UNIT 2

DAILY DUTIES

What are the duties of a nurse?

What are the daily activities of a nurse?

VOCABULARY TASK
Study this vocabulary

to assess : (v) mengkaji,memeriksa

assessment : (v) pengkajian
to check : (v) memeriksa
crutch : (v) kruk
to swing : (v) mengayun
cane : (v) tongkat
walker : (v) alat bantu berjalan
ahead : (v) ke arah depan

A. Useful Expressions

Checking vital signs to check/measure vital signs

respiratory system
blood pressure
pulse rate
Diagnosing to diagnose
to observe
 Promoting hygiene to assist/help bathing
to clean (parts of the body)
to make up bed
to wash (part of the body)
Feeding to help have
Assisting to provide bedpan/urinal
to wash
to help do bowel motions
Assessing Patients to check (parts of the body)
to press (parts of the body)
to see (parts of the body)
to observe the condition of (parts of the body)
to assess
to knock (with reflex hammer)
Caring patient to care
Client teaching (crutch walking, walking with to listen to my instructions
walker, cane walking) to move right/left leg ahead/forward
right/left crutches ahead/forward
both crutches/legs ahead
the walker ahead/forward
to swing the leg ahead/forward
Lifting, moving, and positioning patient to lift a patient
to roll your body
to lie with your face downwards
to stay sideways
Nursing documentation to write a report
to make a progress report
Moving patient to a wheelchair to move the patient to a wheelchair
Giving injection to give injection
to inject
Applying infusion to apply infusion
to inject

TASK 2. Expressions.
Study verb list and discuss the meaning.

Question for a collaborative intervention.

What intervention .
Will we do for (patients name) ?(future action)
Have you done for (patients name) ?(Past participle)
Did you do for .(patients name)? (Past).
Do I have to take for ..(patients name)?
Or:
Have you + (verb III related to the nursing intervention)?
Did you + (verb I related to the nursing intervention)?
Do you + (verb I related to the nursing intervention)?

Response:
We will give him intravenous injection.
I have given
I gave
You should give

ACTIVITY 1 Lets practice

TASK 1. Writing
Make a sentence using the words given below.
Each sentence describe a nursing care

1. (have to ---- check ---- everyday ):

2. (assist ---- bathing ----- at 7.10 this morning)
3. (clean ----- after elimination)
4. (have ---- apply infusion ..to Mr..)
5. (have ---- move ----- casualty ----- stretcher)

TASK 2. Substitution drill.

Mention 3 nurses duty.
Mention different expressions from the previous.

Start with this. As a nurse I have to., I And . Patient.

TASK 3.
Translate these into communicative English.

1. Saya mengecek tanda-tanda vital pasien secara teratur.

2. Untuk menentukan diagnosa keperawatan, saya harus mengkaji kondisi kesehatan.
........................
3. Saya sudah mengecek tekanan darah Mr.Peter Cathcart.
.
4. Dokter,saya sudah memberi suntikan Intravena.
.
5. Saya menemani Mrs.Ryan pergi keliling dengan kursi roda, tadi pagi.
.
6. Kita harus segera melakukan resusitasi.
.
7. Apakah anda sudah menulis dokumentasi keperawatan untuk Mr.Cachcart?
..
8. Apakah anda sudah selesai membantu eliminasi Mr.Cachcart?
..
9. Dokter,saya sudah selesai memberikan perban kepada Mr.Satawar Husein
..
10. Kita harus memberi dia suntikan anestesi lokal.
..
11. Saya sudah memeriksa kondisi Mr.Johnson.
..
12. Suster, apakah sudah membuat laporan mengenai Ms.Lolita.
..
13. Saya mau mengecek tekanan darah anda.
..
14. Sudahkah anda mengirim pispot. Untuk Mr.Johnson?
..
15. Kita harus memindahkan Mrs.Johson ke tempat tidur secara bersama-sama.
 ..

ACTIVITY 2 Pronunciation Drill

Lymphoma
Antibodies
Accident
Brain
Ride
Underpants
Injury
Corridor
Overpass
Boulevard
Junction
Traffic
Straight
Ward

ACTIVITY 3 Role Play

TASK 1. Group work.

Study the patient care plan below, then report to the other participants.

PATIENT CARE PLAN*)

Patients name Action to be taken
Peter Catchart. Monitoring blood sugar levels, give insulin
injections.
Reason for admission: Patient to be shown how to self-monitoring
Excessive Ketone production leading to suspected blood Glucose (SMBG)
ketoacidosis. This is potentially life threatening Demonstrate to patient how to read SMBG
contion stripe.
Sympotms: Link SMBG to diet.
Abdominal pain, vomiting, rapid breathing, Extreme
Emphasize importance of monitoring blood
tiredness, drowsiness
sugar levels morning and keeping record of
results to take to GP.

Instruction : Retell in your group what action you have to take for Mr.Peter Cathcart.
Refer to the Care plan above.

TASK 2.
Take one case in your nursing practice.
Report your Care plan to your class.

TASK 3. Home work (writing)

Describe your daily activity as a nurse.
Describe the case you have ever assessed.
Write your nursing care plan.
Report to your class orally.
When I start a new shift, I listen to the nursing report from the previous shift. The report is
about the patients condition and nursing interventions that has been done for each patient. I
observed a case of (Mr. Mrs. Ms) Then .. (continue with your own sentences)

Unit 4
Have You Taken Your Medicine?

Language Competency
Students Learn : how to communicate patients medication
Language Focus : Present Participle

Reading-Writing
Medication Administration Record
Prior to the administration of any medication, nurse must have
1 A current license to practice nursing.
2 Clear policy statement that authorizes the act.
3 A medication order signed by a licensed physician or dentist.
(taken from: Basic Pharmacology for Nurses).

The following abbreviations are commonly used by doctors when they prescribe drugs
or medicines
b.i.d : twice a day
t.i.d : three times a day
q.i.d : four times a day
p.r.n : when necessary
2 hrly : once every two hours
a.c : before meals
p.c : after meals
p.o : orally (through the mouth)
NPO : nothing by mouth
od : everyday
BP : Blood Pressure
tab. : tablets
caps : capsules
MAR : Medication Administration Record

Medicine vs Drugs
A medicine is a substance which can cure or prevent disease, replace vital substances that the
body lacks and suppress or relieve symptoms.
Drugs are used for minor complaints which generally have obvious benefits and negligible
risks; otherwise, most of people would prefer to put up with the complaint. For more serious
disease, more powerful drugs are required and the risk of adverse reaction is usually higher.

Nurses Responsibilities Associated with the Drug Order

1 Verification of the drug order
Nurse has to interpret a prescription and makes a professional judgment on its acceptability.
The judgments must be made regarding the type of drug, the therapeutic intent, the usual
dose and the mathematical and physical preparation the dose. Nurse must also evaluate the
method of administration in relation to the patients physical condition as well as any
allergies and the patients disability to tolerate the dosage form. If any part of an order is
vague, the physician who wrote the order should be consulted for further clarification.
Patient safety is the primary importance and the nurse assumes responsibility for verification
and safety of the medication order. If, after gathering all possible information, it is concluded
that it is inappropriate to administer the medication as ordered, the prescribing physician
should be notified immediately. An explanation should be given why the order should not be
executed. If the physician cannot be contacted or does not change the order, the nurse should
notify the director of nurses and/or the nursing supervisor on duty. The reasons for refusal to
administer the drug should be recorded in accordance with the policies of the employing
institution.

Answer the questions below based on the text

a What must be checked when reading a drug order from a physician?
b What must be checked, related to the patient, when a nurse makes verification?
c What does a nurse do when the prescription is not clear?
d Can a nurse make a refusal to administer a prescribed-drug? Give explanation to support
your answer!
2 Transcription of the order
After having verification of an order, a nurse or other designated person transcribes the order
from the physicians order sheet onto a Medication Administration Record (MAR).

3 Right Drug
Many drugs have similar spellings and variable concentration. Before the administration of
the medication, it is imperative to compare the exact spelling and concentration of the
prescribed-drug with the medication card of drug profile and medication container.
Regardless of the drug distribution system used, the drug label should be read at least three
times.

Read the following label instruction

Label Instruction A
B-2 Cold Tablets

Use : Relieves nasal congestion, runny nose, watery eyes, and sneezing
associated with common colds and hay fever.
Dosage : 2 tablets to start, followed by 1 tablet every 4 hours, not to
exceed
8 tablets in 24 hours.
Children : 6 12 yrs. One half adult dosage.
Continue treatment for 72 hours. This preparation may cause drowsiness. Do not
drive or operate machinery while taking this medication.
Possible communication between nurse and patient
Nurse : Would you take these tablets, please?
Patient : What is the use of these tablets?
Nurse : It relieves your nasal congestion.
----------------------------- 4 hours later
Nurse : Would you take this tablet, please?
Patient : Is this the same tablet with the previous, Nurse?
Nurse : Yes, it is.
Patient : Why should I take only one tablet?
Nurse : Yes. It follows the Physicians (the label) instruction.
Patient : Is there any side effect?
Nurse : You will little bit drownies. Please stake a good rest after taking the tablet.

Build conversation between nurse and patient based on following Label Instruction
Label Instruction B
Cough Syrup
Use : For the relief of coughs due to colds. If cough lasts more than a
week, consult your physician.
Dosage
Adult : 1 to 2 teaspoonfuls
Children : 2 6 yrs teaspoon
6 12 yrs to 1 teaspoon
May be repeated in 4 hours, if necessary, but not more than times
in 24 hours.
Label Instruction C
1 Way Nasal Spray

Adults : Spray once or twice in each nostril with head upright. Squeeze
bottle quickly and firmly.
Children : Spray once.
Not recommended for children under 6
The use of this dispenser by more than one person may spread infection.
Label Instruction D
Eyedrops

For shooting and cleansing eyes

Squeeze 2 or more drops into each eyes as needed.
Replace cap.
Do not touch dropper tip to any surface.
Label Instruction E
Deep Heat

Penetrating pain relief.

Relieves muscular aches and pains.

Direction : Spread liberally over painful areas.

Repeat every 4 hours if needed.
Warning : For external use only.
Discontinue if skin rash or itching occurs.