Dear Friend,

There are a couple of things most Internationally Educated Nurses want to know about CELBAN Writing Task 2:

• How to write a report?
• What a CELBAN Writing Sample for Task 2 looks like?
• How does the CELBANPrep Writing Lessons work?
• How do I improve writing in preparing for the CELBAN?

Following is a sample of writing from an Internationally Educated Nurse who took CELBANPrep Writing. Here you will see how CELBANPrep Writing helps each person to identify what is slowing them down, standing in their way, or stopping them from achieving their goals.

Writing Prompt: client was lying on the floor; conscious, panting, perspiration; vitals unstable; black -out slumped, blood sugar level, blood work

What is CELBANPrep Writing?

CELBANPrep offers a course to prepare Internationally Educated Nurses for CELBAN Writing.

• Lessons 1-4 of CELBANPrep’s Writing Level One introduces the nurse to the four stages of writing in preparation for both Task 1 and Task 2 of CELBAN Writing.
• There is one lesson per week. Each week’s lesson has an assignment.
• IENs are expected to spend a minimum of half an hour a day on the writing exercises.
• The goal is being able to apply four stages of writing to create an organized piece of writing in less than 20 minutes.
• Lessons 5-7 of CELBANPrep Writing Level Two course focuses CELBAN Writing Task 2: on writing in a nursing context with both incident reports and assessment reports. Applying what was learned in the earlier lessons, nurses write detailed and complete nursing reports in less than 20 minutes. 

I often get requests to see samples of writing by Internationally Educated Nurses that prepare for the CELBAN. Following is an example of writing, the feedback on their submission and the final version.

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An Incident Report written by an IEN for CELBANPrep Writing Level Two: in preparation for CELBAN Writing Task 2

At 2pm of January 10th 2020, Mr Brian a 62year old man was found lying on the floor in his washroom. He is conscious, panting with tiny beads of perspiration on his forehead. He said he got up from his bed and walked towards his washroom and on getting near the door, he experienced black- out and slumped. His vitals signs were checked: T36.6c, P 108 b/m, R 38c/m,BP 100/60mmHg. Blood sugar level was 60mg/dl. Called co-worker for assistance and client was assisted back to his bed. Doctor notified. IV 10% dextrose water was set up. Blood work ordered. Blood sugar level rechecked after one hour and it read 88mg/dl. Blood glucose chart opened and recordings charted. Close monitoring maintained.–signature

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FEEDBACK

Thank you for your submissions. You created a great situation, and wrote a really good report. There are some things to watch for when you are editing:

1. a 62year old man
   I highlighted this section because as it is written it is a run on sentence. Typically the sentence would read either:

• Mr Brian, a 62year old man, was found…  or
• Mr Brian (a 62year old man) was found.

In this way the extra information is set apart through punctuation. It is best to use commas. To do this you would simply write the date and time separate and not part of the report: Jan 10, 2020. 2:00pm.

2. Pay attention to your verbs. Most are in past tense but one is in present. Keep tenses consistent.
3. “black-out”  The medical collocation is “a blackout”
4. “and slumped”

Pay attention to timing and assumptions. The patient can report that he blacked out, but he could not have observed himself slumping after he blacked out. In this way it would be an assumption. If he reported that he slumped before he blacked out, or if someone saw and reported him slumping after he blacked out that is acceptable.

5. “Blood glucose chart opened“

This is a great statement to add to a report. It adds in thoroughness. My question is a medical one that I can not answer as I am not a nurse, but you would know. When does the glucose chart get started: would it have been started at the time that the first blood glucose level was measured? Would it be later after the doctor was notified and glucose was ordered? Or, would it be after the glucose level was checked again after an hour? This statement should be in the report at the appropriate time. Although the CELBAN is an exam about English, this question is about sequencing. In the situation of a glucose chart, and how you have written it the timing of opening the report makes it seem like you started documenting gluclose levels after the second time it was measured.

     6. “Close monitoring maintained” 

What is close monitoring? What frequency: hourly, every two hours, daily?  Again the CELBAN is an exam about English but, the wording is a little unclear.Factual details are important when it comes to continual monitoring.
  

      7. Signature

Make sure to put your own signature here.

You did very well, including these kinds of improvements allows your score to be even higher.

Have a great weekend.

Kim

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Final Version.

Revised Report with integreated feedback. Note the difference.

January 10, 2020, 2.00pm. Mr Brian, a 62 year old man, was found lying on the floor in his washroom. He was conscious, panting with tiny beads of perspiration on his fore head. He said he got up from his bed and walked towards his washroom and on getting near the door he slumped and experienced a blackout. His vital signs were checked: T36.6 c, P 108 b/m, RR 38 c/m, BP 100/60 mmHg. Blood sugar level was 60 mg/dl. Called co-worker for assistance and client was assisted back to his bed. Doctor notified. IV 10% dextrose water set up. Blood glucose chart opened. Blood work ordered. Blood sugar level rechecked after one hour and it read 88mg/dl. Reading recorded. Two hourly monitoring maintained. Documentation completed……………………..her signature

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