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1. Nursing & Hospital

Proof Reading (Ref.:0101): Nursing-Sensitive Outcomes

Hospital nurse staffing is a matter of major concern because of the effects it can have on patient safety and quality of care. Nursing-sensitive outcomes are a very important indicator of quality of care and may be defined as "variable patient or family caregiver state, condition, or perception responsive to nursing intervention." Some known adverse patient outcomes potentially sensitive to nursing care are, for example, urinary tract infections (UTIs), pneumonia, shock, upper gastrointestinal bleeding, longer hospital stays, failure to rescue, and 30-day mortality.

Most investigations have focused on adverse rather than positive patient outcomes for the simple reason that adverse outcomes are much more likely to be documented in the medical record. A broad array of research on this topic has found an association between lower nurse staffing levels and higher rates of some adverse patient outcomes. A new evidence report entitled The Effect of Health Care Working Conditions on Patient Safety, produced by an Evidence-based Practice Center (EPC), reviewed 26 studies on the relationship between nurse staffing levels and measures of patient safety.

Most of the studies have examined nurse staffing levels versus adverse occurrences in the hospital setting, including in-hospital deaths and nonfatal adverse outcomes such as nosocomial infections, pressure ulcers, or falls. The EPC's researchers found that lower nurse-to-patient ratios were associated with higher rates of non-fatal adverse outcomes. This was true at both the hospital level and the nursing unit level. With regard to in-hospital deaths, however, the evidence does not consistently show that lower nurse staffing levels are associated with higher mortality.

Questions (Ref.:0102): Nursing-Sensitive Outcomes

Why is nurse staffing a matter of major concern?

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Medical english for nurses

How are considered nursing-sensitive outcomes?

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What are some adverse patient outcomes?

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Is it true that most investigations have focused on positives outcomes?

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What kind of association has been found by a broad array of research?

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Where did most of the studies examining nurse staffing levels and adverse occurrences take place?

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How are associated lower nurse-to-patient ratios?

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Following the researchers, is there any kind of association between lower nurse staffing levels and higher mortality?

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Are Health Care Working Conditions on Patient Safety a matter of study?

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What does EPC mean?

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Chapter 1

Y/N Test (Ref.:0103): Nursing-Sensitive Outcomes Yes No

Nursing-sensitive outcomes are an important indicator of care quality.

Most investigations have focused on positive rather than on adverse patient outcomes.

EPC means Evidence-based Practice Center.

There is an association between higher staffing levels and higher rates of adverse outcomes.

The evidence shows that lower staffing levels are associated with higher mortality.

Hospital nurse staffing is a matter of major concern.

Hospital nurse staffing can have effects on patient safety and quality of care.

Adverse outcomes are much more likely to be documented in the medical record.

Higher nurse-to-patient ratios are associated with higher rates of fatal adverse outcomes.

Nosocomial infection is an adverse incomes.

Any adverse outcome is always fatal.

In-hospital falls are no adverse occurrences.

A little bit of History: The Lady with the “Lamps” Florence Nightingale (12 May 1820 – 13 August 1910) laid the foundation of professional nursing with the establishment, in 1860, of her nursing school at St Thomas' Hospital in London, the first secular nursing school in the world.

Group activity (Ref.:0104): Hospital Staffing

“Hospital nurse staffing is a matter of major concern because of the effects it can have on patient safety and quality of care.” – Find five situations to illustrate the effects of nurse staffing on care quality.

Filling Gaps (Ref.:0105): Nursing & Hospital1. The nurse decides to m__________.the patient from one department to an other one. 2. A nurse will get personal details from you and fill an hospital r__________.form. 3. If you go through the swing door you will see the e__________.unit. 4. The doctor will decide on the t__________. 5. People use to take a seat in the waiting room of an hospital d__________. 6. This helps to decide who is a p__________. 7. The first nurse you meet is called the t__________.nurse and is a specialist. 8. A patient with a life t__________.will see a doctor immediately. 9. The nurse will make an initial a__________.of your problems. 10. When there is a free

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Medical english for nurses

c__________.a doctor will see you. 11. The doctor a__________.the patients in the new Cardiology department. 12.You just have to leave the r__________.at the main entrance of the hospital. Terms: a. department - b. threatening - c. treatment - d. emergency - e. triage - f. priority - g. cubicle - h. move - i. assessment - j. railway - k. registration - l. attends.

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“When you do not understand a term, try to guess the meaning

before opening a dictionary !”

Vocabulary (Ref.:0206): Nursing & Hospital

Group 1 Group 2 1. Pathology – 2. Cardiology – 3. Physiotherapy – 4. Renal Unit – 5. Pharmacy – 6. Orthopaedics – 7. Neurology – 8. Paediatrics – 9. Dermatology – 10. Haematology – 11. Obstetrics – 12. Surgery

a. to dispense drugs – b. to treat all kinds of kidney diseases – c. To be a specialist of prenatal care and birth – d. to analyse samples – e. to treat skin diseases – f. to design special exercises for patients – g. perform operation on patients – h. to study blood disorders – i. to treat bones – j. to be a heart specialist – k. to treat children – l. to treats disorders of the nervous system.

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Types of Nurses There are several types of nurses differing in their level of education and expertise. When deciding to pursue a career as a nurse, you must first decide whether you want to specialize in a particular area. There are nurses who work closely with general physicians and help them in their daily tasks, while there are other nurses who work specifically with obstetricians to help deliver babies and to care for pregnant women. Depending on your specialty, you may need to receive additional credit and training in order to work in the area you choose. Below, we’ve narrowed down the different types of nurses offered in order to help you make the best decision for your career advancement.

Rebuild the sentence (Ref.:0207): Nursing & Hospital a. that hospitals o… b. Administrators m… c. medical c… d. efficiently and p… e. make sure t… f. care to patients. g. operate e… h. provide adequate m…

A : 1 2 3 4 5 6 7 8

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Rebuild the sentence (Ref.:0208): Nursing & Hospital a. Administrators h… b. hire, r… c. nurses, i… d. assistant administrators. e. recruit, a.. f. doctors, n… g. and sometimes train d… h. interns, and a…

A : 1 2 3 4 5 6 7 8

Information (Ref.:0209): Admission Form

ADMISSION FORM

Surname: Apellido First Name : Nombre

Age:Edad Sex:Genero Marital status: Estatus matrimonial

Address:Dirección

Occupation:Oficio

Present Complaint: Dolencia de la que se queja el paciente

Admission details: Información by Referral/A&E (Accidents and Emergencies):

O/E (On examination) (En curso de examen)

ENT (Ear, Nose and Throat) (Otorinolaringología)

RS (Respiratory System) (Sistema respiratorio)

CVS (Cardiovascular System) (Sistema cadiovascular)

GIS (Gastrointestinal System) (sistema gastro-intestinal)

GUS (Gastro-urinary System) (Sistema gastro urinario)

CNS (Central Nervous System) (Sistema nervioso central)

IMMEDIAT PAST HISTORY : Historial reciente

POINTS OF NOTE : Comentarios

INVESTIGATION : Investigación

DIAGNOSIS : Diagnóstico

MANAGEMENT : Gestión del caso

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Medical english for nurses

Proof Reading (Ref.:0210): The DCH Rehabilitation Pavilion

Patients who are unable to perform normal life functions, and who show potential for improving are considered for admission to the DCH Rehabilitation Pavilion. Many of our patients have recently undergone surgery, been diagnosed with stroke, multiple trauma, spinal cord injury, neurological impairment, or have complex medical issues that require an acute hospital rehabilitation. Patients are admitted by referral from a medical physician. To begin the referral process, you should contact your medical physician. Once you are referred to the Rehabilitation Pavilion, a pre-admission assessment is given by an Admissions/Care Coordinator to determine if you need the admission criteria based on Medicare and commercial insurance guidelines for medical necessity. This assessment includes an accomplished chart review and patient/family interviews. All patients must meet the following criteria to be a candidate for admission:

Require treatment from a multidisciplinary rehabilitation treatment team Require, and be expected to actively participate in and benefit from, intensive rehabilitation therapy (3

hours a day, 5 days a week) Be stable enough to actively participate in the rehabilitation program Require rehabilitation physician supervision Have a reasonable expectation of measurable, functional improvement or adaption to impairments Be able to follow simple commands Have a discharge plan or caregiver Insurance

Admission criteria is based on Medicare and/or commercial insurance guidelines for acute inpatient rehabilitation admission. Coverage for admission is determined on a case by case basis. All insurances are accepted based on individual coverage listed on your policy. Stated benefit on your policy does not guarantee acute inpatient rehabilitation admission. Please check with your insurance provider to determine if benefits for inpatient rehabilitation services are part of your individual policy coverage. Precertification is used to determine justifiable admission for rehabilitation and may take 24 to 48 hours for determination by your insurance provider.

Questions (Ref.:0211): The DCH Rehabilitation Pavilion

Which criteria are considered for admission?

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What have the patients recently undergone?

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When is given the pre-admission assessment?

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What supervision do the patients require?

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What does not acute inpatient rehabilitation admission guarantee?

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Vocabulary training (Ref.:0212): Choose and translate 10 verbs

Verbs (English) Verbos (Español)

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Medical english for nurses

Proof Reading (Ref.:0213): Admission to the Children Hospital

Consents: Being a parent or guardian, you need to sign a medical consent form when your child is admitted to our hospital. These form gives physicians and staff the permission to care for your child, the patient.

Patient and Family Identification: When admitted, each patient receives an ID wrist band with his or her name. Parents or guardians of patients (children) receive two family passes. These passes help the staff identify family members. You should wear your pass or have it with you at all times. You must have one on if you stay in the hospital with your child overnight. If you need passes for other family members, please talk with your child's nurse.

Insurance information and Payment Agreement: As a parent or guardian, you will be asked for insurance information upon your child's admission. Staff will make a copy of your insurance card so we can bill your insurance correctly. If your insurance company has prior authorization/certification requirements, you are responsible for notifying them of your child's admission. You will be asked to sign an agreement permitting us to bill your insurance company and guaranteeing final payment of your child's hospital bill.

Patient Belongings: You receive a patient belongings bag for clothing and other items when your child is admitted to the hospital. The hospital cannot assume responsibility for personal belongings. Please label all personal items and patient-owned medical equipment you bring to the hospital with your child's name. Also, please note that storage space in your child's room is limited.

Questions (Ref.:0214): Admission to the Children Hospital

What is a medical consent?

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How does the hospital staff identify the members of the family?

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Which kind of informations parents or guardians will be asked?

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What is a patient belongings bag?

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Who is responsible for patient belongings?

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Vocabulary training (Ref.:0215): Choose and translate 10 key nouns

Nouns (English) Substantivos (Español)

How wonderful have You been? (1)

-5 -4 -3 -2 -1 0 1 2 3 4 5 How can I improve?