UNIT 1

ADMISSION

A. Expression

In greeting/welcoming patients at the first, they arrive to the hospital, there are ome expressions that
can be used.

Hospital receptionist

- Good morning/ afternoon/ evening

- Can I help you?
- What is your problem?
- Can I have your identity?
- Please wait there, I’ll call you later

Patient response:

- Good morning/ afternoon/evening

- Yes, I was …
- I got …
- Oh I’m very …
- Yes, here it is
- Yes, thank you

Asking for time

Work with your colleagues to share the workload so you can give your attention to the admission. You
may need to ask your colleagues for help in caring for your patients while you do an admission.

1. Do you have enough time to admit a patient?

2. Could you give me a hand? For looking after my patients while I do an admission, please?

Admission Questions

Many international nurses find the most difficult part of admission is asking simple effective questions.
Some of these questions should be open questions, other will be closed questions

A closed question is typically a choice between two things, sometimes yes and no. There is no room for
the patient to add more information. Open questions typically start with “what/when/how”. Here some
examples of both types of questions .

1. Previous medical history

a. Have you been in the hospital before? ___________
b. What was that for? ___________
c. Do you know why you are in hospital this time? ___________
d. Can you tell me why? ______________
e. Are you being treated by doctor for any illness or condition at the moment? ________
f. What is the illness or condition? ___________
g. Are you taking any medication you have brought wit you?________
2. Home and family
a. Can you please tell me your address? _________
b. What type of accommodation do you live in? ___________ (house, flat, residential home)
c. Who do you live with? ____________
d. Do you have stairs in your accommodation? ____________

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 e. Do you have family or friends locally? _______________
f. Is your home near to shops and public transport? _______________
3. Eating and Sleeping Routines
a. What do you usually have for breakfast/lunch/evening meal? _______
b. What food do you prepare for yourself? __________
c. Do you have any special preferences and needs such as a low fat diet? ___________
d. What food do you enjoy?____________
e. Do you usually sleep well at night?___________
f. Do you need any help getting ready for bed? __________

B. Practice

Practice the following dialogue!

A : Good morning, can I help you?
B : Good morning. I want to check my health.
A : What happen to you?
B : I got headache yesterday
A : Okay. Let me know your identity. What is your name?
B : Carl Davidson
A : Can you spell it?
B : C-A-R-L-D-A-V-I-D-S-O-N
A : What is your occupation?
B : I am a lawyer
A : OK. What is your date of birth?
B : First of the third, eighty
A : One, three, eighty. And where were you born?
B : Rome, Italy
A : What is your marital status?
B : I am married
A : How about your phone number?
B : 07778-765487
A : Do you have any contact number of your next kin?
B : Yes, it is my wife, Marianne Davidson. She can be called at 09878-668932
A : Do you smoke?
B : Yes
A : How many do you smoke a day?
B : twelve a day
A : Do you consume alcohol?
B : Yes
A : How many do you drink it?
B : One, it’s only on the weekend
A : Are you allergic to anything?
B : Yes, I can’ eat crab
A : Then Family history. Do you any of your close family suffer from some illness?
B : Hmmmm …. My father got hypertension
A : OK. Please wait there, I’ll call you letter
B : Thank you

C. Fill the blanks in the dialog by using the provided answers in the box below

1. And your date of birth 6. And your address

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 2. Do you have any health insurance card 7. Where you referred to this hospital by
3. So you are 59 now, right another hospital
4. Could you tell me your name please 8. Could you like to say your phone number
5. Do you have a daytime number where we can contact you

Nurse : Right then, let see …

Patient : Albert. Albert Rost
Nurse : ________________________________________________?
Patient : 101 City Mansion, 2-90 2 Chome, Nakaku, Hiroshima
Nurse : Okay,_____________________________________________?
Patient : April 15th, 1949
Nurse : Right, ____________________________________________?
Patient : That’s right
Nurse : ___________________________________________________?
Patient : Yes. It’s 221-3468, anytime after about six or seven in the evening
Nurse : ______________________________________________________?
Patient : Hhmmm yeach I can give you my work number. It’s 228-2269
Nurse : When you came here, ____________________________________?
Patient : No, I wasn’t I just came here today
Nurse : _______________________________________________________?
Patient : Yes, here you are
Nurse : Thanks here you are

D. Fill in the blanks in the dialog with appropriate expressions you have learnt before!

Nurse : Good morning, my name is nurse Miesha, who will looking after you. It’s time for me
to ask some questions about your personal data.
Patient : Sure, nurse
Nurse : ___________________________
Patient : My name is Alexandra Rierra
Nurse : ____________________________
Patient : It is R-I-E-R-A
Nurse : ____________________________
Patient : 28th of August 1982
Nurse : ___________________________
Patient : Yes, I am
Nurse : __________________________
Patient : East Main Street no 324, Stamford
Nurse : ____________________________
Patient : I am a lawyer
Nurse : ____________________________
Patient : Not yet, I am single
Nurse : ____________________________
Patient : Yes, it is (203) 352-8600
Nurse : ____________________________

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 Patient : There is my brother, he is here with me right now in this hospital. His name is Aleandro
Rierra
Nurse : Okay, ______________________
Patient : Allright, it is +446782908
Nurse : __________________________
Patient : Yes, I have private insurance.
Nurse : Well, I think that is enough, Ms. Riera. Please take a seat, and we will call your name
later when we are ready for you
Patient : Okay, thank you

E. Writing

Read the summary below

Jim Grady was admitted with heart disease. Mr. Grady was born in March 2 nd, 1950. He is divorced,
and works as lawyer. His next of kin is his son, Alvin Grady. He can be contacted on 07765-432178.
Mr. Grady smokes 30 cigarettes a day. He does not drink alcohol he is not allergic to anything. There
is a family history of high blood pressure on his father’s side

Write a summary based on the information below as the example above!

Patient Record

Surename : Family history :

DOB : Allergies :

Occupation :

Marital status :

Next of kin :

Contact no :

Smoking intake :

Alcohol intake :

Name What’s your name?

Could I have your name, please?
Date of birth What’s your date of birth?
Could I have your date of birth, please?
Reason for visit What’s wrong?
What’s the matter?
Why did you come here today?
What’s bothering you?
Current medication Are you taking medication?
What medication are you taking?
Do you take any medication?
Medical condition Do you have any medical problem?
Do you have diabetes/high blood pressure/heart

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 problem, etc…?
Have you ever been diagnosed with …?
Occupation What do you do?
What is your occupation?
Allergies Do you have any allergies to any food/any
Food: medication/anything?
Medication:
Other
Substance use Do you smoke? Yes, how much per day?
Tobacco Do you drink?
Alcohol Do you use drugs?
Other

Other Is there anything else we should know?

Is there anything else you would like to tell us?

A. Reading and Vocabulary

There are three ways to admit a patient to hospital: either as an outpatient, a day patient or an
inpatient. An outpatient needs treatment but not a bed. A day patient needs a bed for a few hours, but
doesn’t need to stay overnight. An inpatient needs at least one overnight stay. Hospitals need to plan for
patient admissions. They have to predict how many beds they will need. It is quite easy to predict
referrals from doctors like General Practitioners, but a larger number of patients come through A&E,
and it is more difficult to plan for them. It is very important to keep accurate records of patients’
treatment, from admission through to discharge and follow-up. These include personal details such as
marital status, occupation and next of kin, as well as medical history such as past illnesses and
treatments, family history and lifestyle. Medical staff record all treatments, test results and
correspondence. They try to record these things at the time they happen. This is important, and not only
to ensure the correct treatment. Medical records are sometimes used for research, or in a court of law.

B. Comprehension

According to the text, are the following statements are true (T) or false (F)?

1 Admissions to hospital are all inpatients.

2 There are more emergency admissions than referrals.
3 Hospital records stop at discharge.
4 Personal details are part of medical records.
5 Staff should record treatments at the end of their shift.
6 Only medical staff can look at medical records.

C. Vocabulary

Match the words or phrases 1–7 to a suitable definition a–g.

The first one is done for you.
1 overnight stay a when a patient is sent to hospital
2 admission b normal, everyday behavior
3 referral c treatment after a patient has been discharged from hospital
4 discharge d time as an inpatient
5 follow-up e letters, emails and messages
6 correspondence f the moment when a patient enters hospital
7 lifestyle g when a patient is told they can leave hospital

D. Further vocabulary practice

Underline the correct words in italics to complete the sentences.

The first one is done for you.

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1.We don’t need beds for out / in / day patients.
2.Who is your family history / next of kin / occupation?
3.What is your marital status / past illnesses / personal details ?
4.The new patient is a referral / admission / discharge from Cardiology.
5. We need you to come back to the hospital for discharge / follow-up / admission tests.
6. If you don’t stop smoking and drinking so much, your lifestyle / test results / medical history may kill
you.
7. After you sign the discharge / correspondence / record form, you can go home