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Copy of Stethoscope Template

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Dani Healey

on 14 October 2015

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Transcript of Copy of Stethoscope Template

Military Nursing

Dani Healey, Rachel Evans, Ceci Kubu, Caitlin Hudspith
History
evolved from Crimean War to WWII
Civilian nurses who volunteered until 1901
Navy: offically established in 1908
Army: Became big during WWII- front lines
Air Force: Nursing Corps emerged in 1949
Opportunities
participate in peacekeeping or humanitarian assistance-type missions
Types of Nurses:
Army Public Health Nurse, Critical Care Nurse, Emergency Room Nurse, Family Nurse Practitioner, Medical-Surgical Nurse, Nurse Anesthetist, OB/GYN Nurse, Perioperative Nurse, Psychiatric Nurse Practitioner, Psychiatric/Behavioral Health Nurse
Facts
About 3.2% of nurses work in Military Nursing
Their average age is between 26-30 years
The salary is between $44,000 to $93,000 per year with an averge $66,973 per year
Qualifications
Bachelor’s Degree in Nursing
21 to 42 years of age
Current, valid unrestricted nursing license
US citizenship
Officer training
Complete and excel in phsyical exercise
Master’s degree (for Nurse Practitioner)
Advantages
health and dental care at no cost
benefits for nurse and spouse during retirement
unique setting
professional growth opportunities (becoming a head nurse in 3-4 years, lead as a commissioned officer)
nursing school loan repayment, scholarships
Disadvantages
moral distress
sense of isolation
dangerous environment
atypical patient conditions
moral dilemma
no support system
References
Fry, S., Harvey, R., Hurley, A., & Foley, B. (2002). Development of a
model of moral distress in military nursing. Nursing Ethics, 9(4), 373-387.
Go Army. Army Nursing Career. Retrieved from
http:www.goarmy.com/amedd/nurse.html
US Department of Health and Human Services Health Resources
and Services Administration (2008). The Registered Nurse Population. Retrieved from http://bhpr.hrsa.gov/healthworkforce/rnsurveys/rnsurveyinitial2008.pdf

Rossbach, P. (2014 December 7).
The Role of the Military Nurse
.
Retrieved from http://www.amputee-coalition.org/military-instep/military-nurse.html
Evans, R. (interviewer) & Achenbach, A. (interviewee). 2015. Military
Nursing Interview [interview email].
Evans, R. (interviewer) & Abrams, C. (interviewee). 2015. Military
Nursing Interview [interview email].

“Although every member of the healthcare team should be knowledgeable about the role of the other team members and work with them to achieve the best possible outcome for their patients, nurses ultimately have the greatest opportunity to influence the physical and emotional recovery of war-injured amputees.”
-Paddy Rossbach, RN, President/CEO, Amputee Coalition, U.S. Army
Job Description
monitor wounds for infection
prepare patient for surgeries/debridementscutting
preoperative and postoperative care
check efficiency of methods or reapplication when necessary
monitor pain medication
teach the injured how to care for themselves
provide emotional support and facilitate peer visitation
family support
stabilization, rehabilitation, recovery

1)
How did you choose to be an Army nurse?
Catherine: chose to be an Army nurse to pay for college.
Andrea: graduated from the Air Force Academy, and started her career as a personnel officer. She left the AF to pursue a second bachelors degree in nursing. She had no intention of returning to the AF, but did not feel she was done serving her country.
Kelly: joined the Army in 1993 as a combat medic. After completing her first 4 years of active duty, decided to go college to become an RN. She joined the Army initially to get out of her small town and her family has a long history of military service.
2)
how long did you work there for?
Catherine: Was in the Army Nurse Corps for 13.5 years.
Andrea: Worked at Peterson Air Force Base Family Practice for 3 years.
Kelly: Was in the Army for 20 years.
3)
Did you start your career there?
Catherine: Army Career was the start of her practice.
Andrea: Started nursing career as an RN in a civilian ER. Her FNP started in the military.
Kelly: Yes, 18 when she joined. Army medicine was her first exposure to the medical field.

4) What did you like most and what would you change?
Catherine: Catherine liked the various experiences both on the clinical and professional side of nursing that the Army offered. She was able to gain certifications and get a great deal of experience and education that she does not feel she would have had in a civilian role.
Catherine would not change anything. She believes that her time in the Army shaped her entire nursing and professional career.
Andrea: Andrea enjoyed caring for the active duty military and their families. She would change the amount of time that she got to spend with patients.
Kelly: Kelly loved the travel. She has been to Germany several times, Iceland, Dominican Republic, Thailand, Bulgaria, and Guam. Things to change, the Army is slow to change which made some of the practices outdated which was frustrating for her.
5) What was a typical work day like?
Catherine: State side assignments the works days were the same as in a civilian hospital. The majority of the time it was a standard 8 hour shift.
In Vietnam Catherine worked until there were no more casualties and until her team was ready for the next influx of patients. They were scheduled to work 6 out of 7 days but that often became 7 of 7.
Andrea: Military work day 7:30 to 4: 30
Kelly: It depended on where Kelly's team was and what the mission was. She often worked in a clinic just processing physicals. She also worked in field clinics providing health care to soldiers in the field.

6) What was your schedule (daily, holidays, etc.)
Catherine: Same as any other hospital
Andrea: Clinic M-F, no weekend, on call for 7 days every 6 weeks
Kelly: Schedule was also mission specific. For the most part it was a Monday thru Friday regular hours. The biggest difference was traveling or being in the field. Those trips where usually 2 to 4 weeks.
7) What was the hardest part?
Catherine: Travelling and being moved to new assignments every three years.
Andrea: The hours she spent at work.
Kelly: Knowing people that she served with that died in combat.

8) Did you usually work alone, with a doctor, or with other nurses?
Catherine: Worked with a team of health care professionals. Depended on what service she was on and whether state side or overseas. They had more independent practice when overseas.
Andrea: Worked as part of a patient centered medical home team. It consisted of a physician (if not deployed), herself, a nurse, and 4 patient care techs. Each team member was utilized to the fullest level of their practice and training, a great care delivery model.
Kelly: As a medic she was always part of a 2 or more man team. As a nurse they had a group of at least 3 or 4 and sometimes 20 or 30, depending on the mission. The amount of soldieries would dictate the amount of medical staff needed.
9) Where did you live while you worked there-could you have moved if you wanted to?
Catherine: Mostly lived in the quarters provided on base. However, after attaining the rank of Captain she could live wherever she wished – on or off base.
Andrea: Colorado Springs, CO, would not have been eligible to move for 3 years.  she could have volunteered to deploy if desired.
Kelly: Lived in Hawaii for 4 years and could not move. The rest of the time she was in IL or Ohio and could move.
10) What skills/qualities do you possess that enabled you to work as a

nurse in the Army?

Catherine: Flexibility and tenacity. Also the ability to move frequently and the desire to

be a life long learner who welcomed new experiences on a routine basis.

Andrea: Discipline, a strong work ethic, and a commitment to patients and our

country. She morning person!

Kelly: Flexibility. The Army sees all nurses as the same and you are expect to always

posses some leave of ER and ICU nursing skills.

11) What is something you wish you would have known when you first

started?

Catherine: What a tremendous amount of support she was going to receive. That made

the whole experience so much richer. She weas always welcomed at every base and

there was always someone to help her get acquainted and settled in to the new

situation. That would have taken some of the fear of the unknown out of the whole

experience.

Andrea: She wishes she would have known how to best utilize, manage and foster growth in her

team members prior to starting as an NP.

Kelly: LOL! That was over 20 years ago. She didn't know a lot at 18 years old! She thinks not

knowing might have been good. The Army was very challenging and if she had known how

hard it was going to be she may not have joined, but she is glad she did.
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