Nama :Irena Siska Manalu

NIM :01.2.17.00610
Mata Kuliah : Bahasa Inggris

Unit 11

GIVING INJECTION

A. Sub Learning Outcome dan Indicators

After teaching learning process in this unit, the students are able to understand speaking in
nursing of giving injection with the following indicators such as:
1. Explain about the procedure of giving injection
2. Give instruction when giving injection

B. Language Competency

Objective : Students will be able to undrstand about giving injection

Language function : Giving instruction
Language focus : Talking about giving injection
Related Nursing Skill : 1. Giving intramuscular injection
2. Giving intravenous injection

C. Materials

GIVING INJECTION
1. Determine what type of injection you are giving. Read the directions given to you by
your doctor, nurse or pharmacist. If your medication comes with instructions, read
those. If you have any questions or doubts regarding how and when to administer the
injection, consult your physician or other medical professional before continuing. There

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 are two common types of injections that one can regularly perform at home legally:
subcutaneous and intramuscular.[1] If you don't know what kind of injection you are
required to administer, consult your physician, pharmacist, or a nurse before continuing.
2. Subcutaneous injections are made into the fat layer directly beneath the skin. Examples
of this include insulin for diabetic patients; blood clot medications.
3. Intramuscular injections are made directly into the muscle. Examples include vaccines,
hormones, and antibiotics.

What You Will Need:

Before you give an injection, you will need the following:
1. Drug (This comes in a small bottle or vial.)
2. Alcohol swab, or cotton ball moistened with alcohol
3. Syringe with needle (You will need a prescription to buy syringes from a
pharmacy.)
4. Hard plastic or metal container with a screw-on or tightly-secured lid

Parts of a Syringe and Needle

You will use a syringe and needle to give an injection. The parts are labeled below.

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Useful Expression
a. Explaining the procedures
 It is time for me .......
 I just want .......
 I am going .......
 I would like ......
 I need .......
to give injection
to give injection onto your buttocks
to inject onto your buttocks
to give injection onto your (upper) arm
b. Giving instruction and expression during implementation
 Would you ..........please?
 Please ........
 Now, I want you do .......
sit down
lie down on your face
lie onto your tummy
lie with face downwards
roll up your sleeve
give your right / left hand
lower your pant down

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c. Cautionary expressions
a little pain
This will give ……… a bit hurt
You may feel ………. a bit uncomfortable
You’ll feel …………. a little bit uncomfortable
a jab
Don’t worry. It just gives a little pain.
Don’t move while I am doing the injection
Don’t be stiff. Flex your buttock, please

2. Vocabulary
Syringe : (n.v) alat suntik
Couch : (n.v) tempat tidur untuk memeriksa pasien
Roll : (n.v) gulungan. Menggulung (bandages)
Sleeve : (n) lengan baju
Buttock : (n) pantat (bokong)
Vein : (n) pembuluh darah vena
Clench : (v) mencengkeram (one's fists)
Fist : (n) kepalan tangan
Jab : (v.n) tusukan (dengan jarum), pukulan

1. GRAMMAR: GERUND and TO INFINITIVE

Function
Kita akan mengidentifikasi salah satu penggunaan kata kerja bentuk ING yang berfungsi
sebagai Gerund.
GERUND : Kata kerja bentuk ing yang berfungsi sebagai kata benda. Bisa disebut
juga sebagai Nominal-ing.
Gerund bisa kita temukan dalam bentuk
1. Preposition + Verb ing ( sudah kita bahas dalam bagian sebelumnya.)

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2. SUBJECT : Kata kerja bentuk ING yang berfungsi sebagai subyek
kalimat. Example: "Smoking is not good for your health"
diterjemahkan : Merokok tidak baik untuk kesehatan anda
3. VERB + VERB ING objek kata kerja: ada kata kerja tertentu bila diikuti kata kerja
lain maka kata kerja yang mengikuti harus berbentuk GERUND (verb ing) daftar
kata kerja tersebut bisa dilihat di bawah ini.
Example
"You should avoid consuming fats"
diterjemahkan : Anda harus menghindari makanan berlemak.

Kata-kata kerja yang diikuti verb-Ing

1 Admit 18 miss
2 Advise 19 postpone
3 Anticipate 20 Practice
4 Avoid 21 Quit
5 Complete 22 Recall
6 Consider 23 Recollect
7 Delay 24 Recomend
8 Deny 25 Regret
9 Discuss 26 Remember
10 Dislike 27 Resent
11 Enjoy 28 Resist
12 Finish 29 Risk
13 Forget 30 Stop
14 Can’t help 31 Suggest
15 Keep 32 Tolerate
16 Mention 33 understand
17 Mind

TO INFINITIVE: selain kelompok kata kerja tersebut di atas, ada sekelompok kata kerja
yang bila diikuti kata kerja lain, maka kata kerja yang mengikutinya berbentuk to
infinitive.

Exercise : Translate into Bahasa Indonesia. Decide whether the Ing form is Present
Participle or Gerund, or not included both.

1. Continuing to monitor blood pressure, respirations, and reflexes should be included in

the plan of care for a postpartum woman.

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2. An adult has received one unit of packed red blood cells after sustaining severe
trauma to his legs with profuse bleeding.
3. The nurse suggests that the family visit in shifts during the normal visiting hours,
since the client needs to sleep.
4. Which of the following nursing interventions indicate an undemanding on the part of
the nurse concerning proper care of pressure ulcers?
5. He is complaining of burning, crushing pain in his amputated food,
6. While assessing a woman, the nurse obtains data suggesting that client has
developed hyperthyroidism.

D. Closing

Exercise 1 : Individual work

Translate these into communicative English. Write your translations down here.
1. Pak, sekarang saya mau menyuntik bapak
Sir, now I want to inject the father
2. Terlungkup di tempat tidur itu.
Lie on the bad
3. Buka sedikit celananya.
Open the pants a little.
4. Sedikit sakit ya pak.
little sick huh sir.
5. Berikanlah lengan kiri anda.
Give your left arm.

6. Mohon jangan bergerak selama disuntik.

Please do not move during the injection.
7. Anda akan merasa sedikit tidak nyaman.
You will feel a little uncomfortable
8. Jangan kuatir, anda hanya akan merasakan tusukan.
Don't worry, you will only feel a prick.
9. Silahkan menaikan lengan baju anda.

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Please raise your sleeve.
10. Bagus, sudah selesai.
Good, it's finished

Exercise 2 : Individual work

For each number, arrange these jumbled words into a good sentence.
1. (injection-nurse-this-scares-me)
This scares nurse injection me
2. (arm-have-I-injection-my-got-never-in-before)
Before never in have got in injection my arm.
3. (to-allergic-I’m-nurse-penicillin)
I’m nurse allergic to pencillin
4. (feel-getting-in-sire-injection-my-I-buttock-after)
Sire i after getting feel injection my buttock
5.(It-be-to get-this-will-nurse-painful-injection?)
This will get pain it be nurse injection.

Exercise 3 : Pair work

 Prepare a couch.
 Act out an instruction from a nurse to a patient.
 Use the following instructions.
Oh, No, It must be painful
 sit down
 Lie down on your face / lie onto your tummy / lie with face downwards
 Roll up your sleeve
 Give your right/left hand
 Lower your pant down

Exercise 4 : Study this conversation.

Case : A patient suspected with gallstone is having a colic in the upper right abdomen.
The doctor orders the nurse to give painkilling injection and antibiotic.
Nurse : Do you still feel sore in your stomach.
Patient : Yes, nurse. It’s still painful around here (pointing at upper right abdomen)

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Nurse : OK. I need (1)check Would you lie down (2) please Lower your pants, please. I
am going to give you an injection into your buttock.
You’ll feel a (3) pain (Giving injection)OK. Done.
Patient : Thank you nurse
Nurse : You’re welcome.

E. References

1. Pramudya, Leo A. (2006) English for the Professional Nurses 2. Jakarta: EPN
Consultant.
2. Pramudya, Leo A. (2006) Vocabulary & Grammar in Use for Nursing. Jakarta: EPN
Consultant.

Unit 12

APPLYING INFUSION

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 A. Sub Learning Outcome dan Indicators

After teaching learning process in this unit, the students are able to understand speaking in
nursing of applying infusionwith the following indicators such as:
4. Explain the procedure of applying an infusion
5. Give instruction when applying an infusion

B. Language Competency

Objective : Students will be able to understand about applying infusion

Language function : Applying infusion
Language focus :Giving Instruction
Related Nursing Skill : 1. Giving intravenous injection
2. Applying infusion

C. Materials

 A. Useful Expression
 I am going ........

1. Explaining the procedures

 It's time for me ....
 I just want .......
 I would like .....
 I need .......

toapplythis infusion
togiveinjection into your vein
to apply this tourniquet round your arm

2. Rationale (if asked by the patient)

 What for is it?

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  What is it used for?
Response
To make medication easier
To increase solution in your body and other
rationales ........................

3. Giving instruction and expression during implementation

 …………please.
 Would you ………please
 Now, I want you to ……..
lie flat on your back
roll up your sleeve
give your right / left hand

4. Reassurance (if patient looks afraid of the injection)

 Don't worry. It's OK
 It won't take long
 I'll do this as quick as I can
 Have your ever had/got an infusion before?
 Everything will be OK
 It shouldn't be painful

Vocabulary
Tourniquet : (n) torniket, alat untuk menghambatalirandarah
Apply : (v) memasang
Infusion : (n) infuse.
Intravenous : (adj) dalampembuluhdarah vena
Roll round : (v) mengikat, menggulung, menggelilingi
Rationale : alasan

READING

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 The Diagnostic Tests of Angina Pectoris

Angina is not a disease in its own right but is the name given to pain arising
when the muscular wall of the heart becomes temporarily short of oxygen.
What are the symptoms?
The main symptom is pain in the center of the chest. The pain can spread to the
throat and upper jaw, the back and the arms (mainly the left one). It is a dull,
heavy, constricting pain, which characteristically appears during exercise and fades
when exercise stops. Less commonly, the pain may occur only in the arms, wrists or
neck but you can recognize it as angina if you know that is arises whenever you are
abnormally active or excited and disappears after the activity or excitement has
stopped. It is often made worse by cold weather, walking into a wind or after a heavy
meal. Additional symptoms that can often accompany the pain are difficulty in
breathing, sweating, nausea and dizziness. There are, however, other causes of central
chest pain, such as spasm in the muscles of the esophagus, and tests may be needed
to establish the diagnosis with certainty.
What tests should be done?
After examining you, the doctor may take a blood specimen for tests to identify thyroid
disorder, anemia or other possible causes of chest pain. It may be advisable to find the
level of lipids (fats) in your blood, in which case the blood must be taken in the morning
before you eaten. A urine test will determine whether or not you have diabetes
(diabetics are more Susceptible to heart disease)
There are a number of tests that can be performed to get more information
about a patient's angina. The first is aelectrocardiogram (ECG). This is normally
done whilst the patient is suffering from a chest pain.
There is also something called a stress test which is done _while the patient
walks on a treadmill so that it is possible to see how the heart is performing when the patient
exercises.
Diagnostic test such as X-ray examination may be included. X-ray of the heart
that is taken before and after exercise can show if an area of the heart is not getting enough
blood. If this happens it may mean that arteries supplying blood to the heart are
blocked. Another test is cardiac catheterization. This is a test in which a long thin
tube is inserted throughthe artery in an arm or a leg and than guided into the heart. Dye

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is then injected into the arteries around the heart and the heart is then x-rayed to see if
any of the arteries are blocked.
In addition, both a CT scan and an MRI scan may occasionally be used _to
obtain clear pictures of the heart structure. Your doctor may arrange for some or most
of these tests to be carried out, depending on his or her assessment of the probable
severity of your coronary heart disease, your age and the type of treatment most likely
to be suitable for you. However, in general, extensive testing is recommended only for
patients who are willing to undergo surgery, if it should prove to be necessary.
Modern treatment for angina is very effective but the powerful drugs used have to
be taken exactly as prescribed, and you may need to consult your doctor about unpleasant
side effects they may produce, such as dizziness or lack of energy.

Task 6 : Answer these questions:

11. What is the main idea of the reading?
Jawab ;The Diagnostic Tests of Angina Pectoris
12. What is the keyword of the reading?
Jawab :Diagnostic Tests
13. Please retell the reading by your own words!
Jawab ; reading text

D. Closing

Task 7 : Fill in the blank with the correct words using one of the words listed above, adjust
with the correct form when necessary.

●Severe ● fade ●accompany ●susceptible ● injections

●constriction ●arise ●insert ●certain ●spreads

1. The doctor need tocertain endoscope into your mount

cavity to look at your digestive track

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2. A person with IDDM should administer daily self
injections of insulin to replace the missing hormone
3. There are few know diseases which are not insertto
medical treatment
4. The victim suffered from Severebrain damage
5. It is not spreds to rely on physical examination. The
doctor needs to order a course of lab tests to confirm the diagnose
6. This kind of diseasesusceptibl eeasily
7. The constriction of the respiratory track makes you
difficult in breathing
8. If your bruise does not fade your doctor
9. Emotional or mental problems can accompany from a
physical cause
10. A generally ill appearance and high temperature
willarisethe pain

Task 1.Let's practice Whole class

 Practice the expressions above
 Each participant have to say one expression
 Take a different expression from the previous participant

Task 2. Individual work

Translate these into communicative English

1. Ibu, sekarang saya mau memasang infus.

Mother, now I want to put an IV.

2. Silahkan berbaring di tempat tidur itu.

Please lie on the bed.

3. Sayamaumengikatkanalatini (tourniquet) di lenganIbu

I want to tie this tool (tourniquet) on your arm

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4. Ibuakanmerasasedikitsakit, tapisayaakanmelakukansecepatnya
Mother will be a little sick, but I will do the copywriting

5. Janganbanyakbergerakyabu
Don't move too much, mom

6. Semuaakanbaik-baiksaja.
Everything will be fine.

TASK 3
Study and practice this conversation
Case : A patient with diarrhea.

Nurse : Good morning Mr. Brown. You look pale.

Mr. brown : Yes, nurse. I had diarrhea last night.
Nurse : How many times did it happen?
Mr. Brown : Five times
Nurse : OK. Mr. Brown. I need Hand sir .I’ll give you an injection into
your vein.
Mr. Brown : Will it hurt?
Nurse : It hurts a little, but it’s OK. I’ll do it quickly. Give me your left hand,
please. I need to roll this around your upper arm.
Mr. Brown : Sure.
.When the needle pierces a blood vessel.after a few minutenote the
infusion flow
Nurse : OK. That’s it. Take a rest and don’t forget to drink as much water as
possible.
Mr. Brown : Sure. Thank you Nurse.
Nurse : Don’t mention it.

TASK 4
Complete this conversation, and then practice with a partner.

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Case: Two nurses need to apply an infusion to a patient.

Nurse : Good Morning, Mrskadek

Patient : Good morning nurses
Nurse : How you feel ?
Patient : Mrs. feel scared. Now I am infusion, would you
Please, on the couchopen the sleevesright hand, please.
Patient : Sure.
Nurse : Now see blood vesselthis (tourniquet) round your clench your fist
Patient : yamrs
Nurse : I will do this inserting a needle
Patient : Ouch!
Nurse : Don’t move while inserting a needle Fine. That’s it. It’s done.
Patient : Thanks Nurse.
Nurse : You are welcome.

TASK 5. Pair work

 Make your own conversation focused on applying infusion.
 Practice in pairs
 Act out the conversation before the class using a real syringe and infusion as
models.
Case: a doctor orders you to give infusion to a newly hospitalized patient suspected
with dengue fever.
Nurse gives:
 Short explanation to apply infusion.
 Instruction to lie flat on back.
 Instruction during implementation
 Cautionary advice when ready.
 Reassurance to patient if afraid of the injection.

E. References

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3. Pramudya, Leo A. (2006) English for the Professional Nurses 2. Jakarta: EPN
Consultant.
4. Pramudya, Leo A. (2006) Vocabulary & Grammar in Use for Nursing. Jakarta: EPN
Consultant.

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