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At Beth Israel each patient is assigned to a primary nurse who visits at length with the patient and constructs a full-scale health account that covers everything from his medical history to his emotional state. Then she writes a care plan centered on the patients illness but which also includes everything else that is necessary. 注：1.assign 分配 2.at length 长时间 3.account 纪录，账户 The primary nurse stays with the patient through his hospitalization, keeping track with his progress and seeking further advice from his doctor. If a patient at Beth Israel is not responding to treatment, it is not uncommon for his nurse to propose another approach to his doctor. What the doctor at Beth Israel has in the primary nurse is a true colleague. 注：1.keep track with 跟踪 2.not uncommon = common 3.approach 接近，方法 4.本段讲 Beth Israel 医院医生和护士协调合作 Nursing at Beth Israel also involves a decentralized nursing administration; every floor, every unit is a self-contained organization. There are nurse-managers instead of head nurses; in addition to their medical duties they do all their own hiring and dismissing, employee advising, and they make salary recommendations. Each units nurses decide among themselves who will work what shifts and when. | 
