subscribe: Posts | Comments | Email

Federal Nursing Service Council

Federal Nursing Service Council logoThe Federal Nursing Service Council (FNSC) comprises the national nursing leaders of the Air Force, American Red Cross, Army, Department of Veterans Affairs, Navy, and Public Health Service. The Council represents over 125,000 nurses with a beneficiary population exceeding 8.5 million.

Organized in 1943 “to provide a means for easy exchange of information… to provide mutual assistance in the consideration of nursing problems… and to formulate recommendations concerning federal agency nursing problems…” (E. Vreeland, 1950), today the FNSC remains united to address tomorrow’s health care challenges today. The Council seeks to enhance and strengthen its constituencies; to collaborate and enrich the environment for Federal nurses and those entrusted to their care; and to advance and explore professional issues and leadership. To accomplish this collective mission, the FNSC has developed a Strategic Plan with four priority areas.


Bring together Federal Nursing’s Collective leadership and expertise to advance and strengthen professional nursing and enhance partnerships among federal agencies and the American Red Cross


United to Address Tomorrow’s Health Care Challenges Today

FNSC Mission and Vision (356KB)


In line with the Institute of Medicine’s (IOM) report on the Future of Nursing and the top three priorities from the federal nursing leaders the strategic plan of the Federal Nursing Services Council (FNSC) has five strategic goals:


IOM Report Key Messages FNSC Strategies
  • Nurses should practice to the full extent of their education and training.
  • Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
  • Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
  • Effective workforce planning and policy making require better data collection and an improved information infrastructure.
  • Faculty Shortage: Increase federal nurse involvement in academic preparation in nurses and advance practice nurses to help relieve the faculty shortage.
  • Psych Mental Health/Behavioral Health:  Enhance interoperability, reduces variance and enhances quality of care, decreases role confusion.
  • AChrisEngstromdvanced Practice/Scholars: Quality, safe care; EBP implementation; Model for civilian implementation of full scope of practice.
  • Culture of Inquiry: Standardize process to integrate evidence into practice/policies/guideline.
  • Influence and Collaboration: Establish infrastructure for collaborating and communicating FNSC goals and collaborative efforts in marketing and communication.

Underpinning each of these FNSC Goals is education, training, research and strategic communication.ChrisEngstrom

The Council is committed to:

  • Provision of quality health care
  • Ethical practice of nursing
  • Learning and growth inherent in collegial relationships
  • Continued development of leaders
  • Team implementation of the strategic plan
  • Consistent support of all members

FNSC Four Priorities

1. Clinical Skills Sustainment Training - All the Federal services and the American Red Cross face the challenge of clinical competency and skills sustainment for their nurses, whether for battle deployment, back-fill, or disaster response. All the services have nursing resources in purely administrative positions that could participate in clinical deployments if current in clinical skill level to some degree.

  • To identify common needs among the federal services in clinical skills sustainment
  • Review the services’ current education/training programs and agreements in place
  • Gather information on and identify possibilities for sharing resources and staff to maintain clinical readiness for deployment as well as for federal nurses in administrative positions removed from clinical practice.

2. Civilian Nursing Processes

  • To identify major obstacles to implementation of congressionally approved programs (i.e., Title 38-like pay authority, Direct Hire authority)
  • Discuss status/ updates/ success of Direct Hire Authority, VA’s efforts to improve retention, upgrade LPN salaries, PHS special pays, competitive edge for hiring RNs and leverage needed to be competitive with civilian agencies.

3. Advanced Practice Nurse (APN) licensure policies in Federal services - Recent DoD Instruction (DODI) mandated that all APN’s be licensed by a state to practice as an APN in military capacity. Variation in state’s nurse practice act requirements for licensure/recognition/certification including rules for supervision, prescriptive authority and course requirements compromise the service’s ability to comply with this directive. Furthermore, variations in application of compliance among agencies create conflicting practice issues among uniformed services as agencies attempt to share resources.

  • Define the legal issues (i.e., application of Federal Supremacy in federal service within the scope of practice.)
  • Literature review to outline states APN authorities and requirements
  • Determine which states requirements can be waived
  • Current APN licensure procedures utilized by the federal services
  • Recommend a plan to comply with DODI mandate

4. Senior Clinical Experts - The purpose of this workgroup is to explore and develop a plan that will influence the development of senior clinical experts with the Federal Health Care System, and to increase the participation of senior nurses in clinical practice that will enhance their ability to meet the needs of the changing healthcare environment.

  • Define Senior Clinical Expert
  • Identify positions/billets for senior nurses within the Federal Nursing System
  • Define clinical skills/expectations for Senior nurses in administrative roles
  • Recommend an advanced clinical ladder that preserves the clinical skills, remain competitive for promotion and maintain financial equity with their administrative peers.
  • Develop a marketing plan to advance the “Clinical Expert Nurse” and elevate the status and recognition

The Council includes the principal executives and deputies of the:

U.S. Air Force U.S. Air Force Reserve U.S. Air National Guard
American Red Cross U.S. Department of Veterans Affairs U.S. Army
U.S. Army National Guard U.S. Army Reserve U.S. Navy
U.S. Naval Reserve U.S. Public Health Service  U.S.U.H.S

Federal Nursing Service Council Members

AIR Force | AIR Force Reserve | AIR National Guard | American Red Cross | Army | Army Reserve | Army National Guard
Department of Veterans Affairs | Navy | Navy Reserve | Uniformed Services University | US Public Health Service

FNSC Members Contact Information [pdf pdf_logo 99kb)


Major General Dorothy Hogg MG Dorothy A. Hogg
Deputy Surgeon General
Chief, Air Force Nurse Corps

COL Keith Donaldson
Division Chief
Officer Force Development and Director of Nursing Services, USAF


COL Kathleen Flarity
Mobilization Assistant to the Chief of the Nurse Corps


COL Theresa Prince
Mobilization Assistant to the Chief of the Nurse Corps


MG Holcomb Image MG Barbara Holcomb
Chief, Army Nurse Corps

COL Richard Evans
Deputy Chief, Army Nurse Corps
Office of the Chief, Army Nurse Corps

LTC Crystal House
AN Executive Officer


COL Mary Link
OCAR, Deputy Surgeon, Clinical


COL Kimberly Ballantyne


RADM Rebecca J. McCormick-Boyle
Director, Navy Nurse Corps
Chief of Staff, U.S. Navy Bureau Of Medicine and Surgery

Deborah Roy
Deputy Director
Navy Nurse Corps (M00C3)
Bureau of Medicine and Surgery

CDR Valerie Morrison
Executive Assistant to Director, Navy Nurse Corps
Deputy Chief, Installation and Logistics Specialty Leader for Manpower Systems Analysis
Navy Nurse Corps


RADM Rykowski RADM Margaret Rykowski
Deputy Director, Navy Nurse Corps,
Reserve Component
Bureau of Medicine and Surgery

CAPT Anne Bloom
NC Reserve Affairs Officer


RADM Trent-Adams RADM Sylvia Trent-Adams
Assistant Surgeon General Chief Nurse Officer
USPHS Deputy Associate Administrator in the HIV/AIDS Bureau
Health Resources and Services Administration

US Department of Health and Human Services
Office of the Surgeon General
200 Independence Avenue, SW
Suite 701-H
Washington, DC 20201
Phone: 202-260-2549
Phone: 240-453-6063 (Tower)
BB: 202-714-7304

LT Chandra Jolley, RN, BSN, USPHS
Executive Officer to RADM Trent-Adams
Email LCDR Jolley
Phone: 240-453-6077

Mary Kellam
Nursing and Health Associate


Portrait D Gage (2) Donna Gage, PhD, RN, NE-BC
Chief Nursing Officer
Office of Nursing Service
Department of Veteran Affairs

James L. Harris, DSN, APRN-BC, MBA, CNL, FAAN
Office of Nursing Services (108)
Department of Veterans Affairs

Anna Alt-White
VA Liaison to USUHS
Director, Research & Academic Programs
Office of Nursing Services (108)
Department of Veteran Affairs


Dr. Linda M MacIntyre Linda MacIntyre RN, PhD
Chief Nurse American Red Cross

Tener Goodwin Veenema, RN
Red Cross Senior Nurse Consultant


Carol Romano, PhD, RN, FAAN
Dean, Daniel K. Inouye Graduate School of Nursing

Patricia Kenny & Patricia Handel


Federal Nursing Service Council Meeting Minutes

September Meeting Minutes (177KB)