englishmelon
Occupational English Test (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).
Read the case notes below and complete the writing task which follows.
Notes:
You are a Nurse, Hillside Medical Center, Green Valley, New South Wales, where this patient was admitted two days ago.
Today’s Date: 09/08/2024
Patient Details:
- Name: Mr. Jonathan Hayes.
- Age: 45 years.
- Occupation: Truck Driver.
- Marital Status: Married, two children.
- Recent Medical History:
07/08/2024
- Fatal landslide accident while driving to Sydney.
- Midnight
- Huge rocks fell on the truck due to a landslide; the truck was washed away into a flooding river.
- Patient jumped into the river to escape; subsequently lost consciousness as he was carried away by the water.
08/08/2024
- Found by a search team at 7:00 AM, unconscious on the riverbank.
- Initial Assessment: Multiple lacerations, suspected fractures, signs of severe hypothermia.
- Initial Treatment Provided by search team: Basic wound care, application of a thermal blanket to manage hypothermia, immobilization of suspected fractures.
09/08/2024
- Transported to Hillside Medical Center at 5:00 AM.
- Assessment at Hillside Medical Center. Severe hypothermia, multiple deep lacerations, suspected fractures, significant trauma.
- Hypothermic (core body temperature 33°C), low blood pressure (90/60 mmHg), tachycardic (pulse 120 bpm).
Treatment Administered:
- Cleaning and dressing of lacerations with antiseptic solution; application of temporary bandages.
- Warm IV fluids (0.9% saline), warming blankets.
- Administered 5 mg Morphine IV for pain relief.
- Temporary Splints: Applied to suspected fractures (left arm and right leg).
- Continuous Monitoring: Vital signs monitored hourly for signs of deterioration or improvement.
Additional Actions:
- An Army medical officer consulted over the phone for additional guidance.
- Administered prophylactic antibiotics to prevent infection.
Plan:
- Full-body Imaging: X-ray and CT scan – extent of injuries, (spl. Fractures).
- Surgical debridement and suturing if necessary.
- Blood Transfusion: Type and cross-match for potential emergency blood transfusion.
- Ongoing Care: Arrange psychiatric evaluation and support to address trauma and psychological impact.
- Regular follow-up appointments (monitor recovery, manage any complications).
Writing Task:
Write a letter to Dr. Karen Thompson, Emergency Dept., Riverbend Hospital, Sydney, for further assessment and management.
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.
