Army Nurse Corps FY2013 - page 69

Hey everybody, I'm starting a thread here for those applying to the Army Nurse Corps in FY2013. I figure this might be a good place to get to know other future nurse corps officers and a place for... Read More

  1. Visit  Pixie.RN profile page
    2
    Quote from jeckrn
    Yes there are a lot of issues with Army nursing and one of the major ones is as a nurse finally has a decent amount of experience the are pulled away from the bedside
    This is one of the (very few, thankfully) complaints I have, overall. And it makes me very glad that I came into the Army with nursing experience! Trying to develop solid nursing skills while also developing effective leadership is difficult in such a relatively short period of time; one may suffer at the expense of the other.
    carolinapooh and jeckrn like this.
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  3. Visit  DRC6262 profile page
    1
    Quote from ajb50402
    Hello everyone! Not sure about stunt from above but I wanted to introduce myself. My name is Blair and I am a ROTC graduate from creighton university in Omaha, NE. I will be commissioning and going to BOLC in August or October. I'm interested in goin the M5 route and eventually trying to get onto a SORT team once I have the experience. Good luck to all of you

    Blair
    Hi Blair, I'm considering going the ROTC route and was wondering if you could share your experiences. What was it like doing nursing school AND ROTC? My school's ROTC says they will work with my schedule, but I'm wondering if all the extra stuff will detract from the nursing part. Any advice would be greatly appreciated! Thanks!
    msmoy likes this.
  4. Visit  dccubano profile page
    0
    I am active duty army and have one year left to get my BSN. I am working on a med-surge floor at one of the larger military facilities this summer. So far it has been a pretty interesting experience. All the nurses on the floor come from different branches of service. They all seem to get along really well and there is no drama that I can see. The floor is very different from the med-surge floor at my university hospital. The biggest difference I see between civilian and military at this hospital is the work load. The med-surge nurses at the civilian hospital seemed to average about 6 patients per nurse and the nurses at the military facility seemed to have 3 to 4 patients. I am not going to lie, I get bored during my 12 hours on the floor. You can only assess, document, pass meds, and do comfort round for patients so often. It really seems like there are too many nurses on the floor at one time. Is this isolated or is it like that throughout all the military facilities?
    Last edit by dccubano on Jun 7, '13
  5. Visit  zombie profile page
    0
    I have worked civilian ICU and military ICU and have floated to the floor at times. "Generally" speaking I have noticed that staff throughout the hospital in-patient wards are not balanced optimally vs. civilian sector. I would take 2-3 patients or 2 easier patients and the code bed in civ world vs 1-2 patients in military. Some may say you cannot compare the two equally, and yes there are major demands on military personnel not just bedside care which is true. But, there is lots of room for better manpower management. Things will change, I honk it's happening now faster because of the pressure to lower costs. I was shocked at how low the patient nurse ratio even when acuity was factored in when I joined the military. Lots of boring days, but I am not complaining at all. But if I was a CEO of that hospital I would be fired quickly because the biggest cost in healthcare is your people. And if you don't manage that correctly them you fail. But, we haven't had to worry about our costs due to wars and blank check we have been given. Things are moving more joint now with bases and even with command for increased efficiency. All militAry medicine is going to be under one command. Anyways. I am rambling.
  6. Visit  carolinapooh profile page
    0
    Quote from zombie
    Things are moving more joint now with bases and even with command for increased efficiency. All militAry medicine is going to be under one command. Anyways. I am rambling.
    Don't hold your breath on this happening before you retire. I'm not, and I can retire in ten years.

    This idea has been around since 1945, and has yet take hold.

    As it is, they're finding out that joint operations are neither as simple as they look on paper nor are they as cheap as they wanted to believe they would be. (And any on-the-ground, in-the-ranks service member could've told them that. You don't need four stars to figure this out, just a bit of sensibility about the reality of the situation.)

    They've combined bases and services across the board, yet there was still a major budget shortfall/cutback/restructuring necessary (or not, depending on your stance) just to get through this fiscal year. Even our own Chief of Staff took a step back before his retirement and said, well, things aren't what we expected them to be at this point.

    There's a lot of deep, long second looks being taken at this whole approach, so literally, watch this space.
  7. Visit  zombie profile page
    0
    A three star already has been slotted for command. Air Force general.
  8. Visit  carolinapooh profile page
    0
    Quote from zombie
    A three star already has been slotted for command. Air Force general.

    http://www.airforcetimes.com/article...-health-agency

    You read about the unification of TRICARE Management Activity into one division - that's the USAF three star appointed, a Maj Gen Douglas Robb.

    TRICARE has nothing to do with unifying all medical personnel under one command.

    The Defense Health Agency isn't the same thing as a unified medical command.

    This combines the way health care is MANAGED across the board for all TRICARE recipients - dependents, veterans, retirees, and active duty members.

    This is more along the lines of what the USAF and the USN Surgeon Generals wanted, while what the Army wants (and this is not meant to poke at a sister service; I'm only reporting public record here) is what you speak of - a single MEDICAL COMMAND, with all personnel answering to one commander.

    This TRICARE realignment has nothing to do with the medical techs, LPNs (Army), Corpsmen, nurses, doctors, PAs, and the rest of the non-line medical divisions falling under one commander. That is so far off in the future that we may never see it, and I certainly don't expect to see it in my career's span.

    The pushback to these unified command proposals has been a disproportionate spread of line-funded members (the USAF only provides 5 percent of the military's medics, and the USA provides over 45 percent, with the Navy in the middle), increased cost, and the sheer problem of essentially creating a fourth branch of the military under the DOD (remember, the Marines belong to the Dept of the Navy) with no separate guidance and possibly a limited ability to respond to wartime needs - since there would be no singular command directing the flow of people. For example, if the USAF suddenly needed medical support, who pays to get them there? Currently it's the USAF - and that's already determined in finance and budgeting. But if a realignment occurs, who determines who gets them there, who foots the bill, and how long do they remain there? Is it the determination of the requesting service, or the determination of the Unified Medical Corps? Who pays for supplies - the service who needs it, or the service who provides it? Or the Pentagon? How are these bills paid, tracked, traced? Who deals with overages and underpayments? Where does the money go? These aren't cut and dry questions or answers.

    All of this stuff is mandated by manning documents, individual service requirements and quotas, and even Congressional law - so it's not a simple reorganization and realignment. We are one DOD, but we are three separate services (Coast Guard comes under the DHS; Marines are budgeted into the Dept of the Navy) with three separate bottom lines. There's also cost, logistics, and the problems of establishing governance over the medical command, since you'd need more than the UCMJ; again, you'd be creating a fourth independent branch of the Armed Forces which would require its own set of regulations.

    Part of what I want to do in my career as I advance in rank is to have a position over at AFMOA, the Air Force Medical Operations Agency. It's things like this - the TRICARE realignment, the possibility of the creation of a US medical corps, cost analysis, and healthcare delivery - that this agency works on, not only for USAF personnel, but for the greater good and improved management of resources DOD wide. I find this both fascinating and essential if we are manage costs and still deliver the caliber of care we do today, with ongoing worldwide and immediate capability.
    Last edit by carolinapooh on Jun 8, '13 : Reason: Added Air Force Times link for verification
  9. Visit  zombie profile page
    0
    Perhaps it's gossip. But I don't think it is. I think things will change in slowly, like in steps/stages. Won't he over night. But it will change.
  10. Visit  carolinapooh profile page
    1
    Wanted to add that in the event of the creation of a United States Medical Corps, the leader of that division would be the leader of a new branch of the Armed Forces - a Chief of Staff - and he (or she - we, meaning the military, have one female four star right now, USAF General Janet Wolfenbarger, and I believe she's the only one service-wide, unless Army General Ann Dunwoody, who was promoted in 2008, hasn't retired) would be a four-star general, to put that person on even footing with the other heads of the Armed Forces, who are also four stars.

    You'd never intentionally have that sort of disparity of power at that level.

    I also can't imagine that they'd promote a military generalist to the head of a medical corps; you'd more likely see someone like my former commander, who is now a three-star, the USAF Surgeon General, and a flight surgeon by trade, being promoted to full General rank to head a medical force. You'd want a medical person, not a pilot or a combat soldier or a ship-commanding admiral, commanding a medical force.
    athena55 likes this.
  11. Visit  carolinapooh profile page
    0
    Quote from zombie
    Perhaps it's gossip. But I don't think it is. I think things will change in slowly, like in steps/stages. Won't he over night. But it will change.
    It's not gossip. What it is is an idea. Even Congress has bandied it about, and it's a nice theory. But too many people think you can just go 'ZAP!' and have it work - and it can't and won't.

    Things have been changing since 1945, as I said. Joint command of bases is one move, consolidating medical centers is another, but they're finding out that in practice it doesn't work like it does or should on paper. It's not something they can just 'do'.

    You'll find there are a lot of things inside the DOD like this.
    Last edit by carolinapooh on Jun 8, '13 : Reason: corrected a glaring, autocorrect-missed, blatant typo, because I'm just that Type A
  12. Visit  AjaxAndronicus profile page
    0
    Hey everybody,


    Just wanted to give ya'll an update. I have applied to USAGPAN For June 2014 start. Just finished interview down at Bragg. Was told by the LTC that I certainly earned a good recommendation. So well see, USAGPAN releases admissions results in August, officer boards are oct, hopefully will be in BOLC in March 14, phase 1 June 14. Anyways that's the dream, loved every second of the interview at Bragg, hope I get to do it for real
  13. Visit  Pixie.RN profile page
    0
    Awesome! Best of luck to you!!!
  14. Visit  jeckrn profile page
    0
    Quote from carolinapooh
    Wanted to add that in the event of the creation of a United States Medical Corps, the leader of that division would be the leader of a new branch of the Armed Forces - a Chief of Staff - and he (or she - we, meaning the military, have one female four star right now, USAF General Janet Wolfenbarger, and I believe she's the only one service-wide, unless Army General Ann Dunwoody, who was promoted in 2008, hasn't retired) would be a four-star general, to put that person on even footing with the other heads of the Armed Forces, who are also four stars.

    You'd never intentionally have that sort of disparity of power at that level.

    I also can't imagine that they'd promote a military generalist to the head of a medical corps; you'd more likely see someone like my former commander, who is now a three-star, the USAF Surgeon General, and a flight surgeon by trade, being promoted to full General rank to head a medical force. You'd want a medical person, not a pilot or a combat soldier or a ship-commanding admiral, commanding a medical force.
    From what I have heard the joint medical command is not moving forward at this time. When there was talk about it the Army & Navy were supporting it but the Air Force was not. This was about a year ago that I heard that so it could have changed since then.


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