Chief Nurse / Change of assignments

Specialties Government

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This is long post.

OK the chief nurse can change assignments (I have read that here and on other sites). Needs of the military....

One would believe that an APRN who signed on "as a APRN" the intention of that APRN was to work as a APRN.

With there being the likelihood that APRN's can / are being assigned to a RN positions and since I have not read that much about it:

- How long does that reassignment last?

- How often does it occur?

- Reassignment to any nursing unit / job?

- Is the APRN's license construed to being able to handle any medical unit?

- Does this work like in the civilian hospital setting: Eventhough you were hired to be a nurse on X unit/job on any given work day you may be assigned to Y or Z unit/job?

Since APRN's are working under the rules and regulations of a least one state and one certification agency how are conflicts with those agencies handled???

Basically one is still working under said laws of given state even though on federal reservations (person has to be licensed by at least one state)????

For example: Re-licensure has to occur on occasion here in Georgia every 2 years. My APRN certification / agency I have to certify every 5 years… For both I have to meet CEU and practice requirements for continued practice.

Some states have rules about work / CEUs for RN’s as well as APRNs...

Just curious.

JD, what's your calling? Notice I'm not speaking to your profession? If being in Military Service is your intention I would think that "running towards the rattle of muskets" and the cries of our soldiers and Marines in need to medical attention would be the service you are interested in. The Services are civilianising most of those functions of military medicine that have to do with stateside, family, retirees, babies, etc. Military service medicine is best displayed on the battlefield when nurses are working at breakneck speed to stop the bleeding, clear the airway, and treat for shock. Holding the hand of a young Marine with a sucking chest wound who is afraid to succume to the lure of morphine because he may not wake up is the job of a nurse who is called to service as a true professional. The cry of "medic" should make the real pro champ at the bit like an old fire horse.

So, let's ask the question that is asked of all of us in the medical field (Nurses), "Do we want to serve, or be served?"

Thanks, Ladyviola . . . .

For clarification: Licensure risk / certification risk aside. MOS stuff aside...

Apology: I am not one for short answers.......

Modified from AANP:

What I do Hands on involvement with my patients and their families.

How do I do that:

-By using my skills to diagnose and treat a wide range of health problems.

- By using all of my nursing training in a unique approach to stress both care and cure:

-As a NP I can focus more on health promotion, disease prevention, health education and counseling. I can help my patients and their families make wise health and lifestyle choices.

What is my calling?

-Hands on care with the ability to use all of my training to help my patients and their families / friends / others.

Goal

-To continue to learn (through training / education) so I can better care for those I am in contact with.

- To help train / teach others

- To help improve patient care / teaching

Why?

-To deliver said care to better serve the patient and their family / friends / others

Goal (in a military sense):

-The ability to deliver said care to keep the soldier ready (be it through direct care of the soldier or by providing direct care to his family / friends / others..)

- To help train / teach others

- To help improve patient care / teaching

From the Air Force site itself:

An Air Force nurse practitioner (NP) is a privileged provider in one of five specialty areas: family (FNP), women's health (WHNP), pediatric (PNP), psychiatric mental health (PMHNP) and acute care (ACNP). NPs provide comprehensive healthcare to military members, retirees and families in practice settings ranging from solo practice in small clinics to group practice at large medical centers around the globe. ACNPs have the opportunity to perform in the role of hospitalist at inpatient facilities. Within a privileged scope of care, NPs obtain medical histories; perform physical exams; diagnose and manage acute and chronic illnesses; order and interpret diagnostic tests; prescribe treatment, including drug therapy; and perform minor office procedures. In addition, NPs coach, mentor and train other healthcare professionals in the specialty and actively participate in making improvements to patient care. Entry-level preparation for an Air Force NP is a master's degree and national certification as applicable for the specialty. Advanced cardiac life support (ACLS) and basic life support (BLS) certifications are also required.

The military is after all for the defense of the United States and I know /realize there maybe times that one has to step outside the box....

-Like the cooks picking up guns to fight during WW II

-Like the previous mentioned NPs functioning as RNs

-In combat who knows what roles one may have to take part in (inf the field or at home)..

Further refine my desire to go active vs contract:

- I would be at just as much risk for deployment as the person next to me.

- I would be at just as much risk of transfer to other bases / places as the person next to me.

- I would be part of something larger...

- I would be able to serve alongside as well as care for those who protect (have protected) this county and their family and friends as well.

- Integrity first, service before self, and excellence in all we do (shared principle)...

I would consider the role as an APRN / RN at home or in / near the battle field to be an honor. If the overall jest of all my previous postings appear to be that functioning as an RN is beneath me: I have not / am not stating that because I am still an RN.

JD,

One other thing the recruiters may have not mentioned to you (which I just noticed seeing your age) is that you will more than likely be ineligible for military retirement. You need to have 20yrs of military service in by the time you are 62. Waivers are available, but I wouldn't count on it unless you have prior service time in already.

Retirement is not guaranteed even though you would still be allowed to enter the military past the age where you would be allowed to retire from the military.

Just a thought......

The power of 401K and such :-)

Thanks! At 45 that was one of the things I did take notice of: Anyway as the waiver process keeps changing for age I wonder how many people don't know that.

Maybe all these postings will help more than just me. Inside information / insights is much appreciated and needed especially when when most of the information one gets is from the recruiting side.

First off I do not know how to quote - is it a cut and paste thing?

Anyways, it sounds like your goal would be to stay in the job that you have trained in for 28 years and to work as you expect to work as an NP. This means the military would probably not be your first goal since it would have no guarantee. I am sure someone might be able to guarantee you to get you in and have it for your first assignment but it truly would not be guaranteed. To serve in the military means you understand that the "needs of the military come first". Sorry if it sounds like a recording but it is true.

Good Luck!

First off I do not know how to quote - is it a cut and paste thing?

Anyways, it sounds like your goal would be to stay in the job that you have trained in for 28 years and to work as you expect to work as an NP. This means the military would probably not be your first goal since it would have no guarantee. I am sure someone might be able to guarantee you to get you in and have it for your first assignment but it truly would not be guaranteed. To serve in the military means you understand that the "needs of the military come first". Sorry if it sounds like a recording but it is true.

Good Luck!

On the bottom right of each post click the quote icon and a new screen opens up with what is being quoted already in place.

On the bottom right of each post click the quote icon and a new screen opens up with what is being quoted already in place.

Cool!

Thanks!

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