Consultation Unit 1: In the Medical Clinic Nursing English Consultation Unit 1: In the Medical Clinic

The Role of the Nurse In Western Countries: Student nurses Assistant nurses 2 years training (college diploma/certificate 学院) personal care, oral medications 口药, height & weight, vital signs 生命征象 (temperature, heart rate, blood pressure)

The Role of the Nurse In Western Countries: 3) Registered Nurses (R.N.) 4 years training (university degree 大学学士学位) general hospital wards medical 内科, surgical 外科, birth unit 产科, neurology 神经科, orthopedics 骨科 etc give medications, vital signs, change surgical dressings 换敷料, give injections 打针, remove sutures 移去缝针

The Role of the Nurse 3) Registered Nurses (R.N.) c) community nurses 社会护理 teach classes, visit patients at home

The Role of the Nurse 3) Registered Nurses (R.N.) d) specialist nurses 专业护士 ICU nurses 特别监护病房，midwife 助产士， operating room (O.R.) nurses 手术室, emergency room (E.R.) nurses 急诊室 much more independent with more responsibility 有很多独立和责任 more complicated procedures比较复杂的程序：applying casts上石膏，using ventilators/respirators 用呼吸器，discussing diagnosis and treatment with doctors 跟医生讨论诊断和疗法

Specialist Nurses (RN) -ICU, ER, OR, etc Registered Nurses (RN) -general hospital wards -community Assistant Nurses

The Role of the Nurse What do nurses do in China? What are their typical responsibilities? Are there different types or levels of nurses?

consultation: to meet together to discuss symptoms and treatment

What is the difference between medical and surgical??

What is the difference between medical and surgical? Medical Department Surgical Department uses medicine to cure systemic (系统的） often treated for a long time eg. heart disease (ex. 绞痛） treated with heart medicine （ex. 硝化甘油) for many years eg shoulder pain that is treated with medicine uses surgery to cure localized （具体的） often fixed immediately eg. heart attack (心梗) that needs bypass surgery (冠状动脉旁路） shoulder pain that is treated with surgery

Dialogues 1 & 2

Mr Johnson in the Medical Clinic apprehensive: worried, anxious painkillers: medicine to lessen pain eg. ibuprofen 布洛芬，paracetamol 对乙酰氨基酚，aspirin 阿司匹林 stroke: 中风 a sudden stop to the blood supply in the brain, due to a blockage or to bleeding. The brain is damaged and the patient can’t move on one side of their body.

Strokes

Mr Johnson in the Medical Clinic family history: medical history 家族史 an important question asking if other family members have had problems in a certain area (eg brain injuries) insomnia: sleeplessness 失眠的

Dialogue 3

Mr Johnson in the Medical Clinic lie flat: lie down on back turn to… : face a direction turn to the right, turn toward me, turn toward the wall, turn over

Nursing Roles Tasks Assess Communicate -doctor -patient Support Explain Comfort / Reassure