ms
ose s only . Offi cial OET e~a
                   : · This is a moc k exa m writ ten for edu cati ona l purp                   se trea t this
      Plea se note                                                     ical kno wled ge.  Plea
                                    ess iona ls with exte nsiv e med
      are writ ten by med ical prof                enti c exa mpl e of the real OET exa m.
                                       as an auth
      task as a lear ning tool , NOT
                                       TE ST
      O C C U PA TI O N A L EN G LI SH
     WR ITI NG SU B-T ES T:                       NU RS ING
     TIM E AL LO WE D:
                                                   RE AD ING TIM E: 5 MIN UT ES
                                                   WR ITI NG TIM E: 40 MIN UT ES
                                                           '\
                                          plet e the writ ing task whi ch follo ws.
    Rea d the cas e note s belo w and com
   No tes :
                                                                              d of whi ch you are Cha r~e Nurs~.
       _ Allis on Wa tson , a 6-ye ar-o ld, is a pati ent in the med ical war
   Miss
   Adm itted afte r nea r dro wni ng.
                                                                         h Stre et, We stm ond
  Hos pita l:                      We stm ond Pub lic Hos pita l, 22 Hig
  Pat ien t det ails
  Nam e:                           Alli son Wa tson
 Ag e:                             6 yea rs
 Nex t of kin:                     Ma rge Wa tso n (mo the r)
 Ad mis sio n dat e:
                                   21 Feb rua ry 201 6
                                   3 Ma rch 201 6
 Dis cha rge dat e:                                                      in inju ry
                                   Nea r drowning, potential hypoxic bra
 Dia gno sis :                                                           )
                                   Live s with mo the r and fath er (Tim
 Fam ily:
Me dic al his tor yan d medications:
                                   Chicken pox (3yo)
                                   Fractured collar bone (4yo)
                                   Mil d ast hm a
                                   Primary scho"ol student (grade 1)
Social background:
                                   Enjoys sport (soccer, athletics)
                                                                                holiday with father.
                                    Fell into fresh water lake while on fishing
Background:
                                    Found 15-20 minutes later face down.
                                                                             basic life support started
                                    Paramedics arrived 10 minutes later,
                                    On admission to ED: cyanotic,
                                                                                       1'>
                                            '                 pulseless,
                                                ~             apnoeic,
                                                     .\    ,, fixed & dilated pupils,
                                                              tympanic temp 27.7°C
                                                  T
 Nu rs in g M an ag em en t an d p rogress:
 21 /2 /1 6:                   CP R Performed
                                                           cheal tub ing inserted
                               Ve nt ila to r & endotra d' t
                               H ea te d hu mi dif ier   r                                 nkets applied
                                          ric ve nt ila t~ /u ~: ~ warmer, preheated bla
                               Pa ed iat
                                                                                 84 / 36 / 19 / 78 %
                                                           Blood Ga s) = 7.04 /
                               Initial AB G (Art~rial ion achieved
                               Sp on ta ne ou s circulat
                                                          / 23 / 97%
 23 /2 /1 6                    AB G = 7.44 / 34 / 94
                               BP 98 /6 4
                                                         °c
                               Ty m pa ni c te m p 34.8                            ne ra l wa rd
                                                          fe rre d fro m ICU to ge
                               Pa tie nt sta ble - tra ns
                                                                 \
                                                      al
 25 /2 /1 6                    Te m pe ra tu re no rm
                                               e to co m m an d
                               Un re sp on siv
                                                       be d
                               M ov in g ar ou nd th e                              tio n
                                                    en tila te d fo r IC P pr ot ec
                               No lo ng er hy pe rv                           be gu  n
                                                       nic al ve nt ila tio n
                               W ea ni ng of f m ec ha
                                                           m an ds
                                Re sp on siv e to co m                              d sp ee ch
 29 /2 /1 6                                                 n po ss ibl e - slu rre
                                Ba sic co m m un ica tio
                                                          m m en ce d
                                Sp ee ch th er ap y co
                                                           tin g
                                Di ffi cu lty co nc en tra
                                                       da  ily fo r he ad ac he s
                                Pa ra ce ta m ol 3x
                                                          sp ut um
                                Co ug hi ng up pi nk
                                                          tio n st op pe d
                                M ec ha ni ca l ve nt ila
                                                                                    ng of speech
                                                            oving, still some slurri
                                Communication impr                                       pears ok
3/3/16                                 en tra tio n impr ov  ing , cognitive function ap        for delayed
                                Conc
                                                     am  s  cl~ ar  - need  more tests to check
                                Neurological      ex
                                                           tion                                   itive effects
                                pr ob le m s as precau                 rm an ent speech and cogn
                                                     ne d ab  ou  t pe
                                Pa re nt s concer
                                                               en needed
                                Pa ra ce ta m ol given wh
                                Occasional cough
                                R ea dy for discharge
                                                               ac he s
                                Pa ra ce ta m ol fo r he ad                                    rs en s
Discharge plan:                          r co ug  h,  re tu rn  to hospital AS AP if wo
                                M on ito
                                                             speech                                                        W'3ek
                                Sp ee ch th er ap y fo r               ps yc ho lo gi ca l, vi su al-spatial, IQ) in on e
                                                              (neuro
                                Ne ur ol og is t fo r tests                                                                 I  •
                                                              he ad ac  he s                                     D r if minor
                                G P to ch ec k cough,                 he ad  ac he s,  co nc en tra tio n . Call
                                                            co  ug h,
                                Pa re nt s to m on ito r
                                                             if se ve re                                 ef0
                                issues, bring to ER
   r   ,   '"":'"f
  Writing Task:
  Please choose 1 only (as instructed by your teacher)
  A: Using th e information provided in the case notes , write a referral letter to the GP, Dr Anne Si,n ons,
  Southern Medical Centre , 15 Eltham Place, Curtai~-
 8 : Using the information provided in the case notes , write a letter detailing the post-dischar ge q:ire
 required for the patient to the patient's mother, Mrs Marge Watson, 34 View Rd, Tenningway~
                                                                                                       1
 C: Using the information provided in the case notes, write a referral letter to the neurologist, Dr Frank
 Rivers , Head Neurologist at Western Neurology Group , 95 Fitzroy St, Green Valley.
 In your answer:
• Expand the relevant notes into complete sentences
• Do not use note form
• Use letter format
The body of the letter should be approximate ly 180-200 words.
Please note: It's not common for a nurse to write a letter to a Neurologi st in the                        rET
exam . However, adapting your w riting to suit the needs of different profession s s a
useful learning tool.
                                                    "