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OET Writing Checklist for Nurses

A comprehensive interactive checklist covering pre-writing, writing, and post-writing stages. Tick off each item as you complete it and track your progress towards OET writing success.

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Pre-Writing Checklist

Before you start writing — understand the task and prepare your approach (10 items)

Read the task instructions carefully
💡 Identify the purpose, recipient, and type of letter required (referral, discharge, transfer, etc.)
Identify the recipient of the letter
💡 Note their name, title, and role. This determines the level of formality and what context to include
Underline key information in the case notes
💡 Mark relevant dates, medications, vital signs, and medical history that support the purpose of the letter
Determine what information to include vs. exclude
💡 Only include information relevant to the recipient's role. Exclude irrelevant social history or details the recipient already knows
Identify the main purpose of the letter
💡 Is it to request action? Provide information? Transfer care? This shapes your opening and closing paragraphs
Note the patient's current status and key concerns
💡 Summarise current condition, recent changes, and what the recipient needs to know or do
Plan the structure before writing
💡 Sketch a brief outline: opening (purpose), body (key details), closing (requested action + contact)
Check the required word count
💡 OET letters are typically 180-200 words. Plan your content to fit within this range
Note any specific requests or actions needed
💡 Has the patient/family requested something? Is a follow-up appointment needed? Include these explicitly
Verify dates and medication names are correct
💡 Double-check all dates, drug names, dosages, and medical terms from the case notes before writing
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Writing Checklist

While writing — structure, language, and content quality (18 items)

Use an appropriate opening greeting
💡 "Dear Dr. Smith," or "Dear Nurse Williams," — use title + surname, comma after
State the purpose of the letter clearly in the opening paragraph
💡 "I am writing to refer/update/discharge/transfer..." — be specific and direct
Include the patient's full name and date of birth
💡 "Mr. John Smith (DOB: 15/03/1985)" — essential identifiers, usually in the opening
Organise information in logical paragraphs
💡 One main idea per paragraph. Typical order: purpose → admission/presentation → management → current status → request
Use formal, professional language throughout
💡 Avoid contractions (don't → do not), slang, and abbreviations the recipient may not understand
Write in complete sentences
💡 Every sentence must have a subject and verb. Avoid sentence fragments
Use appropriate connectors and transitions
💡 "However," "Therefore," "In addition," "Following this," — these improve coherence and flow
Use medical terminology correctly and consistently
💡 Show your professional knowledge but ensure terms are used in the correct context
Include all relevant clinical details
💡 Vital signs, medications, test results, diagnoses — anything the recipient needs for continuity of care
Maintain chronological order where appropriate
💡 Present events in the order they occurred to help the recipient follow the patient's journey
Specify any requested action clearly
💡 "I would be grateful if you could..." "Please arrange..." "It would be appreciated if..."
Use passive voice appropriately for objectivity
💡 "The wound was dressed" rather than "I dressed the wound" — focuses on the patient, not the writer
Ensure tense consistency (past for completed actions)
💡 Use past tense for what happened during admission/treatment. Use present for current status
Include your contact information for follow-up
💡 "Please do not hesitate to contact me on [phone] or [email] should you require further information"
Use an appropriate closing formula
💡 "Yours sincerely," if you know the name; "Yours faithfully," if "Dear Sir/Madam" — followed by your name and title
Stay within the word count (180-200 words)
💡 Going significantly under or over affects your score. Practice writing to this limit
Transform case notes into connected prose
💡 Do not copy case notes directly. Rewrite them as complete, flowing sentences with proper grammar
Maintain a professional, respectful tone
💡 Show respect for the recipient's expertise. Be assertive about the patient's needs without being demanding
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Post-Writing Checklist

After writing — proofread and polish before submission (12 items)

Check spelling of all names, medications, and medical terms
💡 Spelling errors in proper nouns or medications are penalised heavily. Cross-check with case notes
Verify all dates and numbers are accurate
💡 Dates of birth, admission dates, medication dosages, vital signs — any error affects patient safety score
Count the words — is it within 180-200?
💡 Significantly under or over the word count will negatively impact your score
Read for grammatical errors (subject-verb agreement, articles)
💡 Common errors: missing articles (a/an/the), incorrect verb forms, plural/singular mismatches
Check punctuation (commas, full stops, apostrophes)
💡 Ensure every sentence ends with a full stop. Check comma usage in lists and clauses
Ensure paragraph breaks are in logical places
💡 Each paragraph should contain one main topic. Check transitions between paragraphs are smooth
Verify the recipient would have all information needed
💡 Put yourself in the recipient's shoes. Can they take the required action without needing to ask for more info?
Check no irrelevant information was included
💡 Remove any social history, unrelated conditions, or duplicate information that does not serve the letter's purpose
Confirm the requested action is clear and specific
💡 The recipient should know exactly what you want them to do after reading the letter
Read the letter aloud to check flow and coherence
💡 Reading aloud helps catch awkward phrasing, missing words, and sentences that do not flow well
Check formatting (date, address block, signature)
💡 Ensure date at top, recipient address block, proper greeting, closing, and your signature block with title
Do a final check for any omitted case note details
💡 Scan the case notes one more time to ensure no critical information was accidentally left out

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