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 ICU and Dialysis.

I can relate to your desire to get out of active duty, as I did, and also your hesitancy in cutting "the cord". I got out of AD just after the first Gulf War and have been in the AF Reserves up until last August when I reached HYT and had to retire. I've been wearing the uniform since I dropped out of HS in 1979 after I got caught stealing cars and decided to enlist rather than end up some bikers little girl friend with rectal problems in jail. I really didn't want to retire; I've always pulled more than my own weight (consistently score >80% on FIT), and have never minded the extra hours of meetings/deployments/schools that being a SRNCO in a Tier 2 combat rescue squadron required (even though it reeked havoc in my civilian RN career - screw them). My C.O. even applied for a HYT waiver (which are NEVER approved) but to no avail. So now I am one year into my (military) retirement and hating it. My unit is (again) deployed to Africa and I am not there with them as I should be all because of an inane rule limiting participation. I miss flying, shooting, drinking, and carousing with my "Bro's". But I mostly miss being able to be my real politically incorrect, crass, cursing, butt-kicking self that I could never be as a nurse (or anything else in the civilian sector).

Staying in the Reserves was the best decision I could ever make, the friendships, travels, and experiences were all things I wouldn't trade for anything. Stay in part-time if you can.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Staying in the Reserves was the best decision I could ever make, the friendships, travels, and experiences were all things I wouldn't trade for anything. Stay in part-time if you can.

Arrrrghhh! Just when I was leaning toward just doing IRR and saying "forget it," you come along and make me think. lol. Thanks for that. ;) I still have some months to think about it. The emails I have been trading with the local AMEDD person have me scratching my head and running the other direction. Total lack of professional communication skills. I'm probably a little OCD, I know.

Specializes in ICU and Dialysis.

Good :) I hope I've made your decision a little harder. Seriously, if you're on the fence about it maybe you shouldn't. As you know, the higher up the food chain you progress the more commitment will be expected of you which will only complicate your life. The other thing to consider is that the next 5-10 years for the DOD is really gonna suck what with sequester and all. And as bad as medical units have it now, always being on the very bottom of the money list having to grab at the left-overs the operational units leave behind (which is one of the prime reasons I never strayed out of an operational flying squadron)it's just going to get really bloody at the FM money trough. Its a tough call but in the end you have to do whats best for you. You've done your time and paid your dues. You don't owe them anything.

PS - if I were in your shoes, I'd forget about the ******** Nurse Corps and try to get a regular commission and get a cool job flying helo's or intel or SPECOPs support or something. I always thought of the Reserves as a chance to do something DIFFERENT and it gave me a break from nursing.

I think the whole AD deal is easier for the babies in their early 20s. they do not mind so much being told what to do, where to live and everything else. Once you hit the meat of your 30s it gets a bit tougher to deal with mandatory this and mandatory that and go here and here and there and wait repeat the others and then forget it. In military service people get all worked up is a stupid computer based test on how to answer the phone is a day overdue. So many people have tiny tasks and make your life miserable if they are unable to complete their tasks.

I also entered the Mil in my 30s with not the expectations of being a lifer but maybe 8-10 years. After 4 i was done. I so wanted control of MY life back. I have enjoyed so many things about my service and will miss a great deal of it. However, there is a ton of stuff I won't miss.

I have noticed qualified and intelligent nurses either stay in and go a clinical route (NP, CNS or CRNA) or they get the hell out. The management track is for the well not so bright folks who would not make it on the outside. The bottom 5% stay on and through attrition move up in ranks. Not exactly something to aspire to.

Oh well, best of luck to you!

I think the whole AD deal is easier for the babies in their early 20s. they do not mind so much being told what to do, where to live and everything else.

Actually, even us 20-something "babies" mind!

You will miss parts of it..but the good being out ultimately outweighs the good being in.

Congrads and thank you! :)

Actually, even us 20-something "babies" mind!

Thank you! I was 17-18 and still "mined" being told how my life was going (ie: what to eat and when, where to deploy to..where to live and how my bed should be made).

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

Thanks for sharing, Pixie, and good luck with the next chapter in your life. :)

Most of all, thank you for your service. You stepped into a territory that many others wouldn't have dared to tread.

Thanks for your service!

Pixie,

I have really enjoyed reading your articles! Thank you so much for your dedication and eloquence in discussing a topic that so many nurses and prospective nurses want to hear more about. It sounds like the Army will be losing a good nurse and soldier when you leave.

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

I have really enjoyed reading your articles! Thank you so much for your dedication and eloquence in discussing a topic that so many nurses and prospective nurses want to hear more about. It sounds like the Army will be losing a good nurse and soldier when you leave.

Thanks, I appreciate that. I am meeting with an AMEDD Reserve recruiter today to discuss opportunities in the Reserves, so we'll see how that goes. I have questions about the Reserves, like what would I do for drill? I also want to find out about educational assistance opportunities. I am going in with an open mind! Some days I am just done, and others I am like, hmmmm, I want to keep my foot in the door. Lol

Specializes in EMT, ER, Homehealth, OR.

After spending 7 years in the Army Reserves and 9 in the Naval Reserves they are not a bad gig. They do not have the control of your life like active duty. No DA-31's to fill out if you want to go more then 250 miles from home, no extra hours unless you want to, etc. I will end up with a nice retirement because of the reserves.