Melons OET Writing

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Get the attached pdf printed on A4 size paper and get ready to start writing your first OET Letter.

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General Details
ME Steps
LO Steps
N Steps
S Step
Documents
Comments

Learn to write an OET letter in just 6 steps. Use a computer / laptop / tab for better viewing this page. Most Important! You have to go to the Me, LO, N and S tabs above to complete this page.

Marking Step.
Elimination Step.
Launching Step.
Opening Step.
Narration Step.
Signing Step.

You need a case notes to continue. Either get your own case notes in print or use the case notes below.

Case Notes 3 – Fiona

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.

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

Notes:

Assume that today’s date is 6 March, 2024. You are Miss Fiona Carwell’s School Health Nurse and the patient is attending 6th grade at your school.

Patient Details:

Name: Fiona Carwell.
DOB: 06 Dec 2011 (12 y.o.)
Address: 32 Station Road, Oakville

Social background:

She’s from a migrant family from Spain relocated to Oakville, 1999.
Father’s demise, June 2023, (MVA).
Family reports grief. Pt reports extreme stress re. worries about the future in the absence of father who was really close with her.
BMI 29 (recently gained weight due to poor diet control).
Older brother-mental health problems (2 suicide attempts in last 12 months).

Medical History

08 July, 2023, 0915 hrs

Feeling very thirsty.
Passing urine more often than usual, particularly at night.
Feeling very tired all the time; Weight loss of 6 kg in 2 months.
Frequent oral thrush. Blurred vision.
Emergency hospital admission (Oakville General Hospital) following an episode of LOC.

Lab Investigations:

Random Blood Sugar of 11.9 mmol/L.
HbA1C high.
Diagnosis: type 1 DM. Treatment: Novolin N 4 Unit at tarde; Solostar 8 unit at nocte.
Discharge Date: 15 July, 2023.

Discharge Recommendations:

Dietician referral.
Lifestyle management.
Diabetes Nurse Specialist referral at Oakville General Hospital for follow up care (diet, insulin).
Review at DNS.

11 August, 2023

Well maintained Blood Sugar.
Following healthy lifestyle along with proper nutrition (well-balanced calorie diet). RBS 4.6. Reduced Solostar to 6 unit due to several hypo attacks at night.

18 December, 2023

Blurred vision. Increased power.

S/B ophthalmologist.
Started to wear spectacles.
Reduced symptoms.
No headache or Blurred vision (thereafter).

Present Complaint:

6 March, 2024

Dizziness and light-headedness, sleepy during class.
Pt reports stress due to grief.
Pt reports stress induced overeating

Management: RBS 16.8, urine ketones high. Blood ketones 0.9

Plan:

Referral to Diabetes Nurse Specialist.
Review of meds.
Discuss ways to encourage lifestyle changes.
Plan further management.

Writing Task

Using the information given in the case notes, write a letter of referral to Ms Catherine Flanagan, Diabetes Nurse Specialist, Oakville General Hospital. In your letter, briefly outline Ms Carwell’s recent history requesting advice and a review of her medication.

In your answer:

Expand the relevant notes into complete sentences.
Do not use note form.
Use letter format.

Most Important! You have to go to the Me, LO, N and S tabs above to complete this page.

M stands for Marking.

You have to mark the following information on the case notes before proceeding to writing the letter.

Read the Case Notes and Mark the following information using your pencil.

Patient’s name, age, address.
Purpose of writing this letter.
Recipient’s name, designation, address.
Requests / Plan.
Admission / Presenting / Visiting Condition.
Admission / Presenting / Visiting Date.
Discharging / Transferring Condition.
Discharging / Transferring Date.
Date of Writing (Today’s Date)
Diagnosed or Not Diagnosed.
Direction of Movement.
Writer (Usually, “Charge Nurse”)
Known Case or Unknown Case.

E stands for Elimination

Now, remove all the information that the recipient of this letter would not need. For example, a patient’s GP (General Practitioner) will not need to know the patient’s past medical history or other known data. Similarly, you needn’t tell the Emergency Doctor that the patient is married or has children.

Now, proceed to LO tab to continue.

L stands for Launching.

This includes Date of writing the letter, Address of the recipient, the Dear line and the Re: line. To memorize these 4 elements, we call them “DADR”. Here is an example:

17th February, 2025

Dr Alvin Gomez
Pediatric Surgeon
City Hospital, Gurgaon
Haryana – 44

Dear Doctor,

Re: Mr Lucky Ali; DOB: 12th May, 2024

Remember:

Strictly follow this format. No full stops or commas at the end of these lines except for the Dear-line.
Since every letter is sent and received within the same country, avoid including country names in Address.
There is a : after Re and DOB (Date of Birth).
You have the freedom to address the recipient by name (Dear Dr Gomez) of by designation (Dear Doctor); however, avoid addressing by name if the recipient is unknown.
If the patient is a baby or not 18, prefix “Miss” for girls and “Master” for boys.

O stands for Opening Paragraph.

Sample

Mrs. Laura Bennett requires routine check-up and medication review. She has mild hypertension which is controlled on medication and is ready for transfer.

From 2024, this format / style is most common. You need to include just 5 – 6 information in the Opening Paragraph. They are:

Patient’s name (Full).
“requires”
Purpose of writing the letter.
Full stop.
Patient’s present condition (most recent).
Date or time of discharge or transfer.

Look at another example:

Mr John Patel requires diabetes management consultation. He has uncontrolled type 2 diabetes and is ready for transfer.

Practice Opening:

After DADR, you write the Opening Paragraph using one of our 5 codes. This paragraph should ideally include:

Patient’s name
“requires”
Purpose of writing the letter.
Present condition.
Date of discharge or Transfer.

Now, look at an opening paragraph:

Mrs. Laura Bennett requires routine check-up and medication review. She has mild hypertension which is controlled on medication and is ready for transfer.

Sample 1

Patient Name: Mr. John Patel.
Age: 41 years.
Purpose: Diabetes management consultation.
Current Condition: Uncontrolled Type 2 diabetes.
Discharge/Transfer Date: Ready.
Recipient: Dr. Helen Wong, Diabetes Clinic, Oak Street, Perth.

Sample Paragraph:

Mr John Patel requires diabetes management consultation. He has uncontrolled type 2 diabetes and is ready for transfer.

Sample 3

Patient Name: Ms Fiona Evans
Age: 33 years
Purpose: Further care at her home.
Current Condition: Recovering (fracture, right wrist)
Discharge / Transfer Date: Tomorrow.
Recipient: Community Nurse, Elm Road, Adelaide.

Sample Paragraph:

Ms Fiona Evans requires further care at her home. She is recuperating after a fracture and is being discharged tomorrow. OR: Ms Fiona Evans requires further care at her home. She is recovering from a fracture of the right wrist and will be discharged tomorrow.

Sample 4

Patient Name: Mr. Anthony Parker.

Age: 48 years
Purpose: Neurological assessment
Current Condition: Frequent migraines, vision disturbances.
Discharge/Transfer Date: Today (appointment scheduled).
Recipient: Dr. Daniel Lee, Neurology Department, King’s Hospital, Sydney.

Sample Paragraph:

Thank you for accepting Mr Anthony Parker who requires neurological assessment. He has frequent migraines and vision disturbances and is being transferred today for a scheduled appointment.

Sample 5

Patient Name: Mrs. Sandra Lewis
Age: 57 years
Purpose: Gastroenterology evaluation
Current Condition: Abdominal pain, bloating, suspected IBS
Discharge/Transfer Date: Ready.
Recipient: Dr. Rebecca Jones, Gastro Clinic, Victoria Street, Melbourne.

Mrs. Sandra Lewis requires a gastroenterology evaluation. She has abdominal pain, bloating and suspected IBS, and is ready for transfer.