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 theirassessment 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. • The BJC RN Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. • This is a tool to empow