Model answer by Lifestyle Training Centre

Admissions Officer
Kingsville Hospital
150 Bridge Road
Richmond, Victoria 3121

27/03/2024

Dear Sir/Madam,
Re: Mrs Mary White

I am writing to refer Mrs. White, a resident of Kingsville Retirement Village, for urgent hospitalisation and treatment at your facility. Mrs. White was found unconscious and unable to mobilise in her room today at 7 pm.

Mrs. White was found by her visiting daughter lying face down on the floor. She is exhibiting slow and difficult breathing, and can only be roused to pain. Upon examination, it is noted that she has a dusky purple coloration to her face, satisfactory capillary refill in her fingers, and a slow but strong pulse. Despite having flaccid muscles in her musculoskeletal system, she was able to be repositioned onto her side in the Recovery position. Her vital signs include a pulse rate of 58, blood pressure of 150/90, and blood sugar level of 6.5mmol/l.

Mrs. White has a medical history of hypertension, bilateral cataracts requiring surgery, a history of four vaginal births, and urinary incontinence. Additionally, she has cardiac arrhythmias and is currently on Digoxin. She is a window.

Considering Mrs. White’s critical condition and medical history, prompt attention and comprehensive care are necessary for her recovery. Her medication pack is sent along with her. If you require any further information or have any queries, please do not hesitate to contact me.

Yours faithfully,
Nurse.
Kingsville Retirement Village.

(word count: 210)

Writing task:

TASK 40 Mary White– resident at Kingsville Retirement Village
You are a registered nurse employed by the Kingsville Retirement Village. It is your duty to attend to call outs from the residents in the Independent Living Units as well as assisting the staff in the Low Level Care unit. It is 7 pm (19:00 hours) and you receive a call from the daughter of one of the residents. She has just visited her mother and found that she cannot rouse her. You go to the unit, open the door with your key and find the lady unconscious, face down on the floor. The daughter telephones the Ambulance Service. You examine the lady (Mary White) and find the following:
CNS: rousable only to pain
Respiratory: slow, laboured breathing.
CVS – dusky purple colour to face, good capillary refill to fingers, pulse slow and full.
Urogenital- has been incontinent of urine
Musculoskeletal – flaccid muscles, is able to be moved onto side in the Recovery position to move.
You perform the following measurements:
PR & BP-37 degrees C; 58; 14; 150/90
BSL-6.5mmol/l
Her past history includes:
Pregnancies x4 with live births (30 years ago)
Hypertension
Widowed 6 years ago
Cataracts in both eyes, awaiting surgery
Cardiac arrhythmias for which she takes Digoxin
The ambulance arrives and you verbally hand over the information; they then decide to transport Mary to hospital. Her daughter has packed all her medication with the overnight bag.
Your task: Write an introductory letter for the Admissions Officer (AO) at the Kingsville Hospital, 150 Bridge Road, Richmond, Victoria 3121, they can plan Mary’s care.