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DIALOG PENGKAJIAN PERAWAT DAN PASIEN

Untuk memenuhi tugas matakuliah


Bahasa Inggris
yang dibina oleh Ibu Eka Wulandari SPd.,MPd.

Oleh
Nony Chintia (P17210171005)
Maria Ulfah (P17210171006)

KEMENTERIAN KESEHATAN
POLITEKNIK KESEHATAN MALANG
JURUSAN KEPERAWATAN
D-III KEPERAWATAN MALANG
November 2018
Reporting and Documenting
SAMPLE
A patient record form
- Surname : Robert
- First Name : Sarah
- Gender : Female
- Date of Birth (DOB) : 2/1/84
- Place of Birth : New Orleans
- Occupation : teacher
- Marital status : married
- Next of kin : father Ian
- Contact no. : 01792793456
- Smoking intake : n/a
- Reason for admission : suspected fractured arm
- Familiy history : heart disease (father’s side)
- Allergies : nuts

Task 1:
Create a dialog between a nurse and a patient based on the sample form above!
Answer :
Nurse : Hi, good morning. Sit down please Mrs, Can I help you?
Client : Good morning. I want to inspect my fracture
Nurse : Ok. I will help you. First, I need information about you. So, what’s
your surname?
Client : My surname is Robbert
Nurse : What’s your name?
Client : My name is Sarah.
Nurse : May I know place and date of your birth?
Client : Sure. I’m born in New Orleans, 02 January 1984
Nurse : What is your occupation?
Client : I am a teacher
Nurse : Do you have married?
Client : Yes, I have
Nurse : Can I get information for your next of kin?
Client : Yes, you can. His name is father Ian and the phone number is
01792793456
Nurse : Are you smoking?
Client : No, I am not a smoker
Nurse : Are you have family history disease?
Client : Yes, I have. My father have heart disease
Nurse : Do you have any allergies
Client : Yes, I have. I am allergic to nuts

Task 2 :
a. Choose one of your friend to be your partner. Student A as a nurse,
Student B as a patient
b. Create a dialog with your partner to complete patient record form as the
sample above
c. Practice the dialog in class

Answer :

a. Nurse : Maria Ulfah

Patient : Nony Chintia

b. Dialog to complete patient record form :

During the day after going home from school, a child named Nony and his mother
with condition of his child who feels itchy itching. There is a small lump on the
part of his arm. Finally she brought to the jasmine hospital.
Nurse : Good afternoon, sit down please Ms. Can I help you?
Nony : I want to inspect my skin, because I feel itchy itching on the part of
my arm.
Nurse : Well, first I want to fill in your Biodata. Please answer my question
Nony : Okay Sus.
Nurse : May I know your name?
Nony : Nony Chintia
Nurse : Well, May I know place and date of your birth?
Nony : Sure. I’m born in Malang “polehan”, 11 March 2004
Nurse : What is your occupation or school education?
Nony : I’m a junior high school student
Nurse : What is your phone number?
Nony : 085xxxxxxxxx
Nurse : Okay thank you, may i know what you feel?
Nony : I felt a itchy itching on the part of my arm.
Nurse : When did you feel that itchy itching?
Nony : Since this morning i ate shrimp and chicken.
Nurse : How many servants you ate shrimp and chicken?
Nony : Only one portion Sus.
Nurse : Do you have family history disease?
Nony : Yes nurse, my mother have disease Allergic.
Nurse : Well, Do you have allergic of food or medicine?
Nony : No, i don’t have. This is the first time for me Sus.
Nurse : Okay Ms, please wait in the waiting room first and we’ll call in again for
further examination, get well soon.
Nony : Okay Sus, thank you.

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