Army Nursing: All Good Things Must Come To An End

March 2014 came and went with me returning home from my nine-month deployment to Afghanistan and having three years of active duty under my proverbial belt. I originally signed a contract for four years of active duty, and this was the time to decide: what next? Nurses Announcements Archive Article

I knew that I wanted to step away from active service. This decision was underscored by my last day on my compound in Afghanistan, when I read an email from a person higher up in my chain of command, telling me that I was PCS-vulnerable (while still deployed, seriously?!) and asking how Korea sounded. HA! I wrote back that it sounded horrible, I was not even home from Afghanistan yet, I hadn't seen my husband for nine months and he wouldn't be able to join me in Korea because he is finishing his undergrad degree (bio/pre-med) at a local university. I added that I would not be remaining on active duty past my initial four-year contract, and that sealed the deal. It was out there for the universe: I was going back to civilian life.

My relatively short time in the Army has contained some big life changes: a not-so-graceful exit from my 30s into my 40s with a divorce, a new relationship and marriage, nine months in a war zone, and a new-ish and abiding love of running. I came very close to completing my MSN (everything but the capstone) on the Army's dime. It's been full of good things, and some very sad things, but it has been more positive than negative.

When I commissioned, I had intended to be a "lifer," and honestly that would have been okay with me. There is nothing about the Army that I cannot endure, with one dealbreaking exception: I need control over where I live at this point in my life. We don't know where David will be going to med school, and I don't want to be on opposite ends of the country. This is something I could not have foreseen when I commissioned, but it is what it is. I am at a point in my life and career where I need to hold the reigns, so I'm taking them back.

Recently I had the privilege of spending some quality ER shift/precepting time with an ROTC nursing cadet, and we had many talks about the pros and cons of active duty; she is approaching the end of her BSN program and will soon be facing a decision about AD vs. Reserves. I told her that, at the end of the day, I really had no regrets about having been active duty. For a new grad RN it's guaranteed employment, and the clinical nurse transition program can be a lengthy and thorough orientation, as some of my friends have told me. I entered the Army with 3 years of experience, so I got a few shifts of orientation, not a few months. ? But with the new grad climate being what it is, active duty is a good choice, as long as one goes in with eyes open. There are fantastic benefits, like tuition assistance once a person qualifies for it, as well as the GI Bill when one reaches the minimum amount of service.

So I started the process to exit active duty. The first thing I had to do was email some information and documents to my hospital HR person so that she could generate what is called my "unqualified resignation." Of course, all Army service comes in blocks of 8 years, and my active duty service obligation (ADSO) is four years. I will be spending the other 4 either in the Reserves, or in the Inactive Ready Reserve (IRR). The difference? For the Reserves, I would be part of a local unit and would have drill obligations on a periodic basis. IRR means just that: inactive. No drill, nada, but I am subject to recall during that period. I can't seem to get the Reserve Recruiter to return phone calls or emails, so I might just end up in IRR! It's a frustrating start to my transition, for sure.

I also had to meet with the Deputy Commander for Nursing (DCN) once my unqualified resignation packet was signed by me and ready to be sent forward. That was a brief discussion, during which the horrors of civilian life were related to me in hushed tones. No really, it wasn't quite that dramatic, but I did have to remind her that I have been working for the last 20 years in the civilian world, only the last 3 years have been military, and that I was extremely familiar with the idea of having to pay for healthcare and not receiving a housing allowance. She agreed I was prepared for a return to the civilian world and signed off on my packet.

About a week later I received an emailed memo from the Army HR Command that ultimately approved my release from active duty in the summer of 2015. Granted, that memo tells me I can change my mind if I desire! Ha. ? It has been a great honor and a privilege to serve in an active capacity, and we'll see if I end up continuing as a full-fledged Reservist. Stay tuned!

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

And then I read things like this: Army chief talks new deployments; 'grave' readiness concern | Army Times | armytimes.com

Ugh.

I met with the AMEDD recruiter: nice guy, very helpful. Unfortunately I found out STRAP is not available for FNP in the 2015 mission. :( Also, my closest Reserve unit would be Jacksonville, about 150 miles away. Meh. Stuff to consider.

Specializes in EMT, ER, Homehealth, OR.

Is the reserve center on the south side of Jacksonville?

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Is the reserve center on the south side of Jacksonville?

I think it's at NAS Jax. My parents live about 5 minutes from there, haha.

Specializes in EMT, ER, Homehealth, OR.

Makes it nice, have a place to stay and a good meal.

Specializes in ICU and Dialysis.

For me that would be great. Three hour drive once a month and if your CO is cool, he'll give you Friday or Monday as a Manday so you'll get paid but also get mileage and per diem which will make the drive worthwhile. Learn the game, play the game...

Specializes in EMT, ER, Homehealth, OR.

There is a program for lodging (Lodging in Kind) if you live greater than 100 miles from the reserve center but it depends on the availability of funds so it is not guaranteed. As far as per diem I never received it while drawing LIK. When it comes to getting paid on for Friday or Monday that would be extremely difficult for the command to justify since you are only funded for 48 drills and 12-14 days of active duty per FY. Mileage would have to be claimed on your income tax return, you will not be paid to drive to drill since it is from your home. This is from my experience back in 2009 when I had to drive around 225 miles each way, sometimes 2-3 times a month. Things have changed since then but with budget cuts can see the LIK going away.

Specializes in ICU and Dialysis.

Yeah It's proly different in the Army but in the AF my squadron would fly me down from CT to Florida (Patrick AFB) once or twice a quarter and I would take one or two (AD) mandays in conjunction to have them pay for the ticket and lodging, etc. I was able to condense all the drills of the quarter into one or two short weeks as long as I was able to get in the important meetings/training/********/etc to maintain combat mission ready (deployable). It all came to an end with the sequester in 2011 (?) or so and all the aircrew and support, who were commuters, were put on notice that travel expenses would be on them going forward. I continued for six months until my HYT came up last August. It definitely helped at tax time.

I imagine the financial situation will only get worse until it gets better, especially for medical units.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

Yeah, apparently I wouldn't get paid mileage, and only one meal is covered per day, if I recall correctly. I asked about time commitment, and I was told four years... that is what has me hesitating! Lol. That is a good chunk of time! I know, I will be in the IRR for nearly four years regardless to meet my eight-year MSO, but... eh, I guess I would like it to be two years, so if I hate it it won't stretch out forever! I am still considering it, definitely. The recruiter's vision for my future includes me going into the Reserves, finishing my MSN/FNP, and coming back on AD as an FNP/66P. Probably not happening! Lol. And he kept trying to get my husband (former 68W) to come back after school. I don't see either of us going AD again, but I guess you never know! Options are good.

So yeah, still thinking. And I need to start ACAP! As soon as I go back to days, I will likely get that ball rolling.

Specializes in ICU and Dialysis.

Don't let them fool you As long as you don't incur any debt (as of training or formal schools) you could go IRR more or less any time you want. However, if you have a change of heart and want to come back you'll have to deal with quite alot of grief being an "O" and all.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

I also have too many tattoos - right now I am grandfathered, but I wouldn't be able to come back in if I left, at least not without a bigtime waiver. Lol.

Thank you for your post. As a past Army Wife turned Nursing student, I thank you for your service, and for your candid comments.

Just wanted to shout out a YAY from Vida at the Conquer Cpne FB page.. after passing in August I am looking into options and would love to join the Guard asap. Thank-you from me as well for all your writing, and all the best!