Answering the call to
Serve…..!
LCDR Fredora “Toni” McRae,
NC, USN
Nurse Corps Fellow
Bureau of Medicine and Surgery
(202) 762-3356
A little about me……………
My road to becoming a Navy Nurse!
•Maximizing prior
experience
•Embracing training & job
opportunities
• Seeking mentors and
emulating great leaders
The Face of Military Medicine
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Supports Maritime Strategic Imperatives through
application of Navy core capability
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HCA Mission Opportunities and Benefits
– Improved worldwide response capability
– NGO, Inter-Agency and Partner Nation collaboration
– Joint Force and Reserve integration
– Demonstrable measures of effectiveness
– Opportunity to positively impact global perception of US
– Expanded training and experience for all participants
– Avenue for improved recruiting and retention of healthcare
providers
Civil Service
Contract Nursing
The future of Navy Nurse Corps
• Operational mission requirements
GWOT and Humanitarian
TRICARE
• Warrior Care
Casualty Care – field, evacuation and tertiary MTFs
Chronic care – Rehabilitation / Psychiatric / Mental Health
• Jointness
Tri-Service (VA) cooperation and collaboration
Walter Reed National Military Medical Centerinteroperable and integrated
Civilian and Navy Nurses
Civil service, contract, and reserve nurses
serve as the backbone of professional
nursing in our military treatment facilities
Readiness
Spectrum of Care
Beneficiary Care
Navy Medicine Global Support
Deployed Forces Providing the
Dual Mission of Navy Medicine
Spain
EMF Germany
294 personnel:
278 RC / 16 AC
USS NIMITZ (CVN-68)
EMF-GTMO
65 Personnel
MEF FWD
687 Personnel
EMF Kuwait
283 Personnel
USS BATAAN (LHD-5)
USS B RICHARD (LHD-6)
Italy (2)
Guam
USS DUBUQUE (LPD-8)
77 personnel
EMF Horn of Africa
31 Personnel
USS S D ROBERTS (FFG-58)
USS D D EISENHOWER (CV-69)
USNS COMFORT(TAH-20)
358 personnel
USS HARPERS FERRY (LSD-49)
Various IAs
578 Personnel
AC Medical Personnel Deployed= 2,854 Personnel
RC Medical Personnel Deployed= 388 Personnel
Total Medical (AC/RC) personnel deployed= 3,242 Personnel
Current as of March 2009
Telemedicine
Blood Bank Operations
March 2009
Surgical Teams
Psychiatric Services
Primary Medical Support Personnel
Expeditionary Medical Facility
Environmental Health
Medical Research
Dental Battalions
Medical Reserve Forces
Being a Navy Nurse - First Tour
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Military Treatment Facility (MTF)
Internship / Extensive Clinical Orientation
Staff Nurse
Inpatient ward
Rotating shifts
Collateral Duty
May have opportunity to deploy
Orientation - Transition
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You will feel overwhelmed
Do not act like you know everything
Take advantage of learning opportunities
Learn how to take constructive criticism
Learn to team lead - corpstaff
Know their scope - strength/weaknesses
Great resource technical skills, but you
teach them “why”
Look out for them – mentor / lead
Fraternization
Words of wisdom for a “new”
Navy Nurse….
• Focus on Clinical Proficiency and providing
Quality Care
• Volunteer wisely for Collateral Duty
• Embrace opportunity….. always prepare to take
the next step - show breadth of skills…crosstraining, diversify assignments and responsibilities
– team leader, shift charge nurse
• Choose a mentor(s)
• Take care of yourself and your colleagues
“C”s to Success
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Clinical
Command / Community
Commissioned Officer
Communication
Contribution
Care
Clinical
• Constantly improve your clinical skills; Ask
questions
• Take the toughest patients, challenge yourself
• Never stop learning and always be teaching.
• Search for your clinical niche / your professional
passion – seek different clinical experiences
• Am I the best nurse I can be?
This defines you as a Nurse!
Command / Community
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Every nurse is a recruiter
Every nurse is a retention officer – active/reserve
Be positive – attitude is everything!
Value differences in people – learn from them
Develop your subordinates / peers
This defines you as a Community member!
Commissioned Officer
• Wear your uniform correctly and with pride and
hold others accountable to the same
• Extend the proper military courtesies
• Even out of uniform you represent the Navy
• Maintain your physical readiness and fitness
• Honor, Courage, Commitment, Integrity
This defines you as a Military Officer!
Communication
• Communication is vertical - up and down the chain of
command
• Communication is horizontal - your peers and
comrades
• Communicate well and often
• Use multiple forms – personal, phone, e-mail
• Collaborate and Cooperate, share information
• LISTEN
This defines you as a Team Player!
Contribution
• Set personal and professional goals
• Demonstrate initiative
• Always finish the job /task – follow-up and follow
through
• Attention to detail
• Plan and prioritize
• Leave workspace a better place
This defines you as a Professional!
CARE
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Your patients – patient and family centered care
Your subordinates – mentor and assist
Your peers – comrade and friend
Your boss – communicate and support
Yourself – maintain a balanced life
This defines you as a Leader!
Performance = Success
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Clinical – Professional Expertise – 33.
Command – Command Climate / EO – 34.
Commissioned Officer–Military Bearing– 35.
Communication – Teamwork – 36.
Contribution – Mission Accomplishment and
Initiative – 37.
• Care – Leadership – 38.
A Second Assignment…..
Should I stay or should I go?
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Reflect on why you joined the Navy.
Ask ODS comrades about their experiences.
Ask your supervisor / mentor why they stayed?
Seek professional guidance / make appointment
Reflect on your professional / personal goals – how
best to achieve them.
• Prepare to call the detailer
Your Second Assignment…..
Opportunities
• HPLRP – Health Professions Loan Repayment
Program
• DUINS – Duty Under Instruction
• RN-ISP – Incentive Special Pay
There is a difference
between
being a nurse in the Navy
and
being a Navy Nurse!
Questions?