Medical-surgical nursing is the foundation of all nursing practice. Once upon a time and not so very long ago, all nurses practiced the art and science of nursing on wards; everyone was a medical or surgical nurse -- that is where all nursing started. Today, many nurses choose to practice in the specialty of medical-surgical nursing. Medical-surgical nursing has evolved from an entry-level position to a distinct specialty. It is no longer viewed as a stepping-stone, but is the solid rock and the backbone of every institution. Medical-surgical nurses are the largest group of practicing professionals.
The Plymouth Colony was founded by the Pilgrims, a group of religious separatists from the Church of England who were dissatisfied with the Catholic influence on the Church of England.
The English in Plymouth Colony fit broadly into three categories: Pilgrims, Strangers, and Particulars. The Pilgrims, like the Puritans that would later found Massachusetts Bay Colony to the north, were a Protestant group that closely followed the teachings of John Calvin.lymouth Colony did not have a royal charter authorizing it to form a government. Still, some means of governance was needed; the Mayflower Compact, signed by the 41 able-bodied Separatists aboard the Mayflower upon their arrival in Provincetown Harbor on November 21, 1620, was the colony's first governing document.