Work of an In-Patient Department

When patients are admitted to the hospital first of all they are met by a nurse on duty  at the reception ward.

Those patients who are to be hospitalized have a referral letter from the polyclinic. The nurse on duty fills in patients' case histories in which she writes down their names, age, place of work, occupation, address and the initial diagnosis made by a doctor at the polyclinic.

Then a doctor on duty examines the hospitalized patients and gives the instructions what department and wards the patients are to be admitted to.

At the in-patient departments of a hospital life begins early in the morning. The nurses on duty take the patients' temperature, give them intramuscular and intravenous injections, take blood and urine for analysis and give all the prescribed remedies in the doses indicated by the attending doctors.

The nurses keep all the drugs in special drug cabinets. All the drugs have special labels. The names of drugs are indicated on them. Patients are not allowed to take the medicines themselves because some drugs are poisonous, their overdosage may cause unfavourable reactions and even death.

At about nine o'clock in the morning the doctors begin the daily rounds of the wards during which they examine all the patients. After the medical examination the doctors administer the patients different procedures: electrocardiograms are taken, laboratory analyses (tests) of blood, urine and gastric juice are made. Some patients are administered a bed regimen, others are allowed to walk; some are to follow a diet to relieve stomachache or prevent some drug side effects. All the doctors try to treat the patients with great attention and care. There is no doubt that such a hearty attitude of the doctors to the patients helps much in their recovery.

 

a) Find the English equivalents in the text:

Стационарное отделение, поступать в больницу, приемный покой, направление из поликлиники, палата, хранить лекарства, ядовитый, вызвать неблагоприятные последствия, побочные эффекты лекарства, назначать больным разные процедуры, облегчить боль в желудке, отношение, выздоровление.

 

b) Give the Russian equivalents:

А nurse on duty, patients' case histories, the initial diagnosis, department, give intramuscular and intravenous injections, the prescribed remedies, the overdosage of some drugs, to follow a diet, treat patients with great attention and care.

 

Learn by heart the vocabulary from tasks 1 and 2.

Answer the questions:

1. What kinds of medical institutions do you know?

2. What does a person who falls ill do?

3. What specialists work at the polyclinic?

4. What does a physician do during the medical examination?

5. What helps the physician to make a correct diagnosis and administer a proper treatment?

6. Who receives a sick-leave?

7. What do you know about the work of the in-patient department?

8. What do nurses on duty do?

9. Are patients allowed to take medicines themselves? Why?

10. What procedures can a doctor administer to the patient?

 

Be Ready for Your Exam

Прочитайте текст и выполните задания к тексту:

Medical Service in the USA

In the USA there are three levels of organization of medical service: the private doctor, the medical institution or hospital and the United States Public Health Service.

The average American has a doctor of his own, whom he calls his "family doctor". This doctor either has his own private office (the doctor's office) or works with several other doctors (the so-called "group practice"). This doctor gives the patient regular examinations, vaccinations and medical advice. The doctor generally receives pay directly from the patient.

But many Americans whose income is low have no family doctor. So they come directly to the hospital for all their medical needs. Here they are cared for in clinics by interns, residents and the doctors who work there.

Each hospital has an "Emergency Room" which serves cases that need immediate attention. The broader questions of medicine such as vaccination of school children and studies of epidemics come under the control of the Public Health Service.

The great cost of medical care insurance in the country and a great number of people who cannot pay for it have led to the development of two new programmes by the Federal Government – Medicare and Medicaid. Medicare provides free medical service for all the Americans over 65. Medicaid provides free medical care for all those whose income is below a certain level and who are not able to pay for medical aid.

 

Words:

average – средний

receive – получать

income – доход

insurance – страхование

able – способный

medical aid – медицинская помощь

 

ЗАДАНИЕ №1.

Определите, является ли утверждение:

All three levels of medical service in the USA are free of charge.

а) истинным   b) ложным   c) в тексте нет информации

 

ЗАДАНИЕ №2.

Определите, является ли утверждение:

Not all Americans have family doctors.

а) истинным   b) ложным   c) в тексте нет информации

ЗАДАНИЕ №3.

Определите, является ли утверждение:

Health insurance covers all the medical expenses.

а) истинным   b) ложным   c) в тексте нет информации

ЗАДАНИЕ № 4.

Ответьте на вопрос:

Who is responsible for the broad questions of medicine in the USA?

a) Family doctors

b) The United States Public Health Service

c) Different medical institutions

d) The government

ЗАДАНИЕ № 5.

Ответьте на вопрос:

What programme provides free medical care for people over 65?

a) Medicaid

b) Medicare

c) Both

d) They pay for medical service themselves

 

 

Part 3. At the Doctor

1. Study the vocabulary in the table: