OET Case Notes 20 Brenden Cross

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. ROLL NUMBER.
DATE OF BIRTH. VENUE OF THE TEST. TEST DATE.

Read the case notes below and complete the writing task which follows.

Notes:

The following patient has been under the care of Pediatrician Dr Nancy Rose at the hospital where you are his charge nurse.

Today’s Date 14/3/2024

Patient History

Brendan Cross, Male, DOB: 25/12/2023.
Has a sister 6 years, brother 3 years.
Mother – housewife.
Father – Naval Officer currently on active duty in Indonesia.
P.M.H – NAD.
Allergy to nuts – hospitalised with anaphylaxis 2 years ago following exposure to peanuts.

6/3/2024

Subjective: Fever, sore throat, lethargy, many crying spells – all for 3 days.
Objective: Temperature – 39.8° C; Enlarged tonsils with exudate; Enlarged cervical L.N.
Ab – NL; CVS – NL; RR – NL.
Probable Diagnosis: Tonsillitis (bacterial)

Management

Oral Penicillin 250 mg 6/h, 7 days + Paracetamol as required.
Review after 5 days if no improvement.

12/3/2024

Subjective

Mother concerned re. sleepless nights, difficulty coping with husband away – mother-in-law coming to help.
Brendan not eating.
Fever, right knee joint pain, tiredness, lethargy – for 2 days.

Objective

Temperature – 39.2° C.
Hypertrophied tonsils.
Cervical limph node – NL.
Swollen R. Knee Joint.
No effusion
Mid systolic murmur, RR – normal.

Investigation

ECG, FBC, ASOT ordered

Treatment

Brufen 100 mg tds.
Review in 2 days with investigation reports.

14/3/2024

No change of symptoms.
ECG – prolonged P-R interval.
ESR – increased.
ASOT – Increased.
Diagnosis.
? Rheumatic fever.

Plan

Contact Spirit Paediatric Centre.
Arrange an urgent appointment with Dr Alison Grey, Senior Paediatric Consultant.
Request further investigation and treatment.

Writing Task

You are a nurse at Green Slopes Medical Clinic, 294 Logan Rd, Green Slopes, Brisbane 4122. Write a referral letter to Dr Alison Grey, Spirit Paediatric Centre, Sixth Street, Brisbane 4101.

In your answer: