nursing - English for Nursing and Healthcare

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Nursing activities
Documentation
NURSING
Thinkstock
Effektive Krankenpflege hängt nicht nur von erfahrenem
Fachpersonal ab. Auch Arbeitsabläufe und Infrastruktur
sind wichtig. VIRGINIA ALLUM gibt einen Überblick.
Providing efficient care
roviding efficient nursing care in hospitals and clinics depends on having highly trained staff. But the global shortage of nurses and local hospital-employment plans mean that
many wards do not have enough staff. In such cases, efficiency in a hospital usually suffers. Other factors, such as ward
design and workplace guidelines, also play a role.
Many clinical staff members complain that they spend
more time dealing with documents than looking after patients.
A recent study for the British National Health Service (NHS)
found that many nurses spend less than half of their shift providing direct patient care. They spend most of their time moving around the wards, looking for the equipment they need.
Ward design can influence the distance that nurses cover
during a shift and the contact time they have with their patients. Ward types include Nightingale wards, bay wards and
the Norwegian sengetun or “bed courtyards”.
P
QUIZ:
A caring career
Choose the correct answer for each question.
a) The British nurse who opened a training school in
England, in 1860:
1. Virginia
2. Edith
3. Florence
Henderson
Cavell
Nightingale
b) By 2012, the average age of US nurses will be:
1. 55
2. 44
3. 33
c) Nurses who care for women that are giving birth:
1. matrons
2. midwives
3. caseworkers
d) The Italian priest who first used the symbol of the red
cross for “servants of the sick”:
1. St Camillus 2. St John
3. St Thomas
de Lellis
of God
Aquinas
e) Percentage of male nurses in Spain and Italy:
1. 10%
2. 14%
3. 20%
Nightingale wards have a row of beds on both sides of the
ward, making it easy for nurses to observe all patients. But
the patients have little privacy and nurses often have to travel farther with the equipment. Bay wards (“multi-occupancy
patient rooms”), typically have four to six beds. Their disadvantages are low visibility to nurses and overcrowding. The sengetun arrangement groups six to ten single rooms around a
central workstation. Visibility to nurses is improved and patient care is easily organized for each nursing team.
Nurses in Britain follow guidelines from the National Institute for Clinical Excellence (NICE) to make sure nursing activities are carried out safely and that proven procedures are
used. Clear communication is also essential, particularly during the nursing handover, when nurses from one shift pass
on changes in patient care to staff on the next shift. Nurses
write the patient information in standardized documents.
These list the nursing activities for each shift and are part of
the patient record. Activities include taking patient observations, dressing wounds, and post-operative care.
Since 2009, the Productive-Ward project has been introduced in many UK hospitals. Its aim is to make nursing more
efficient, so that staff have more time for direct patient care.
Hospitals that use the project have found that nurses are
more able to manage the amount of work they have, and use
fewer resources. The efficient organization of duties also improves staff morale and reduces workplace stress for staff
nurses and others who provide nursing care.
bay ward [(beI wO:d]
bed courtyard [(bed )kO:tjA:d]
(courtyard
design [di(zaIn]
dress: ~ a wound [dres]
guideline [(gaIdlaIn]
handover [(hand)EUvE]
National Health Service (NHS)
[)nÄS&nEl (helT )s§:vIs]
Nightingale ward
[(naItINgeI&l wO:d]
nursing care [(n§:sIN keE]
patient record [)peIS&nt (rekO:d]
post-operative care
[)pEUst )QpErEtiv (keE]
privacy [(prIvEsi]
procedure [prEU(si:dZE]
shift [SIft]
shortage [(SO:tIdZ]
visibility [)vIzE(bIlEti]
ward [wO:d]
Station mit Mehrbettzimmern
Flügel mit Patientenzimmern,
die um ein zentrales Schwesternzimmer gruppiert sind
Hof)
Gestaltung
eine Wunde versorgen
Richtlinie
Übergabe
staatlicher britischer Gesundheitsdienst
Krankenstation mit langen
Bettenreihen
Krankenpflege
Krankenakte
postoperative Behandlung,
Nachsorge
Privatsphäre
Ablauf
Schicht
Mangel
Sichtbarkeit
Station
VIRGINIA ALLUM is a staff nurse at a private hospi-
tal in England and leads a Productive-Ward project.
She is co-author of Cambridge English for Nursing
(see page 83). Contact: [email protected]
Answers on page 87
82 Business Spotlight
1/2011
clinical/care pathway
[)klInIk&l/)keE (pA:TweI]
fluid(-)balance (chart)
[(flu:Id )bÄlEns (tSA:t)]
observation chart
[)QbzE(veIS&n tSA:t]
operation checklist
[QpE)reIS&n (tSek lIst]
pain-assessment tools
[(peIn E)sesmEnt tu:lz]
patient record [)peIS&nt (rekO:d]
referral form [ri(f§:rEl fO:m]
(klinischer) Behandlungspfad
(Festlegung der Behandlung)
Flüssigkeitsbilanz
Krankenblatt, Patientenkurve
Operations-Checkliste
Instrumente zur Schmerzerfassung
Krankenakte
Überweisungsformular
Nursing staff
clinical nurse specialist
[)klInIk&l )n§:s (speS&lIst]
frontline clinical staff
[)frVntlaIn )klInIk&l (stA:f]
health-care assistant
[(helT keEr E)sIstEnt]
health visitor [(helT )vIzItE]
licensed practical nurse (LPN)
[)laIs&nst )prÄktIk&l (n§:s] N. Am.
midwife [(mIdwaIf]
modern matron
[)mQd&n (meItrEn] UK
registered nurse (RN)
[)redZIstEd (n§:s] N. Am.
staff nurse [(stA:f n§:s]
state-enrolled nurse
[)steIt In)rEUld (n§:s] UK
Krankenpfleger(in) mit
Spezialisierung
Klinikpersonal mit
Patientenkontakt
Krankenpflegehelfer(in)
Krankenpfleger(in), der/die in
der Gesundheitsfürsorge tätig ist
etwa: Hilfskrankenpfleger(in)
Hebamme
etwa: Oberschwester, Pflegedienstleiterin
examinierte(r) Krankenpfleger(in)
Stationsschwester; ausgebildete(r) Krankenpfleger(in)
staatlich registrierte(r)
Krankenpfleger(in)
For more information
BOOKS
■ Cambridge English for Nursing (with audio CDs), V. Allum,
P. McGarr, CUP/Klett ISBN 978-3-12-534283-5, €19.95.*
■ Essentials of Human Anatomy and Physiology, Elaine Marieb,
Academic Internet, ISBN 978-0-8053-7327-1, €44.99.
* Available from www.sprachenshop.de
WEBSITES
■ Medterms www.medterms.com/script/main/hp.asp
■ NICE www.nice.org.uk
■ Virginia Allum’s blog — EMP English for Nursing and Health:
http://englishfornursingandhealth.blogspot.com
plus Find exercises on this topic in Business Spotlight plus
www Job vocabulary at www.business-spotlight.de/vocabulary
admit a patient
[Ed)mIt E (peIS&nt]
check a patient’s ID bracelet
[)tSek E )peIS&nts )aI (di: )breIslEt]
discharge a patient
[dIs)tSA:dZ E (peIS&nt]
do a medication round
[)du: E )medI(keIS&n raUnd]
document patient care
[)dQkjumEnt )peIS&nt (keE]
empty a catheter [)empti E (kÄTItE]
give a handover [)gIv E (hÄnd)EUvE]
give an injection [)gIv En In(dZekS&n]
insert a catheter [In)s§:t E (kÄTItE]
record fluid intake
[ri)kO:d (flu:Id )InteIk]
record urine output
[ri)kO:d (jUErIn )aUtpUt]
take a patient’s blood pressure
[)teIk E )peIS&nts (blVd )preSE]
take a patient’s observations
[)teIk E )peIS&nts QbzE(veIS&nz]
take a swab [)teIk E (swQb]
take vital signs [)teIk (vaIt&l saInz]
test a patient’s blood-sugar level
[)test E )peIS&nts (blVd )SugE )lev&l]
einen Patienten / eine
Patientin aufnehmen
ein Patientenidentifikationsarmband überprüfen
einen Patienten / eine
Patientin entlassen
Medikamente verabreichen
die Patientenversorgung
dokumentieren
einen Katheter entleeren
eine Übergabe durchführen
eine Spritze geben
einen Katheter legen
die Flüssigkeitsaufnahme
protokollieren
die Harnmenge protokollieren
den Blutdruck eines Patienten / einer Patientin messen
Eintragungen im Krankenblatt machen
einen Abstrich machen
Vitalparameter erfassen
den Blutzuckerspiegel eines
Patienten / einer Patientin
kontrollieren
Specialty areas and equipment
bladder scanner [(blÄdE )skÄnE]
diabetes care [)dAIE(bi:ti:z keE]
glucometer [(glu:kEU)mi:tE]
post-operative care
[)pEUst (QpErEtIv keE]
pre-admission clinic
[)pri: Ed(mIS&n (klInIk]
pre-operative care
[)pri: )QpErEtIv (keE]
Blasenscanner
Diabetes-Management,
Diabetes-Versorgung
Blutzuckermessgerät
postoperative Behandlung,
Nachsorge
prästationäre Sprechstunde
präoperative Behandlung,
Vorbehandlung
Wound management
apply a compression bandage
[E)plaI E kEm(preS&n )bÄndIdZ]
apply a non-stick dressing
[E)plaI E )nQn stIk (dresIN]
change a dressing
[)tSeIndZ E (dresIN]
sterilize a wound
[)sterElaIz E (wu:nd]
swab a wound [)swQb E (wu:nd]
to come
einen Kompressionsverband anlegen
einen antiadhäsiven
Wundverband anlegen
einen Verband wechseln
eine Wunde desinfizieren
eine Wunde abtupfen
Answers for page 87
Solutions:
English for… nursing
(page 82):
a–3
b–2
c–2 (midwife = Hebamme)
d–1
e–3
84 Business Spotlight
4/2005