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.
That year, a group of them board the Mayflower in Plymouth, England, and arrive in America after a grueling two-month voyage. Landing in Massachusetts, they establish the second successful colony in America, also called Plymouth, and become known as the Pilgrims. The Puritans, who are mostly Calvinists, reject some of the rituals, liturgy, and hierarchy of the Anglican Church, whose roots are in Roman Catholicism.