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ADMISSION TO HOSPITAL

Nama : ADEN AMARO B.


WAHYU PRIHANTORO
Prodi : S1 Keperawatan
Mata Kuliah : English In Nursing

1. Greeting
Nurse : Good Morning, Sir
Patient : Good Morning, Nurse.
Nurse : How are you today, Sir
Patient : I am fine Nurse
2. Telling Intention
Nurse : Now i want ask your about your identily
Patient : Okay Nurse
3. Asking the patient identity
SURENAME
Nurse : What’s your surname, Sir ?
Patient : My surename is Prihantoro
Nurse : Prahantoro, yes ?
Patient : Not Prahantoro but Prihantoro
Nurse : How do you speel it
Patient : P-R-I-H-A-N-T-O-R-O
FIRST NAME
Nurse : What’s your first name ?
Patient : My first name is Wahyu
Nurse : How do you spell it
Patient : W-A-H-Y-U
 Addres and Telephone No.
Nurse : Where do you live, Sir ?
Patient : I live in street Subali Makam No. 1, Semarang West
Nurse : What’s your Phone Number ?
Patient : My Phone is 0812 - 7508 - 4733
 Date of Birth
Nurse : When were you born ?
Patient : I am was born on
 Civil State
Nurse : Are you married, Sir ?
Patient : No, I am single
 Occupation
Nurse : What’s your occupation ?
Patient : I am student, Nurse
 Religion
Nurse : What’s your religion ?
Patient : I am Islam
 Name & address of next kin
Nurse : Who’s you nearest relative ?
Patient : My
Nurse : Do you live at the sam address ?
Patient : Yes
 Name & address of G. P.
Nurse : Who’s your family doctor ?
Patient : Dr. Oz
Nurse : Where his address ?
Patient : His address at Indrapasta
 Telephon No.
Nurse : Whom can I give massage if goes happened anything ?
Patient : My daughter, Nurse
Nurse : Could you give me contact person emergency ?
Patient : Yes, 0817 – 8888 - 7777
 Surgeon or ohysician in charge of case
Nurse : Who is the doctor in charge of case
Patient : Dr. Oz

4. Pre Clossing
Nurse : Okay, Sir. I Think it is complete, now i want visit another patient’s
Patient : Yes, Nurse
Nurse : If later fik out the form something is wrong I will go back to ask again
Patient : Okay, Nurse
5. Clossing ( Penutup )
Nurse : See you, Sir. Thanks for you time and get well fast
Patient : See you too, and thank very much, Nurse

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