englishmelon
Occupational English Test – Writing (Nursing)
Instructions:
- You have 45 minutes to write this letter.
- During the first 5 minutes, you should not pick the pencil.
- Start writing only when you are told.
- During the Reading Time, try to understand the case notes.
Melons Steps
- Mark (M) PPRRAADDDDDWK.
- Eliminate (E) irrelevant information.
- Launch (L) the letter with DADR.
- Open (O) the letter with PRPDD or PRPTT.
- Narrate (N) the remaining paragraphs using V or W.
- Sign (S) the letter with S/F.
Melons Errors
- Punctuation “Marks”.
- Follow “Expansion” Rules.
- Obey “Language” Rules.
- Have an “Order” (DADR, PRPDD, V/W, S/F)
- Do not change “Names”.
- Sex (Mr, Ms, Mrs, His, Her).
Details to Fill In:
- CANDIDATE NAME. ROLE NUMBER.
- DATE OF BIRTH. VENUE OF THE TEST. TEST DATE.
Read the case notes below and complete the writing task which follows.
Notes:
Today’s Date: 10/07/2024
This 50-year-old, school teacher, got admitted to your hospital 20 hours ago and you are her charge nurse at a suburban hospital in Burche, 20 miles North of Wickham Terrace.
Patient Details:
- Micah Hastings (Mrs).
- DOB: 04/05/1974 (50 years)
- 2321 Mosque Road, 2 Rolls, Brisbane.
- School Teacher, lives with husband and two sons (21 and 15).
- Lifestyle: Non-smoker, occasional alcohol use.
- Family History: Father – Hypertension; Mother – Diabetes.
Medical History
- Hypertension, Asthma since the age of 30.
- Atenolol 50 mg OD; Salbutamol Inhaler PRN.
- Allergies: Penicillin.
08/07/2024
- Fall, possible concussion.
- Headache, confusion, lack of coordination, memory loss, nausea, vomiting, dizziness, ringing in ears, sleepiness, excessive fatigue, seizures.
- Admitted to the Casualty.
- Initial Dx: Concussion.
- IV fluids; Paracetamol 1g q6h for pain; Ondansetron 4mg q8h for nausea.
- Commenced monitoring for neurological symptoms.
- Shifted to a room for further management.
July 9, 2024
- Symptoms worsening.
- Planned transfer to Wickham but doctors uncertain about the transfer due to adverse weather changes (landslides in the valley between Burche and Wickham).
- Increased headache. Persistent confusion. Coordination issues.
- Seizure episodes. Blood detected in saliva (at midnight).
10/07/2024 07.00 AM
- Patient being transferred to Trauma Centre.
Plan
- Transfer to Trauma Centre, Wickham Terrace.
- Further assessment and management.
- IV fluids, Paracetamol 1g q6h, Ondansetron 4mg q8h (Continue on transfer).
Writing Task
Since her admission 20 hours ago, Mrs Hastings’ condition has been worsening. You are now transferring the patient to a trauma centre in Wickham for further assessment and management. Address the letter to the Emergency Admission Desk, Trauma Centre, 2/201 Wickham Terrace, Spring Hill QLD 4000, Australia. Phone: +61 1300 087 281.
In your answer:
- Expand the relevant notes into complete sentences
- Do not use note form
- Use letter format
The body of the letter should be APPROXIMATELY 180-200 words.
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Question of
Who is the recipient?
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A nurse
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Admission Officer
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Emergency Admission Desk
Correct Wrong
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Question of
Is this a known case?
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Yes
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No
Correct Wrong
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Question of
Is the patient’s condition diagnosed?
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Yes
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No
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Not fully diagnosed.
Correct Wrong
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Question of
Is it a discharge or transfer?
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Discharge
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Transfer
Correct Wrong
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Question of
What is the patient-location?
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Your hospital.
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Destination Hospital.
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Ambulance.
Correct Wrong
When you write a letter to an emergency department, the patient must be in the ambulance.
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Question of
What about patient admission?
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Is admitted.
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Was admitted.
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Not admitted.
Correct Wrong
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