MODULE I : THE HOSPITAL TEAM

1.1 THE LESSON PLAN

Topik : The Hospital Team
Skills : Reading, Writing, Listening, Speaking
Time : 180 minutes

1.2 THE OBJECTIVES

The students will be able to mention and describe:
a. The names of rooms in a hospital
b. The jobs and specialists in a hospital:
- What they do in a hospital
- Their routines and current activities

1.3 LANGUAGE FOCUS

1. Vocabulary and pronunciation
a. Names of wards, units, departments, wards
b. Staffs and specialists in the hospital

2. Grammar
a. Simple Present Tense
b. Present Continuous Tense

2. Reading
Topic: The Nursing Profession

3. Speaking
Topic: What are your routines or current activities.

1.4 THE LESSON

1.4.1 Background

A hospital is a health care institution providing patient treatment with specialized

medical and nursing staff and medical equipments.

Some hospitals specialize in a particular condition or in a particular type of patient.

Others are training hospital connected to universities, where patient can see highly-
skilled specialist familiar with the latest scientific and technical developments. But the
best-known type of hospital is the general hospital, which deals with a widw range of
diseases and injuries.
 A patient may have care that involves many of the departments in a general hospital,
for example Accident and Emergency, Administration and Records, Radiology,
Surgery ect. Big general hospital may have up to fifty specialist departments.
Department names are not consistent from hospital to hospital- Children’s Unit in one
hospital might be called Paediatrics in another, for example.

In A busy general hospitals there may be several thousand staff on the payroll.
Although they are a team that works closely together, team members don’t have equal
status, but function within a complicated system of ranks and grade. The medical
hierarchy is well known for its strict divisions and class structure, though things are
changing-it is now much less rigid than in the past, and the authority to make
decisions is being distributed more widely.

The basic hospital chain of command, however, remains unchanged. In British

hospitals, for example, it is the consultant-a doctor-whose name appears on patients’
note and who carries ultimate responsibility. Next in line is the registrar, then senior
house officer, and then house officer. In the UK, primary care (the first contact with
the medical team) is often provided by general practitioners, who are doctors working
out in the community, and by nurses called health visitors.

When it comes to recovery care and corrective treatment, other members of the team
with special expertise come into the picture. The whole structure is kept going by the
ancillary staff-the porters, cleaner, and kitchen staff who, in their turn are supported by
valunters-an important force of individuals whose contributionto the effectiveness of a
hospital is often underestimated.

1.4.2 Vocabulary & Pronunciation

Here are the lists of the departments, units, clinics, wards in a hospital.
a. The Departments, Units, Clinic, and Wards
No English Indonesian
.
1 Accident and Emergency (ER) or Korban dan keadaan darurat
Casualty and Emergency
2 Administration Administrasi
3 Admission Departement Departemen penerimaan
4 Aged Care Facilities Fasilitas perawatan lansia
5 Andrological Unit Unit andrologi
6 Anesthetic Room Ruang anestesi
7 Angiography Angiografi
8 Ante-Natal Clinic Klinik ante natal
9 Blood Bank Service Layanan bank darah
10 Bronchoscopy Bronkoskopi
11 Cardiological ward Bangsal kardiologis
12 Cardiothoracid ward Bangsal kardiotoraks
13 Central Sterilisation Department Pusat sterilisasi
(CSD) or Central Sterile Supply
Department (CSSD)
14 Chemoterapy Unit Unit kemoterapi
15 Children’s ward or Paediatric ward Bangsal anak
16 Computed Tomography Scan (CT scan Pemindaian tomografi
terkomputasi (CT scan
17 Coronary Care Unit Unit perawatan koroner
18 Dental Clinic Klinik gigi
19 Dermatological ward Bangsal dermatologis
20 Diagnostic Imaging Unit Unit pencitraan diagnostik
21 Dispensary Apotek
22 E.N.T ward Bangsal ENT
23 Endocrinological Unit Unit endrokrinologi
24 Endoscopy Department Departemen endoskopi
25 Fracture Clinic Klinik fraktur
26 Geriatric ward Bangsal geriari
27 Gynecological ward Bangsal ginekologi
28 Haemodialysis Unit Unit hemodialisis
29 Infectious Disease Unit Unit penyakit menular
30 Intensive Care Unit (ICU) Unit perawatan intensif (ICU)
31 Laboratory laboratorium
32 Labour ward Bangsal tenaga kerja
33 Long-stay ward Bangsal tinggal lama
34 Magnetic Resonance Imaging (MRI) Pencintraan resonasi magnetik
(MRI)
35 Mammography Mamografi
36 Maternity Unit Unit persalinan
37 Medical ward Bangsal medis
38 Mental Hospital/ lunatic Asylum Rimah sakit jiwa
39 Mortuary Kamar mayat
40 Neurological ward Bangsal saraf
41 NeuroOphtalmological ward Bangsal neuroOphtalmological
42 Neurosurgical ward Bangsal bedah saraf
43 Nursing home Panti jompo
44 Occupational Health Services Pelayanan kesehatan kerja
45 Occupational Therapy Departement Departemen okupasi terapi
46 Oncology Unit Unit onkologi
47 Operating Theatre Teater operasi
48 Orthopedic ward Bangsal ortopedi
49 Out-pasient clinic Klinik rawat jalan
50 Outpatients’ Department Departemen rawat jalan
 Note: Students can add more departments/ units/wards/clinic

b. The Staffs and Specialists

No. English Indonesian

1 Administrative staff
2 Anaesthetist
3 Cardiologist
4 Cleaner
5 Consultant
6 Dentist
7 General Practitioner
8 Kitchen staff
9 Lab technician
10 Midwife
11 Occupational therapists
12 Opticians
13 Paediatrician
14 Paramedic
15 Pharmacist
16 Physioterapist
17 Porter
18 Radiologist
19 Recepionist
20 Speech therapist
21 Srub nurse
22 Surgeon

Note: Students can add more specialists or staffs.

1.4.3 Grammar
1.4.3.1 Simple Present Tense
The simple present tense is used:
 To express habits, general truths, repeated actions or unchanging
situations, emotions and wishes:
E.g. - I smoke (habit);
- I work in London (unchanging situation);
- London is a large city (general truth)

 To give instructions or directions:

E.g. - You walk for two hundred meters, then you turn left.

 To express fixed arrangements, present or future:

E.g. - Your exam starts at 09.00
  To express future time, after some conjunctions: after, when, before, as
soon as, until:
E.g. He'll give it to you when you come next Saturday.
Be careful! The simple present is not used to express actions happening
now.

Other examples:
• For habits
- He drinks tea at breakfast.
- She only eats fish.
- They watch television regularly.

• For repeated actions or events

- We catch the bus every morning.
- It rains every afternoon in the hot season.
- They drive to Monaco every summer.

• For general truths

- Water freezes at zero degrees.
- The Earth revolves around the Sun.
- Her mother is Peruvian

• For instructions or directions

- Open the packet and pour the contents into hot water.
- You take the No.6 bus to Watney and then the No.10 to Bedford.

• For fixed arrangements

- His mother arrives tomorrow.
- Our holiday starts on the 26th March

• With future constructions

- She'll see you before she leaves.
- We'll give it to her when she arrives.

Forming the simple present tense:

to think
Affirmative Interrogative Negative
I think Do I think? I do not think
You think Do you think? You do not think
He thinks Does he think? He does not think
She thinks Does she think? She does not think
 It thinks Does it think? It does not think
We think Do we think? We do not think.
They think Do they think They do not think.

Notes on the simple present, third person singular

• In the third person singular the verb always ends in -s:
he wants, she needs, he gives, she thinks.

• Negative and question forms use DOES (= the third person of the
auxiliary 'DO') + the infinitive of the verb.
He wants ice cream. Does he want strawberry? He does not want
vanilla.

• Verbs ending in -y : the third person changes the -y to -ies:

fly  flies, cry  cries
Exception: if there is a vowel before the -y:
play  plays, pray  prays
• Add -es to verbs ending in:-ss, -x, -sh, -ch:
he passes, she catches, he fixes, it pushes

1.4.3.2 Present Continuous Tense

The present continuous tense is formed from the present tense of
the verb be and the present participle (-ing form) of a verb:
Use:
1. We use the present continuous tense to talk about the present:
• for something that is happening at the moment of speaking:
E.g. - I’m just leaving work. I’ll be home in an hour.
- Please be quiet. The children are sleeping.

• for something which we think is temporary:

E.g. - Michael is at university. He’s studying history.
- I’m working in London for the next two weeks.

• for something which is happening before and after a given time:

E.g. - At eight o’clock we are usually having breakfast.
- When I get home the children are doing their homework

• for something which is new and contrasts with a previous state:

E.g. - These days most people are using email instead of writing
letters.
- What sort of clothes are teenagers wearing nowadays?
- What sort of music are they listening to?
 • to show that something is changing, growing or developing:
E.g. - The children are growing quickly.
- The climate is changing rapidly.
• for something which happens again and again:
E.g. - It’s always raining in London.
- They are always arguing.
- George is great. He’s always laughing.
Note: We normally use always with this use.

2. We use the present continuous tense to talk about the future:

• for something which has been arranged or planned:
E.g. - Mary is going to a new school next term.
- What are you doing next week?

3. We can use the present continuous to talk about the past:

• When we are telling a story:
• When we are summarizing the story from a book, film or play etc.

4. Using the present continuous to talk about the future

5. The present continuous is used to talk about arrangements for events at a

time later than now. There is a suggestion that more than one person is
aware of the event, and that some preparation has already happened.
E.g.
• I'm meeting Jim at the airport. = Jim and I have discussed this.
• I am leaving tomorrow. = I've already bought my train ticket.
• We're having a staff meeting next Monday = all members of staff have
been told about it.

Other Examples:
- Is she seeing him tomorrow?
- He isn't working next week.
- They aren't leaving until the end of next year.
- We are staying with friends when we get to Boston.

Note: In the first example, "seeing" is used in a continuous form because

it means "meeting".

The Pattern:
 (+) Subject + to be + V-ing + Object.
(-) Subject + to be + not + V-ing + Object.
(?) To be + Subject + V-ing + Object?
Note:
To be : is, am, are
Adverb of time : now, at this moment, today, this week, etc

Examples:
• We are studying English now. (+)
S to be V + ing O adv. of time

• We are not studying English now. (-)

S to be V + ing O adv. of time

• Are you studying English now? (+)

to be S V + ing O adv. of tim

1.4.4 Exercises
a. Work with a partner and match each quote with a job.
1. Can you read the bottom line of letters? ____
2. Today I delivered two sets of twins! ____
3. I go round delivering mail every morning. ____
4. Clamp ... suction ... forceps ... needle ____
5. Bend your knee ten times and then rest. ____
6. Open wide. ____
7. I’m examining a culture of organisms extrated from a patient. ____
8. This machine will give us a picture of your lungs. ____
9. I’m arranging an appointment now. ____
10. We’re going to move you on this stretcher. ____
11. Move your feet, please. I need to diinfect the floor ____

a. lab techincian e. receptionist i. midwife

b. physioterapist f. Optician j. cleaner
c. radiologist g. Dentist k. paramedic
d. porter h. surgeon

b. Verbs for dercribing jobs. Complete descriptions with a job from the specialist
above and the verb below:
moves gives suppports delivers performs
examines treats specializes prepares takes
 1. A paeditrician ... children.
2. A ... attends births and ... babies.
3. A ... ... in illnesses of the heart and blood vessel.
4. A ... ... equipment, furniture,patients, etc. Aroun the hospital.
5. A ... ... x-rays and other images.
6. A ... ... surgeons in the operating theatre.
7. A ... ... medicines to give to medical staff or patients.
8. A ... responds to emergencies and ... first aid.
9. A ... ... operations.
10. A ... ... samples and tissues under a microscope.

c. Prepositions of place to decribe the place where something is. We use preposition
such as in, on, on top of, at the top/ bottom of, inside/ ouside, near, next to , by, in
front of, behind, opposite, under, over, at, on the left/right.

E.g. 1. The Pharmacy is near the entrance, on the left of the admission.

2. The toilets are at the bottom of the stairs.

We use preposition of movement to talk about movement such as up down, into,

out of, away, from, to, through, across, along, past, back to, around, left /right

E.g. 1. Go through the swing doors, turn left along the corridor.
2. Walk along this corridor, you will find the dental clinic.

Preposition of movement are used with verbs of movement such as go, come, take,
push, walk, carry.

E.g. Can you take these files back to the office, please?

Complete the sentences with the prepositions below

at by in next to on outside over under

1. I always keep my pen ... my pocket.

2. Press the button ... your bed if you need the nurse.
3. I’ll put your bag ... under your bed, out of the way.
4. Reception is ... the main entrance.
5. He’s ... Ward 3, ... the end of this corridor.

Complete the sentences with a preposition

1. You can borrow books ... th Red Cross library trolley.
 2. You’ll keep the plaster ... your wrist for six weeks.
3. Visitors can eat ... the cafetaria ... 8 a.m. and 7 p.m.
4. The car park is ... the back of the hospital.
5. Take the lift ... the third floor, and Haemotology is ... .

d. Read this student nurse’s email home to her friend. Choose the correct verb
forms to complete it.

Hi Anita
I write/’m writing to say thank you for the birthday card, and to tell you how I
get on/ ‘m getting on. The course is hard work, but I’m enjoying/ enjoy it so far.
We usually have/ are having classes every morning, but this week I’m
working/ work in Geriatrics all day. It’s interesting, although of course I want /
‘m wanting to work as a scrub nurse.

On the geriatric ward I’m making/ make beds and checking / check patients’
blood pressure and temperature. I’m learning / learn a lot, and the experience
is very useful.
I’m going out/ go out most Saturday nights, but stay in and study on other days.
Tomorrow I go / ’m going to a restaurant for my birthday! I make /’m making
a lot of friends, but I wish you were here too. Write to me!

Love

Bella

1.4.5 Reading Comphrehension

A. Read the article and decide if these sentences are true (T) or false (F).
1. The more responsibility you have, the higher your grade. ___
2. Nursing officers are the same as auxiliary nurses. ___
3. Students are paid less than auxiliary nurses. ___
4. A charge nurse is a man. ___
5. There are not many apportunities for British nurses to specialize. ___
6. Many nurses sat that the job is rewarding, but the pay is low. ___

B. Number these jobs from the highest grade (1) to the lowest (4). Two of
them are equal.
1. charge nurse ___
2. nursing officer ___
 3. auxiliary nurse ___
4. sister ___
5. staff nurse ___

1.4.6 Listening: A Job Interview

1. Listen to Rachel having a job interview, and answer the questions:
a. Where is Rachel working now?
b. Which part of the hospital does she work in?
c. Why is she looking for a new job?

2. Complete the sentences using the words below. Then listen again and
check.
applying for lectures night shift
fully qualified part-time rewarding

a. Are you a … scrub nurse?

b. At the moment I’m doing a … course and working at the same time.
c. It’s hard, especially when I’m working a … and going to … next day.
 d. … it’s the contact with the patients that’s most … .
e. Why are you …a new job?

1.4.7 Speaking
What’s your routines and current activities as a nurse?