Additional Information About the RoleENT/plastic surgery and observation unit is consistently ranked among the best in the nation by U.S.News & World Report. This unit allows nurses the opportunity to specialize in tracheostomy/flap care and work with leech therapy. Nurses are heavily involved in patient teaching and use their assessment skills to care for post-surgical patients who have had reconstructive surgery. Staff on this division cared for the first patient in the country to have restored speech through the use of an artificial larynx. OverviewBarnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nati