Posted on Jul 22, 2015
SSG Squad Leader
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enrolled in ROTC with the goal to become a 66H, how will my experiences transfer, what are the daily tasks that I will most likely do, and how will my my daily life be affected?
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MSG Intermediate Care Technician
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Your experience as a medic will certainly help you in being a nurse. You will know both sides of the fence, as it were. I spent 2 yrs as a medic on a Med/Surg ward at LRMC, and witnessing what the nurses do on a daily basis (granted this was from 2000-2002) their duties were: Changing dressings; hanging/giving meds; charting; diaper changes (for those retired folks that are bed ridden and incontinent); responding to codes. Then, the normal patient/nurse ratio was about 5-6 patients per nurse. Regardless, you will learn soooo much as a Med/Surg nurse once you start working on that ward. It's long hours, but the knowledge and experience payout is worth it. Your daily life will depend on what shift you get. being brand new, you may be put on the night shifts. Depending on how the Head Nurse schedules things, you could be 3 shifts (12 hr shifts) on and 4 days off, or vice versa. You will need to learn how to adjust your daily life to that kind of scheduling.
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1LT Susan Bailey
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Some tips:
Leadership- you've already been developing this as you've worked your way up to SPC, but I would continue to work on it as a self development project. Read some great books on the subject and emulate their examples. Leadership in your role as a 66H can take a myriad of forms so it will be important to develop a several different skill sets.

Managing stress: make sure you have got a few different ways to handle stress. I was a Direct Commission when I came into the Army and not only did I have to contend with adjusting to real world nursing (vs.theoretical in school) but also to Army life. That first year after nursing school is probably the toughest of all the following years of practice. This is speaking after having 24 years under my belt now. You will have an advantage because of your previous military experience, but you still have that first year, and it is tough in ways you won't be able to anticipate. So having multiple positive ways to deal with stress will be important.

What your day to day experience will be like will vary from practice setting to setting. For example working in a deployed status in a MASH will be different than working in a fixed facility in CONUS. Just do your best to learn the full art and science of nursing. And embrace flexibility because that is one thing you will have to be to be successful as a Nurse Corps Officer.

Use every experience good or bad as a way to learn. You just never know what experience or skill you will need to adapt, improvise, or overcome in a situation. There have been many times over the course of my career where I have had to lean on a skill or experience from my time in nursing at one point or another to help with the current situation.

Learn how to advocate for others. This will be an important skill when you have to stand your ground for the sake of your patient. I have had to do this on multiple occasions. It's tough when you're new, but in my mind it is an absolutely necessary skill to acquire because you are the last line of defense for the patient. At the same time you need to know what battles to take on.

My bottom line has always been safety. I have never been afraid to admit if I didn't know something, if it impacts safety. I've even said on occasion to a Doc that I don't mind looking stupid to them if it meant my patient was safe which surprised them, but at least opened the door to discuss what signs/symptoms they would prefer me to report should I see, and then I'd pass this on. Over time as you learn and the docs see that your only interest is the patient's welfare you'll gain their respect. So the next time you call you'll be better preparedwith the information they need to help the patient.

Learn to communicate well, if you don't currently feel this is a strength. Most errors in healthcare occur secondary to a communication snafu. Use nursing school as a way to learn and increase this skill so when you hit the wards this isn't a major issue. Most DoD facilities have used the TeamStepps approach - check it out.

Don't be afraid to ask questions as you are learning and getting precepted into your new role. This also helps your Preceptor know what your strengths are and to anticipate learning needs. As much you will know leaving school, you don't know what you don't know starting out as a new nurse. And trust me, there will be a lot!

Kudos for asking questions early on! Willing to help if you have more that I can help with. Cheers!
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SGT Squad Leader
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I believe for the most part, new nurses are sent to hospitals, as opposed to a CSH or FST. For starters you'll be on a Med Surg floor, and after about two years there, when you're a 1LT, you'll get a choice on whether you want to stay in Med Surg and get the certification, or go to the ICU, ER, or other specialization courses. There's a lot of options out there, and the OICs and other RNs at your hospital will be able to assist.
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SGT Evacuation Nco
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Idk if reserves/ NG are your goal. If they are you may very well end up in a CSH or min. care unit. There are brigade level posts for essentially office work too but most of what I’ve seen is CSH. Definite opportunities to do cool stuff if you are green in metrics and are flexible.
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