Day 6 Case Notes Analysis

This case notes will be used for writing today’s letters for correction. Before you proceed to writing this letter on the writing page, please read this case notes and answer the questions that below:



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

You are Namrata Iyer, a registered nurse working at Henry II School, Vancouver, United Kingdom. Although the school is closed now, there has been report of Covid19 positive cases among 13 students who had attended an orientation program prior to the closing of the school, 20 days ago. Write a letter to be sent to the parents / guardians of all the students of the school.


Primary Instructions

  • Limit contact (within about 6 feet)
  • Monitor respiratory droplets, talking, coughs or sneezes.
  • The caregiver not be at high risk
  • Separate bedroom, bathroom (sick room)
  • Shared space – should have good air flow.
  • Open windows, fan on (if possible, air circulation, removes respiratory droplets from the air)
  • Avoid visitors (higher risk groups)
  • Eat separate rooms / areas, wash dishes, utensils (gloves and hot water)
  • Take off gloves > clean hands.


  • Avoid sharing personal items (dishes, cups/glasses, silverware, towels, bedding, or electronics (like a cell phone))

When to wear a cloth face cover or gloves?

  • When around other people at home and out (helps prevent a person who is sick from spreading the virus to others; keeps respiratory droplets contained and from reaching other people)
  • Cloth face coverings not be placed on children under age 2, has trouble breathing, or not able to remove the covering without help.


  • Wear gloves (to touch sick person’s blood, stool, or body fluids, such as saliva, mucus, vomit, and urine)
  • Disposal: into lined trash, wash hands right away.
  • Ask sick person to put on a cloth face covering before entering.
  • Wash hands often with soap and water for at least 20 seconds.
  • Tell everyone in the home to do the same, especially after being near the person who is sick.
  • Stay home and monitor their own health for COVID-19 symptoms while caring for the person who is sick.
  • Important! They should also continue to stay home after care is complete.
  • Caregivers can leave their home 14 days after their last close contact with the person who is sick (based on the time it takes to develop illness), or 14 days after the person who is sick meets the criteria to end home isolation.
  • Symptoms include fever, cough, and shortness of breath but other symptoms may be present as well. Trouble breathing is a more serious warning sign that you need medical attention.

Removing upper garments

When someone comes home after being out, be careful with removing upper garments:

  • No problem with buttoned garments (shirt)
  • Make sure the face mask is still on while removing upper garments
  • (Ten times more chances for viruses to be present on upper garments that come in close contact with mouth and nose while removing)
  • Hold breath while removing upper garments
  • Make sure kids wear buttoned-upper garments

Using Sanitizer

  • (If soap and water are not readily available), use hand sanitizer (contains at least 60% alcohol).
  • Cover all surfaces of your hands and rub them together until they feel dry.


  • Clean and disinfect “high-touch” surfaces and items every day
  • (tables, doorknobs, light switches, handles, desks, toilets, faucets, sinks, and electronics)

Sharing a bathroom

  • Sick person clean → disinfect after each use.
  • (Not possible?) → Wear cloth face covering and wait (as long as possible) after the sick person has used the bathroom before coming in to clean and use the bathroom.

Other instructions

  • Wash and dry laundry
  • Do not shake dirty laundry.
  • Wear disposable gloves while handling dirty laundry.
  • Wash items according to the label instructions.
  • Use the warmest water setting you can.
  • Remove gloves, and wash hands right away.
  • Dry laundry, on hot if possible, completely.
  • Wash hands after putting clothes in the dryer.
  • Clean and disinfect clothes hampers. Wash hands afterwards.
  • Place used disposable gloves and other contaminated items in a lined trash can.
  • Use gloves when removing garbage bags, and handling and disposing of trash. Wash hands afterwards.
  • Place all used disposable gloves, facemasks, and other contaminated items in a lined trash can.

For Emergency

  • If you are having trouble breathing, call 911
  • Call your doctor or emergency room and tell them your symptoms before going in. They will tell you what to do.

Special Notes

  • Do not visit the school till so instructed
  • Members of the affected students self isolate (as many days as possible)

Writing Task

Write a letter explaining the instructions in simple and clear words. Preserve the flow of writing, include all relevant information but exclude irrelevant and “understandable” information.

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.

This case notes is for an information letter. There is no Quiz for this yet.

Written by Biju John

Love for English begins with understanding its unknown rules. Biju John lives on the internet, teaching OET, IELTS and PTE. More than a million students have thanked him from their heart.

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One Comment

  1. June 08, 2020

    Dear parents

    Re: Precautions for covid 19

    I am writing to provide information about necessary precautions to be taken which will be helpful to protect the caregiver from the risk of getting infected while caring for a positive case of covid19.

    The covid19 virus is spread through respiratory droplets. With this, there are several practices that should be observed in each household. One of which is keeping a distance of atleast six feet and if possible there should be a separate bedroom and bathroom to be used by the sick person which will be disinfected every after use. As for shared rooms, there should be a good ventilation which can be achieved by opening the windows and the use of fan if available. Secondly, visitors from high groups should be avoided. It is important that anyone who come in contact with the sick should wear cloth face cover and gloves. Please note, masks should not be placed on children under 2 years old because there is a risk for suffocation.

    For caregivers, aside from using a face mask, disposable gloves should be used before touching body fluids, disposing trash and soiled laundry. Please keep in mind not to shake the laundry and wash them with the warmest setting of water. It is essential to disinfect clothes hampers and high-touch surfaces. After cleaning, please dispose used gloves and mask in a lined trash can.

    It is more practical to use buttoned upper garments especially for kids for easier removal and it has been advised to keep the face mask in place and to hold breath while taking off the shirt as there are ten times more chance of virus to be present on the upper garments because it is closer to mouth and nose.

    Please note the symptoms of covid19 which includes cough, fever, and shortness of breath. If one have trouble in breathing, please contact 911 and it would be appreciated if you could inform them symptoms which are present and they will instruct what to do. Finally, there is no need to visit school until further notice and for the affected students, it has been advised to self-isolate for many days as much as possible.

    Should you have any other queries, please contact me.

    Yours faithfully


Day 5 Reading Test