Department of Medical Surgical Nursing When you’re a nurse you know that every day you will touch a life or a life will touch yours. Medical-surgical nursing is the foundation of all nursing practice. Everyone was a medical or surgical nurse -- that is where all nursing started. Today, many nurses choose to work in the speciality of medical-surgical nursing. Medical-surgical nursing is an exception field in the sense it is not limited to the disease process or body systems but rather, holistic in approach. Once relegated as the art and science of nursing on hospital wards, medical-surgical nursing is now considered as the foundation of the nursing practice. Most nurses begin as medical or surgical nurse or at some point during their nursing career worked in this field of nursing. Many nurses continue medical-surgical nursing for the excitement and experience it brings to their career. The medical-surgical nursing field has progressed from an entry-level job position to a unique comprehensive specialty. This field is no longer seen as a stepping-stone but a specialized science—the backbone of a healthcare institution. Currently, medical-surgical nurses are the most common among all nurse specialities.