OET SAMPLE urgent LETTER

Below are OET sample case notes of an urgent / emergency sample OET referral letter to a doctor (neurologist). The scenario involves multiple visits by a patient and finally a referral sent to a neurologist on an urgent basis. Many OET candidates, especially doctors and nurses, are often confused as to what should be the paragraphing like in an emergency OET letter. Generally, an OET referral letter contains information in a chronological order of events, whereas an emergency OET letter may require a different order. Let’s find out from the sample OET letter below.

Although the urgent referral letter case notes below are not very long, the information given in it is very important and should be included in the letter. Since there are 3 visits (2 by the patient and 1 to the patient’s home), there is a need to write about the visits and respective information in such a manner that there is a logical flow for the reader to understand the scenario better. These visits mainly cover symptoms, assessment and requisite treatment before referring the patient on an urgent basis to a specialist.

Also, the sample urgent OET referral letter scores high points on ability to write information in brief and covering more information per sentence. Length of this urgent referral letter is also within 180-200 words. The nurse here has taken good care of articles, capitalisation, tenses and word choice. Also, change in condition over a period of time has been covered. Above all, paragraphing in the emergency OET referral letter is logical and there is good coherence throughout.

For writing sub-test, our teachers at Benchmark OET can help you write such OET letter samples for nursing, medicine, physiotherapy, pharmacy etc. All you have to do is join our OET Writing Correction service and we will correct all your mistakes in the referral letters and give you the most accurate tips for writing sub-test. This way you can find the most accurate answers for your OET letter.

OET Urgent Case Notes

Today’s Date

28 April 2021

Julia Roberts is 39 years old. She has been a patient at a hospital you are working in as a head nurse. Apart from appendicitis, she had been healthy.

22/4/2021

Subjective

Frontal headache for 5 hrs

Mild assoc

Nausea, no vomiting

Blurred vision but not aura

No other symptoms

No family history of migraine

Objective

P96, BP 130/70

Normal Cervical Spine Movement

Examination normal

Assessment

Probably due to excess tension or personal dilemma

Plan

Advised to take rest

Given analgesia (paracetamol 500mg 4h)

27/4/2021

Subjective

Continuous headache (left sided and frontal)

Blurred vision

Throbbing headache (left side)

Vomited 5 times during last three hours

Complaining of slight paresthesia

Objective

Distressed, P103, BP 150/90

Normal peripheral nervous System

Assessment

Severe Migraine Possibility

Plan

Stat pethidine 100 mg

IM maxolon 10mg

28/4/2021

Home Visit

Subjective

Fell down at home due to severe left sided headache started some 5 hrs after reaching home

Injured right arm

Bruises on left leg

Slurred speech

Half unconscious

Objective

P 100, BP 150/90

Left leg knee flexion 4/5

Assessment

Probable intracranial pathology, space occupying lesions

Plan

Urgent assessment in ED

OET Writing Task

Using the information given above, write a letter to the Dr Silver Bullet, the Neurologist who will attend the patient in the Emergency at the Prospect Hospital, 22 Prospect Road, Prospect 5086.

In your answer:

  • Expand the relevant case notes into complete sentences
  • Do not use note form
  • Use correct OET letter format
  • The body of your OET letter should be approximately 180 – 200 words

OET Writing

Introduction

Introduction of an emergency letter is more or less the same as that of a referral one. The only difference is to emphasise urgency of the situation. So, focus on your assessment and purpose in the introduction. The reader (Dr Silver Bullet) would be more interested in finding out what is expected of her.

Remember this is still a type of a referral letter, so, you can write in your answer:  I am writing to refer

Add name, age and marital status:  Ms Roberts, a 39-year-old woman

Now, it’s important to understand that you as a nurse cannot diagnose and would prefer to refer the patient to a specialist for a conclusive diagnosis and treatment. Hence, an appropriate phrase to use would be “signs and symptoms”. Writing “was diagnosed with” would be incorrect.

Add chief complaint: who shows signs and symptoms of

Next, you’ll need to write down the purpose. Make sure you the purpose is written in summary form and does not include excessive detail. Since the patient is being sent to an emergency department, writing “urgent assessment and management” seems logical.

Purpose: She requires urgent assessment and management.

So introduction of your OET letter would be like this:

I am writing to refer Ms Joseph, a 39-year-old woman who shows signs and symptoms of space occupying lesions and intracranial pathology. She requires urgent assessment and management.

Current Condition – Body Para 1

This is the paragraph where orgnaisation of information of an urgent OET letter differs from a normal OET referral letter. First body paragraph should start with the current condition of the patient. As the reader, neurologist in our case, would like to know more about the current condition / symptoms of the patient in order to have better overall understanding of the scenario, writing whatever took place today or before transferring the patient to the ED is a logical step.

You can start by covering the subject notes followed by objective ones.

Hence writing this would make more sense:  Today, Ms Joseph

Things worth mentioning:

  • Fell down at home
  • Injuries
  • Speech & consciousness

As there is more information to cover, try to group symptoms and vitals wherever possible. Transitions can be used at the same time to move from one sentence to another. However, care must be taken not to use too many academic and informal connectors and the flow should natural as much as possible.

She also had slurred speech and sustained bruises on her left leg and injuries to the right arm.

You can write the objectives in the same manner.

  • P 100
  • BP 150/90
  • Left leg knee flexion 4/5

Read the sentence below:

Her pulse and BP were high at 100 and 150/90 respectively, whereas left leg knee flexion was at 4/5.  

Let’s combine all the sentences and see if we have been able to cover information in cohe

Today, Ms. Joseph fell down at home due to severe left sided headache and was half unconscious. She also had slurred speech and sustained bruises on her left leg and injuries to the right arm. Her pulse and BP were high at 100 and 150/90 respectively, whereas left leg knee flexion was at 4/5.

First Visit

In order to allow the reader to make an overall progression of the patient’s condition over a period of time, you should focus on writing the case notes starting from the first visit and then move the subsequent visits if any. Since the first visit took place on 22 April 2021, you can start the paragraph by writing the date first. Following are the relevant case notes

  • Frontal headache for 6 hrs
  • Mild assoc
  • Nausea
  • Blurred vision

Hence writing this would make more sense:  On April 22, Ms Roberts initially presented to our hospital with a 5-hour history of frontal headache accompanied with….

As the objectives were relatively okay, you may or may not add those depending on the length of the letter. To keep this training article brief, we have decided to ignore the following notes but if you deem fit, you may add them.

  • P96, BP 130/70
  • Normal Cervical Spine Movement
  • Examination normal

Next in line of your OET letter is assessment and plan. Here you can use the approach of reason and action.

  • Probably due to excess tension or personal dilemma
  • Advised to take rest
  • Given analgesia (paracetamol (500mg 4h)

Due to possibility of personal dilemma and excess tension, paracetamol 500mg was given every 4 hours and rest was advised.

Let’s have a look at the paragraph now

On May 10, Ms Roberts initially presented to our hospital with a 5-hour history of frontal headache accompanied with mild association of nausea and blurred vision. Due to possibility of personal dilemma and excess tension, paracetamol 500mg was given and every 4 hours and rest was advised.

OET Writing

Second Visit

Subsequent visits are always very important and to gain extra marks try to also present change in condition over the period of time so the reader could understand whether the patient’s condition has been improving or deteriorating. This time Ms Roberts returned 4 days later with worsening symptoms. Below are the useful case notes that can be added:

  • Continuous headache (left sided and frontal)
  • Blurred vision
  • Throbbing headache (left side)
  • Vomited 5 times during last three hours
  • Complaining of slight paresthesia

When writing about change in condition and the two events occurred in the past, you can safely use past participle. Here is how:

Ms Roberts’ condition had worsened over the next four days and she vomited five times. She appeared distressed and complained of slight paresthesia and blurred vision.

Let’s look at the vitals and the treatment plan

  • Distressed, P 103, BP 150/90
  • Stat pethidine 100 mg
  • IM maxolon 10mg

Her pulse and BP were high at 103 and 150/90 respectively. As a result, Maxolon 10mg intramuscular inject and pethidine 100mg were administered.

Check the complete paragraph below

Ms Robert’s condition had worsened over the next four days and she vomited five times. As well as this, she appeared distressed and complained of slight paresthesia and blurred vision. Her pulse and BP were high at 103 and 150/90 respectively. As a result, Maxolon 10mg intramuscular inject and pethidine 100mg were administered.

Conclusion

As there is no significant medical history or social factors of the patient, you can move to the concluding paragraph reiterating the need for assessment and management. So, you can write the following

Your assessment and management of Ms Roberts would be highly appreciated. Please do not hesitate to contact me should you require further information.  

OET Urgent Letter Mock Test

28/09/2018

Dr. Silver Bullet
Prospect Medical Center
22 Prospect Road
Prospect 5086

Dear Dr Bullet,
Re: Ms Julia Roberts

I to refer Ms Roberts, a 36-year-old woman who shows signs and symptoms of space occupying lesions and intracranial pathology. She urgent assessment and management.

Today, Ms. Roberts fell down five hours after reaching her home due to severe left sided headache and was half unconscious. She also slurred speech and sustained bruises on her left leg and injuries to right arm. Her pulse and BP were high at 100 and 150/90 , whereas left leg knee flexion was at 4/5.

On May 10, Ms Roberts initially presented to our hospital with a 5-hour history of frontal headache accompanied mild association of nausea and blurred vision. Due to possibility of personal dilemma and excess tension, paracetamol 500mg every four hours given and rest was advised.

Ms condition had worsened over the next four days and she vomited five times. As well as this, she appeared and had slight paraesthesia and blurred vision. Also, her pulse and BP were high at 103 and 150/90 respectively. As a result, Maxolon 10mg intramuscular injection and pethidine 100mg stat administered.

Your assessment and management of Ms Roberts would be highly appreciated. Please do not hesitate to contact me should you require further information.

Yours sincerely,
Nurse

/ 10
Sample OET Emergency Letter

 

28/09/2018

Dr. Silver Bullet
Prospect Medical Center
22 Prospect Road
Prospect 5086

Dear Dr Bullet,
Re: Ms Julia Roberts

I am writing to refer Ms Roberts, a 36-year-old woman who shows signs and symptoms of space occupying lesions and intracranial pathology. She requires urgent assessment and management.

Today, Ms. Roberts fell down five hours after reaching her home due to severe left sided headache and was half unconscious. She also had slurred speech and sustained bruises on her left leg and injuries to the right arm. Her pulse and BP were high at 100 and 150/90 respectively, whereas left leg knee flexion was at 4/5.

On May 10, Ms Roberts initially presented to our hospital with a 5-hour history of frontal headache accompanied with mild association of nausea and blurred vision. Due to possibility of personal dilemma and excess tension, paracetamol 500mg every four hours was given and rest was advised.

Ms Roberts’ condition had worsened over the next four days and she vomited five times. As well as this, she appeared distressed and had slight paraesthesia and blurred vision. Also, her pulse and BP were high at 103 and 150/90 respectively. As a result, Maxolon 10mg intramuscular injection and pethidine 100mg stat were administered.

Your assessment and management of Ms Roberts would be highly appreciated. Please do not hesitate to contact me should you require further information.

Yours sincerely,

Nurse

Hope you like the above OET urgent letter sample. Visit other posts for more such samples and relevant answers to your doubts in the writing sub-test.

3 thoughts on “OET Sample Emergency Letter for Writing Sub-test”

  1. Dr. Silver Bullet
    Neurologist
    Prospect Hospital
    22 Prospect Road
    Prospect 5086,
    28.04.2021
    Dear Dr. Bullet,
    Re: Ms. Julia Robert
    Thank you for urgently seen Ms. Roberts, a 39- year-old female who has features suggestive of space occupying lesion with increase intracranial pressure . Your assessment and further management would be highly valued

    On 22 .04.2021 , Ms. Roberts visited the clinic with complain of a 5 – hour – history of mild frontal headache which is accompanied with nausea and blurred vision but no vomiting or aura . It worth mentioning that there is no family history of migrane . she was vitally stable and her examination was entirely normal . Rest was advised and Paracetamol was prescribe to treat her tension headache .

    5 days later, her condition was deteriorating with worsening throbbing headache, frequent vomiting and blurred vision and parasethia was noted . she became tackycardic and hypertensive ; however her neurological exam remain intact . She was treated as sever migirane and hence given pethedine; 100mg and Maxolon intramuscular injection ; 10 mg .
    On home visit today, Ms. Robert was felt down after she has experienced sever left sided headache which is on going for 5 hours . she was found semi conscious with slurred speech . she has injuries on the right arm and bruises on the left arm . Her vital sign showed that the Bp reached 150/90 and the pulse is 100 . Neurological evaluation revealed decreased left knee reflex .
    Space occupying pathology with raised intracranial pressure was suspected . Therefore, urgent referral to the emergency department to further managed and stabilized her condition.
    Please keep me update regarding her progress
    Yours sincerely,
    Doctor

    Could you please correct it with grading

  2. Thank u bench mark team .it was very help full letter .I am looking forward to More letters like this.I am planning to take my test on April 9 th. Which will be held in Durban .please help me .this will be my 3 rd time writing oet .I always has a problem with Reading And wtitinng .

    Hop benchmark will bring light in to my life .
    Thank you

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