Occupational English Test: WRITING SUB-TEST: NURSING
TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES
You are a Surgical Nurse in a post-operative ward. Your patient is ready for discharge today after CABG surgery.
Date:29/05/2021
Patient Details
Name: Mr Darwish Woods
Age: 77 years
Diagnosis: Coronary artery bypass graft
Family History
Married, carer for his wife (registered blind)
Daughter, married with children and lives overseas
Hobbles: Reading, cooking daily
Past History
Hypertension since 2011 (perindopril 1tab/daily)
High cholesterol since 2009 (atorvastatin 1 tab/dally)
Arthritis since 2007 (paracetamol 1 gm daily 4times
CAD (ECG, stress test, angiogram
Surgery: off pump CABG
23/05/2021
Admitted to hospital and underwent surgery on 24/05/2021 (graft from left leg)
Admitted in ICU for 24 hours
Administered IV antibiotics , analgesics and antithrombolytic agents
Chest tube insitu, drainage 20ml
Temp-37. 7C, PR-78/mt, RR-22/mt, Spo2-100°/o, BP-130/80 mm of Hg
Dressing in graft site
Provided elastic stockings and elevated leg for 24 hours
25/05/2021
Transferred to ward
Chest tube removed, wounds WNL
Complaints of pain over the chest and shoulder (administered Brufen)
Daily physiotherapy (deep breathing exercises, walking 4-5 mts 4times per day)
Exercise data sheet provided
Temp-37C, PR- 84/mt, RR-18/mt, BP-120/76 mm of Hg
29/05/2021
Ready for discharge (planned transfer to rehabilitation unit for 3 weeks) Follow up appointment:07/06/2021
Discharge instructions:
• Assess wound over the chest and graft site
• Dressing over the wound 2/weekly until sutures removed
• Sutures removal after 2 weeks
• Continue deep breathing exercises, walking 4-5 mts increase gradually
• Avoid heavy lifting
• Arrange carer and meals before discharge to home
WRITING TASK:
Using the information in the case notes, write a transfer letter to Ms Smith Brown, head of nursing, rehabilitation centre. Address this letter to Ms Brown, Head of Nursing, Brisbane OLD, Australia 4001.
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.
View sample answer by Lifestyle Training Centre
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