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 Emergency Room.

Very late reading this...been so busy with all of this transition...new job at WMH, followed immediately by Thomas's orders to Fort Bliss, working massive OT prior to moving (cha-Ching), the trek from GA to Texas with one dog, two kids, and three cats, getting settled in a new and almost-foreign place, searching for a new job (GOT ONE!). Excuses, excuses... :-)

I have very much enjoyed getting to be voyeur to your journey from medic to RN (thanks, EPN!) to Army Nurse (thanks, allnurses!), and especially for having the opportunity to meet you in person and even work a couple of shifts with you (thanks Army and ARC!) I don't believe much in luck. I think you make your own luck by making wise choices and working hard, so that is what I wish you...wise choices and hard work. (Same goes for your sweet hubby-really think a lot of that guy! Definitely one of the good ones!) In other words, carry on and keep doing what you have been doing all along. Indeed all good things must come to an end. That's what makes room for new good things.

Still wish we could have had that Guinness or three...

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

Time has a weird habit of slipping by, doesn't it? :( Congrats on the job!! ER?

Specializes in Emergency Room.

Yep! Sierra Medical Center just up the hill from the border. I start 3 Nov.

Thank you for your service! You are an excellent writer and I have enjoyed reading your posts during the process of preparing for Army Nurse Board (Reserves). I hope you consider the VA for a fulfilling, rewarding nursing career. You will love to serve Veterans and find that many of your co-workers are also Veterans. I've worked there for 8 years and I can honestly say I LOVE going to work. going to be checking out all of your posts to help prepare for BOLC. I thank you sincerely for sharing your experiences. Best wishes!

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Thank you for your service! You are an excellent writer and I have enjoyed reading your posts during the process of preparing for Army Nurse Board (Reserves). I hope you consider the VA for a fulfilling, rewarding nursing career. You will love to serve Veterans and find that many of your co-workers are also Veterans. I've worked there for 8 years and I can honestly say I LOVE going to work. going to be checking out all of your posts to help prepare for BOLC. I thank you sincerely for sharing your experiences. Best wishes!

I would definitely consider working for the VA, especially after I finish my NP program. We'll see what happens!

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

As things stand now, I will be going IRR. Adding monthly Reserves activities in with 2 jobs (one full-time, one per diem) and FNP school will probably be a bit too much. I still have 6 months until I ETS, but I am getting more selfish about free/me time as I age. :D

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

And I am now finishing up ACAP (the Army Career and Alumni Program, a requirement for "getting out") and have less than 90 days until terminal leave. :D

Congratulations on finishing your contract! There is no feeling like being free of the military! I was in the Navy for six years as a nuke EM, and am now considering re-joining! I have one year left of nursing school and have been looking into nursing in all branches. Navy seems to be very hard to get into, and I would be open to joining either Army or AF. I'm not sure how to compare the three, but would love any advice. I have no civilian nursing experience, but am hoping my prior enlistment works in my benefit.

Again, CONGRATS of being a FREE woman :)

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Congratulations on finishing your contract! There is no feeling like being free of the military! I was in the Navy for six years as a nuke EM, and am now considering re-joining! I have one year left of nursing school and have been looking into nursing in all branches. Navy seems to be very hard to get into, and I would be open to joining either Army or AF. I'm not sure how to compare the three, but would love any advice. I have no civilian nursing experience, but am hoping my prior enlistment works in my benefit.

Again, CONGRATS of being a FREE woman :)

For the Army, you'll need some years of civilian nursing experience before they will even consider you. Air Force might be an option, though. :)

And THANKS!! I'm sitting here sorting through stuff to turn into CIF, ugh. Of course I'm missing a wet weather bag! Not sure how, I never went anywhere with this stuff - everything I deployed with was issued and returned already. Oh well!

Wow time does fly! I remember seeing your profile a year ago and you saying that you were ready to go back civilian.

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

I received my DD214 (Certificate of Release or Discharge from Active Duty) this morning! Wow. Happy and sad, but definitely more on the side of happy! :)

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

Okay, here's a "thing" they don't like to tell people: even people in the IRR still get an ID card! Yep, it's a green Reserves ID card and you still get commissary and PX privileges. Haha. I can't tell you how many Reserves recruiters have emailed me and dangled "all those benefits I am giving up" out there by just being IRR, when truthfully all I gave up was Tricare. Lol.