Each type can be followed by + or -. Do you know your blood group?

4. Listen, complete this description of a Complete Blood Count (CBC) with the words below.

infection hemoglobin clot red blood cells

white blood cells platelets oxygen

A CBC measures the number of different cells that make up the blood. It looks at:

• (1)___________ - these take (2)_________ from the lungs to the body’s tissues, and take carbon dioxide away at the same time. The CBC also measures the amount of (3)__________ (a protein in the cells that carries the oxygen), and looks at the size and shape of the cells.

• (4)________ - these protects the body against (5)________.

• (6)________ - these make the blood ________.