四级考试阅读备考笔记（41）

　　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.

　　注：1.self-contained 自成一体

　　2.划线句为列举语言现象，可能出考题，快速阅读此部分

　　3.shift 班次

　　Beth Israels nurse-in-chief ranks as an equal with other vice presidents of the hospital. She also is a member of the Medical Executive Committee, which in most hospitals includes only doctors.

　　注：1.nurse-in-chief 护士长

　　2.首句说明护士长的地位很高

　　3.only出现，是考点

　　21. Which of the following best characterizes the main feature of the nursing system at Beth Israel Hospital?

　　A) The doctor gets more active professional support from the primary nurse.

　　B) Each patient is taken care of by a primary nurse day and night.

　　C) The primary nurse writes care plans for every patient.

　　D) The primary nurse keeps records of the patients health conditions every day.

　　注：第三段末句，B选项 day and night，C选项 every patient，D选项 every day