Posted on Nov 21, 2018
Any Army Nurses in the Reserves and Active duty?
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I am doing a branch brief on the ANC and wanted to know what are some branch talent priorities of this branch?
day of life as an army nurse? Progression throughout the career? Daily duties as a army nurse?
Also the difference between a reserve nurse and active duty nurse? And the pros and cons as well.
day of life as an army nurse? Progression throughout the career? Daily duties as a army nurse?
Also the difference between a reserve nurse and active duty nurse? And the pros and cons as well.
Posted 7 y ago
Responses: 8
MSG Frank Kapaun
LTC Donell Kelly way too many “battle axes” and bitter old man hating hags in the ANC.
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LTC Donell Kelly
MSG Frank Kapaun - Couldn’t agree more. Unfortunately, same applies in civilian sector. By the way, one of the most mean-spirited SOB’s I’ve ever been around was a male RN, AF full bird, who also happened to be an ordained minister. He retired out of LRMC, off to be a minister somewhere, & all I could think of is God help his congregation!
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LTC Donell Kelly
LTC Donell Kelly - PS MSG Kapaun, some of those hags & battleaxes look like angels when your view is looking up at them while they do their best to save your life. Just like some of those senior NCO’s barking orders/instructions if you’re taking real or training fire look like pretty heroes, for saving your & your patient’s lives.
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LTC Paul Labrador
Yes and no. Yes, I've seen this behavior with some leadership I've served under. But I've also seen the opposite as well, with leaders who look out for and develop their subordinates.
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1. ANC favors "go to war" skillsets. ER, ICU, OR, CRNA, Med-Surg are your core skill sets you need for a CSH.
2. Unless you're a direct accession with prior clinical experience, you are going to start as a vanilla 66H MedSurg nurse. You will have opportunities to specialize later. If you commit to more time, the Army may also pay for advanced schooling.
3. Typical day for TDA side ANC officer is working your shift in the hospital. Army training is interspersed between shifts. Unless you're PROFIS you won't go to the field much. mTOE side nurses split time between clinical work in the local MTF and Army training. As a line nurse you will go to the field.
4. Career progression usually follows this generic path:
- 2LT - staff nurse
-1LT - staff nurse/specialization
- CPT - staff nurse/CNOIC/special assignments and duties
- MAJ - CNOIC/grad school/advanced practice
- LTC - section chief/advanced practice/advanced leadership/program chief/command staff
- COL - chief nurse/command/senior leadership and staff roles
2. Unless you're a direct accession with prior clinical experience, you are going to start as a vanilla 66H MedSurg nurse. You will have opportunities to specialize later. If you commit to more time, the Army may also pay for advanced schooling.
3. Typical day for TDA side ANC officer is working your shift in the hospital. Army training is interspersed between shifts. Unless you're PROFIS you won't go to the field much. mTOE side nurses split time between clinical work in the local MTF and Army training. As a line nurse you will go to the field.
4. Career progression usually follows this generic path:
- 2LT - staff nurse
-1LT - staff nurse/specialization
- CPT - staff nurse/CNOIC/special assignments and duties
- MAJ - CNOIC/grad school/advanced practice
- LTC - section chief/advanced practice/advanced leadership/program chief/command staff
- COL - chief nurse/command/senior leadership and staff roles
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1LT (Join to see)
Thank you sir! can you explain to me a little more about PROFIS? How do you like your job as a ANC officer?
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LTC Paul Labrador
1LT (Join to see) I liked it while I was active. I retired 2 years ago.
PROFIS = professional filler system. mTOE medical units are only partially filled with officer staff when in garrison. They only draw their full compliment of staff when they deploy. PROFIS are those fillers. If you are PROFIS you are normally assigned to a TDA, but when the mTOE you are assigned to goes out the door, you will be pulled to go with
PROFIS = professional filler system. mTOE medical units are only partially filled with officer staff when in garrison. They only draw their full compliment of staff when they deploy. PROFIS are those fillers. If you are PROFIS you are normally assigned to a TDA, but when the mTOE you are assigned to goes out the door, you will be pulled to go with
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LTC Jason Mackay
1LT (Join to see) - all those Brigade Support Battalions have a C Co Medical. They have a 40 patient hold capacity and the full MTOE compliment of medical staff, like nurses, doctors, and PAs among others. Forward Surgical Teams are a little different and more cohesive and less of a pick up team.
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CPT (Join to see)
Speaking as a USAR RN for 11 yeara now, I'd concur emphatically with LTC Labrador's points#1 & 2. He’s spot on with the assessment. Best of luck Cadet.
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I was an RN in the Reserves and now active duty CRNA (anesthetist). Enjoyed my time in Reserves, monthly drills and two week annual training (places like Germany, Bolivia, Hawaii, South Dakota, San Francisco area). Active duty paid my way through anesthesia school, daily life doing surgical and obstetric anesthesia. Can be assigned field unit duties, FTXs, and deploy to austere environment. Regular nurses can be in slots that don’t do direct patient care of they like leadership, management, more FORSCOM related stuff.
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1LT (Join to see)
Is there oppurtunities for AGR for nurses in the reserves? As of right now, I am kind of leaning towards the reserves and working at VA while doing drills once a month and 2 weeks out of the summer. Can nurses volunteer for deployment outside of their unit?
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MAJ (Join to see)
Maybe some full time RN slots for NG but I don’t think Reseves have them. You can volunteer for deployments active duty or reserves but depends on slots available and how many people want to go. 1LT (Join to see)
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Cadet Nishimori, I’d say the same thing to you that I’d say to any potential/currently enrolled nursing student. First of all, congratulations on looking at serving your country! I salute you!
Second of all, the saving grace for my ANC & civilian nursing careers were: 1) a sense of humor closely aligned with a sense of irony along with a concept of the “big picture,” as in is this critically important, vs is this “command by crisis?” In the cases when admin/HQ were going down the crisis road, when it wasn’t, it was critical to remain both calm AND willing to speak up in your patients best interests. As nurses, we have an obligation to remind the decision-makers when what they’re proposing as a solution HARMS your patients. Third,, it is essential that you take any/all opportunities to further your education. As an RN & then an NP @ my local VA, after my initial AD ended in ‘73, I was allowed & encouraged to attend in house educational meetings. As an NP we were REQUIRED to attend 3 separate meetings/week that presented pt cases while we were were having either morning coffee or lunch. It was both educational, but even more important, collegial. When you’re discussing &/or presenting cases, it reinforces your research skills, AND also builds strong bonds with your fellow providers, because all too often the discharge plans DID NOT include such basic things as requesting ADL aids (O2, WC, walkers, bedside commodes, diapers, home health aids & follow up RN visits for RX & pt/family teaching). Yep, we nurses used to do all that, but so often plans were interrupted/delayed with sometimes catastrophic results. Fourth, remember when I talked about a sense of humor, irony & perspective? ALL of those things go into being both an RN & an ANC. By the way, go to YouTube for videos on whatever gets you laughing; builds both your immune system & your resilience! Good luck to you & Happy Thanksgiving!
Second of all, the saving grace for my ANC & civilian nursing careers were: 1) a sense of humor closely aligned with a sense of irony along with a concept of the “big picture,” as in is this critically important, vs is this “command by crisis?” In the cases when admin/HQ were going down the crisis road, when it wasn’t, it was critical to remain both calm AND willing to speak up in your patients best interests. As nurses, we have an obligation to remind the decision-makers when what they’re proposing as a solution HARMS your patients. Third,, it is essential that you take any/all opportunities to further your education. As an RN & then an NP @ my local VA, after my initial AD ended in ‘73, I was allowed & encouraged to attend in house educational meetings. As an NP we were REQUIRED to attend 3 separate meetings/week that presented pt cases while we were were having either morning coffee or lunch. It was both educational, but even more important, collegial. When you’re discussing &/or presenting cases, it reinforces your research skills, AND also builds strong bonds with your fellow providers, because all too often the discharge plans DID NOT include such basic things as requesting ADL aids (O2, WC, walkers, bedside commodes, diapers, home health aids & follow up RN visits for RX & pt/family teaching). Yep, we nurses used to do all that, but so often plans were interrupted/delayed with sometimes catastrophic results. Fourth, remember when I talked about a sense of humor, irony & perspective? ALL of those things go into being both an RN & an ANC. By the way, go to YouTube for videos on whatever gets you laughing; builds both your immune system & your resilience! Good luck to you & Happy Thanksgiving!
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1LT (Join to see) ensure you ask about what PROFIS is and the effect that has on daily life.
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LTC Paul Labrador
PROFIS generally doesn't affect daily life for a MEDCOM TDA nurse, unless you know that the unit you are PROFIS'd to has an upcoming deployment. In fact, often times, folks are put on and taken off PROFIS lists without ever being aware. Oftentimes, a FORSCOM unit will not even pull it's PROFIS for FTX's unless that FTX is specifically part of a deployment ramp up. The only place where I've seen PROFIS regularly pulled in for FTX's was Korea...and part of that was because 121 CSH is fully imbedded and integrated into BAACH, and without PROFIS coming in you don't have enough bodies to set up the CSH without shutting down BAACH. Which we all know will never happen.
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Just a heads up. The senior nurse from 6th Brigade stated that the active duty nurse mission has increased from 145 to 185. She said the chances of a nursing cadet going reserves in this climate is almost zero.
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1LT (Join to see)
LTC Paul Labrador -
I have wondered how this will effect my year group 5-7 years down the road. Thanks for the input sir.
I have wondered how this will effect my year group 5-7 years down the road. Thanks for the input sir.
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LTC Paul Labrador
1LT (Join to see) - To be honest, I can't really say. I've been retired for 2 years now so I haven't really been in the accessions or branch manpower management loop for quite some time. Like I said, the last branch brief I attended was 2013. However, with the info that they are increasing mission size tells me they are short and are forecasting that they will need more people. Depending on when you pin on, it may mean more promotions at CPT (your first board promotion). But it's hard to forecast that far down the road.
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LTC Donell Kelly
LTC Paul Labrador - What the “accession lag” means, in real terms, is that the medical personnel you have in the middle of a “hot war,” is that you work them literally to death or they return home & retire/resign/ETS, & the extraordinary skills they’ve honed in saving lives are lost to the service & its soldiers. If the GO’’s & bean counters who’ve never had to wear gowns & shoe covers to prevent blood & tissue spatter @ a soldier’s bedside in a CSH or MEDCEN, a soldier too unstable to be taken 100 ft down the hall to the OR, so 3-4 docs are lined up, waiting to do urgent procedures to try & save/stabilize the soldier’s life, attrition rates in “hot” times might not be what they were. IF they saw this, at bedsides, they might DO SOMETHING about accession rules & regulations. Instead they sit in their clean, tidy offices & make life-saving (or not) decisions, clueless about the impact their decions have for those who are BOG.
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