FY-09 INCENTIVE SPECIAL PAY FOR SPECIALTY NURSES

RAAUZYUW RUEWMCS0000 0370225-UUUU--RUCRNAD.
ZNR UUUUU
R 060225Z FEB 09
FM CNO WASHINGTON DC//N1//
TO NAVADMIN
INFO CNO WASHINGTON DC//N1//
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UNCLAS //N07220//
NAVADMIN 046/09
MSGID/GENADMIN/CNO WASHINGTON DC/N1/FEB//
SUBJ/FY-09 INCENTIVE SPECIAL PAY FOR SPECIALTY NURSES// 


REF/A/DOC/ASD (HA)/6OCT2008/NOTAL//
REF/B/DOC/OPNAV/28DEC2005//
NARR/REF A IS THE ASSISTANT SECRETARY OF DEFENSE 

(HEALTH AFFAIRS POLICY) (ASD (HA)) NURSE SPECIAL PAY 

PLAN FOR FISCAL YEAR 2009.  REF B IS OPNAVINST 

7220.17, SPECIAL PAY FOR MEDICAL CORPS, DENTAL CORPS, 
MEDICAL SERVICE CORPS, AND NURSE CORPS OFFICERS// 
RMKS/1.  THIS NAVADMIN IS AN UPDATE TO THE INCENTIVE 

SPECIAL PAY (ISP) FOR SPECIALTY NURSES (RN-ISP).  THIS 

ISP ENHANCES NAVY'S ABILITY TO SIZE, SHAPE, AND 

STABILIZE THE FORCE BY USING A MONETARY INCENTIVE TO 

ENCOURAGE NURSES WITH CRITICAL SKILLS AND VALUABLE 
EXPERIENCE TO STAY NAVY.  ADDITIONALLY, ISP IS AN 

INCENTIVE WHICH ALLOWS NURSE CORPS COMMUNITY MANAGERS 

THE ABILITY TO STRATEGICALLY AWARD BONUSES TO 

PERSONNEL AS RETENTION NEEDS DICTATE, WHILE 

RESPONSIBLY STEWARDING FISCAL RESOURCES IN TIME OF 

WAR.  DOING SO GIVES NAVY THE ABILITY TO RETAIN THE 

RIGHT MIX OF SKILLED AND MOTIVATED SAILORS WHO ARE 

CRUCIAL TO OUR MISSION SUCCESS TODAY AND 
READINESS TOMORROW. 
2.  PER REF A, THIS NAVADMIN DELEGATES AUTHORITY TO 

THE CHIEF, BUREAU OF MEDICINE AND SURGERY (CHBUMED) TO 

EXECUTE SERVICE AGREEMENTS, EFFECTIVE IMMEDIATELY.  

PARA 3 IS THE POLICY GUIDANCE IN THE FORM OF AN 

INTERIM CHANGE TO REF B.  PARA 4 IS IMPLEMENTATION 
GUIDANCE FOR FY-09.
3.  INTERIM CHANGE TO REF B.  FOR FY-09, CHAPTER 4 OF 

REF B IS AMENDED BY ADDING THE FOLLOWING NEW SECTION 

4:  CHAPTER 4 NURSE 
CORPS SPECIAL PAYS SECTION 
4.  REGISTERED NURSE ISP (RN-ISP) 
440.  DEFINITION AND ELIGIBILITY:
    A.  RN-ISP IS A DISCRETIONARY BONUS GIVEN TO 

QUALIFIED NURSE CORPS OFFICERS WHO ARE SPECIALTY 

TRAINED REGISTERED NURSES AND WHO 
AGREE TO REMAIN ON ACTIVE DUTY FOR ONE TO FOUR YEARS 

AS DEFINED IN THE RN-ISP CONTRACT.  
    B.  ASD (HA) AUTHORIZES SPECIALTIES AND ANNUAL PAY 

RATES NOT TO EXCEED STATUTORY LIMITS AND PROMULGATES 

THEM VIA AN ANNUAL NURSE SPECIAL PAY PLAN.  CHBUMED 

SUBSEQUENTLY DESIGNATES THOSE SPECIALTIES 
WHICH ARE CRITICAL TO MEET THE REQUIREMENTS OF THE 

NAVY AND PROMULGATES THOSE SPECIALTIES EACH FISCAL 

YEAR VIA NAVADMIN.  BASED ON THE NAVY'S UNIQUE 

REQUIREMENTS, CHBUMED MAY DECLINE TO OFFER 
SPECIAL PAY TO ANY GROUP OTHERWISE ELIGIBLE, OR 

RESTRICT THE LENGTH OF THE CONTRACT FOR ANY OR ALL 

ELIGIBLE GROUPS TO LESS THAN FOUR YEARS.  
    C.  NAVY ACTIVE DUTY NURSE CORPS OFFICERS WHO MEET 

THE FOLLOWING CRITERIA ARE ELIGIBLE TO RECEIVE RN-ISP:
        (1) UNDER A CALL OR ORDER TO ACTIVE DUTY FOR A 

PERIOD OF NOT LESS THAN THREE YEARS. 
        (2) FULLY QUALIFIED REGISTERED NURSE WITH AN 

ACTIVE, FULL UNRESTRICTED LICENSE, AND HAVE A 

DESIGNATED NURSING SPECIALTY AS A PRIMARY SUBSPECIALTY 

CODE AND PRIMARILY WORKING FULL TIME IN THAT 
SUBSPECIALTY.  IN UNUSUAL CIRCUMSTANCES INDIVIDUAL 

WAIVERS FOR WORKING OUTSIDE THE SPECIALTY MAY BE 

REQUESTED BY DETAILERS OR COMMANDERS.  ALL WAIVER 

REQUESTS WILL BE REVIEWED BY CHBUMED.  
        (3) HOLD A CERTIFICATION IN ONE OF THE 

DESIGNATED CLINICAL NURSING SPECIALTIES.  

CERTIFICATION MUST BE A NATIONALLY-RECOGNIZED, 
EXPERT CREDENTIAL RESERVED FOR THOSE WHO MEET RIGOROUS 

PRACTICE, CONTINUING EDUCATION, AND TESTING 

REQUIREMENTS IN THEIR NURSING 
SPECIALTY. 
        (4) MUST HAVE COMPLETED A SPECIALTY-NURSING 

COURSE APPROVED BY THE SURGEON GENERAL OF THE NAVY 

(SURGEON GENERAL APPROVED COURSES 
ARE PUBLISHED UNDER SEPARATE CORRESPONDENCE BY THE 

DIRECTOR OF THE NAVY NURSE CORPS) OR SUCCESSFULLY 

COMPLETED A GRADUATE PROGRAM WITH DEGREE CONFERRAL IN 

ONE OF THE CLINICAL DESIGNATED SPECIALTIES.  
        (5) FOR PERIOPERATIVE NURSING, INDIVIDUALS 

MUST HAVE ONE YEAR OF EXPERIENCE, INCLUDING AT LEAST 

1,700 CLINICAL HOURS IN PERI- 
OPERATIVE NURSING.  CERTIFICATION IN PERIOPERATIVE 

NURSING MUST BE OBTAINED WITHIN 18 MONTHS OF INITIAL 

ELIGIBILITY FOR SPECIALTY REGISTERED NURSE ISP.   
    D.  REGISTERED NURSES UNDER AN OBLIGATION OR 

ATTENDING FULL TIME DUTY UNDER INSTRUCTION ARE NOT 

ELIGIBLE FOR RN-ISP.  AN OBLIGATION IS INCURRED WHEN 

AN INDIVIDUAL ENTERS THE NAVY NURSE CORPS EITHER 
THROUGH ONE OF THE STUDENT TRAINING PIPELINE PROGRAMS 

TO INCLUDE:
        (1) NAVY RESERVE OFFICERS TRAINING CORPS NURSE 

OPTION (NROTC)
        (2) MEDICAL ENLISTED COMMISSIONING PROGRAM 

(MECP)
        (3) NURSE CANDIDATE PROGRAM (NCP)
        (4) SEAMAN TO ADMIRAL (STA-21)
OR RECEIVES A NURSE ACCESSION BONUS (NAB), 

PARTICIPATES IN THE HEALTH PROFESSIONAL LOAN REPAYMENT 

PROGRAM (HPLRP), OR PARTICIPATES IN FULL-TIME DUTY 

UNDER INSTRUCTION (DUINS).  NURSE CORPS OFFICERS 
RECEIVING THE RN-ISP WILL NOT BE ELIGIBLE TO ACCEPT 

FULL TIME DUTY UNDER INSTRUCTION WHILE UNDER THE 

RN-ISP AGREEMENT. 
NOTE:  ELIGIBLE OFFICERS WITHIN 12 MONTHS OF 

COMPLETING THEIR INITIAL OBLIGATION MAY SUBMIT AN 

APPLICATION FOR RN-ISP, BUT PAYMENT WILL NOT COMMENCE 

UNTIL COMPLETION OF MINIMUM SERVICE REQUIREMENT.
441.  SUBMISSION REQUIREMENTS:
    A.  EXECUTE A WRITTEN REQUEST TO REMAIN ON ACTIVE 

DUTY FOR A PERIOD OF ONE TO FOUR YEARS.
    B.  INDIVIDUALS REQUESTING RN-ISP SHALL SUBMIT A 

REQUEST THROUGH THEIR CHAIN OF COMMAND.  
    C.  FORWARD COMMAND ENDORSEMENT AND REQUEST FOR 

RN-ISP TO CHBUMED-M1C1 WITH A RECOMMENDATION DATED 

WITHIN 30 DAYS OF THE REQUESTED EFFECTIVE DATE AND 

ENSURE THE EFFECTIVE DATE ON THE AGREEMENT HAS BEEN 

VERIFIED TO BE CORRECT FOLLOWING THIS MESSAGE.
    D.  COMMANDING OFFICERS ARE RESPONSIBLE FOR 

VERIFYING THE REQUESTING NURSE CORPS OFFICER IS 

ELIGIBLE PER PARA 440 ABOVE. 
    E.  THE CHAIN OF COMMAND MUST PROVIDE A DETAILED 

AND SPECIFIC EXPLANATION OF ANY DELAY ON ALL RN-ISP 

REQUESTS NOT ENDORSED WITHIN 30 DAYS OF THE REQUESTED 

EFFECTIVE DATE.  CHBUMED-M1C1 MAY APPROVE 
RETROACTIVE RN-ISP AGREEMENTS WHEN THE REASON FOR 

DELAY IN INITIATING THE RN-ISP AGREEMENT WAS CLEARLY 

JUSTIFIABLE. 
    F.  IN ORDER TO BE ELIGIBLE FOR A HIGHER RN-ISP 

RATE AT THE ANNOUNCEMENT OF EACH FISCAL YEAR'S PAY 

PLAN, NURSE CORPS OFFICERS WITH AN EXISTING RN-ISP 

CONTRACT MAY BE AFFORDED THE OPPORTUNITY TO 
TERMINATE THE PREVIOUS CONTRACT TO ENTER INTO A NEW 

RN-ISP CONTRACT WHICH WOULD GIVE THEM AN ACTIVE DUTY 

OBLIGATION EQUAL TO OR LONGER THAN THE EXISTING RN-ISP 

OBLIGATION.  ANY UNEARNED PORTION OF THE 
RN-ISP CONTRACT IS RECOUPED ON A PRO RATA BASIS.  THE 

EARLIEST CONTRACT EFFECTIVE DATE IS 1 OCTOBER OF THE 

FISCAL YEAR FOR WHICH THE PAY PLAN IS ANNOUNCED. 
442.  METHOD OF PAYMENT:
    A.  RN-ISP WILL BE PAID IN ANNUAL INSTALLMENTS 

ACCORDING TO CONTRACT LENGTH.  CHBUMED WILL SET ONE 

RATE FOR EACH CATEGORY.  INITIAL ANNUAL INSTALLMENTS 

WILL BE PAID UPON APPROVAL OF THE RN-ISP AGREEMENT BY 

CHBUMED-M1C1.  CONTRACTS WILL BE EFFECTIVE NO EARLIER 
THAN THE DATE APPROVED BY CHBUMED-M1C1.  SUBSEQUENT 

ANNUAL INSTALLMENTS WILL BE PAID ON THE ANNIVERSARY 

DATE OF THE CHBUMED-M1C1 APPROVED EFFECTIVE DATE.
    B.  ISP WILL BE PAID AT THE RATE PUBLISHED IN THE 

FISCAL YEAR NAVADMIN FOR NURSE CORPS ISP.  
443.  TERMINATION OR DENIAL OF RN-ISP:
    A.  RN-ISP WILL BE TERMINATED OR DENIED UNDER THE 

FOLLOWING CIRCUMSTANCES:
        (1) UPON VOLUNTARY SEPARATION FROM ACTIVE 

DUTY.
        (2) UPON DETERMINATION THAT ONE OR MORE OF THE 

FOLLOWING CONDITIONS EXIST:
            (A) FOR INADEQUATE MILITARY OR 

PROFESSIONAL PERFORMANCE, 
DOCUMENTED IN THE OFFICER FITNESS REPORT, THE ICF, 

OTHER QAI RECORDS, OR OTHER COMMAND FILES.  DECISIONS 

TO TERMINATE SPECIAL PAY UNDER THIS PARAGRAPH SHOULD 

BE MORE APPROPRIATELY TIED TO INADEQUATE 
PROFESSIONAL PERFORMANCE THAN TO OTHER ASPECTS OF 

MILITARY PERFORMANCE.  CO'S ARE ENCOURAGED TO USE 

OTHER MEANS TO CORRECT INADEQUATE BEHAVIOR PRIOR TO 

RECOMMENDING THE REMOVAL OF SPECIAL PAY.  CO'S SHOULD 

SEEK CONSISTENCY IN THEIR DECISIONS CONCERNING 
SPECIAL PAY UNDER THIS PARAGRAPH.
            (B) UPON INITIATION OF PROCESSING FOR 

SEPARATION FOR CAUSE UNDER SECNAVINST 1920.6C, FOR 

RELIEF OR DETACHMENT FOR CAUSE, 
OR FOR A VIOLATION OF THE UCMJ OF WHICH THE OFFICER IS 

FOUND GUILTY VIA NJP OR COURT-MARTIAL.
            (C) WHEN THE OFFICER IS INCAPACITATED OR 

DISABLED DURING A PERIOD OF UNAUTHORIZED ABSENCE OR 

WHEN INCAPACITATION OR DISABILITY IS THE RESULT OF THE 

OFFICER'S MISCONDUCT OR GROSS NEGLIGENCE. 
            (D) WHEN THE OFFICER'S CLINICAL PRIVILEGES 

HAVE BEEN REDUCED BELOW THE LEVEL OF FULL CORE 

PRIVILEGES FOR RN'S THROUGH ADVERSE PRIVILEGING 

ACTION.
            (E) WHEN THE OFFICER IS NO LONGER ASSIGNED 

OR PERFORMING THE PRIMARY SPECIALTY FOR WHICH THE 

RN-ISP WAS ORIGINALLY AUTHORIZED, EXCEPT WHEN THE 

OFFICER IS ASSIGNED TO DUTY UNDER UNUSUAL 

CIRCUMSTANCES AS DESCRIBED IN PARA 440.3.B. ABOVE.
    B.  TO DENY OR TERMINATE AN EXISTING RN-ISP 

AGREEMENT, THE CO MUST RECOMMEND TO CHBUMED-M1C1, IN 

WRITING, THE TERMINATION, OR DENIAL OF RN-ISP.  IN THE 

CORRESPONDENCE, THE CO MUST STATE THE REASON FOR 

DENIAL OR TERMINATION, AND ENCLOSE ANY SUPPORTING 
DOCUMENTATION.  TERMINATION IS EFFECTIVE THE DATE OF 

THE CHBUMED LETTER NOTIFYING THE INDIVIDUAL OF THE 

TERMINATION OR DENIAL.
    C.  AN OFFICER MAY APPEAL THE DENIAL OR 

TERMINATION OF RN-ISP.  
UPON NOTIFICATION, THE OFFICER MUST BE GIVEN 10 

WORKING DAYS TO SUBMIT AN APPEAL VIA THEIR CHAIN OF 

COMMAND TO CHBUMED.  IN FORWARDING THE APPEAL, THE CO 

MUST PROVIDE AN ENDORSEMENT AND COPIES OF ALL 

PERTINENT DOCUMENTS NOT ALREADY SUBMITTED WITH THE 

ORIGINAL REQUEST FOR TERMINATION OR DENIAL.
    D.  CHBUMED (OR DESIGNEE) MUST CONVENE A SPECIAL 

PAY REVIEW BOARD (SPRB) TO EVALUATE THE OFFICER'S 

APPEAL.  THE BOARD MUST BE COMPOSED OF AT LEAST THREE 

AND NOT MORE THAN FIVE SENIOR NURSE CORPS OFFICERS 

WITH A FLAG OFFICER OF THE MEDICAL DEPARTMENT AS THE 

SENIOR MEMBER.  A NURSE CORPS FLAG OFFICER IS NOT 

REQUIRED, BUT SHOULD BE USED IF AVAILABLE.  THE SPRB 

MUST MAKE A NON-BINDING RECOMMENDATION TO CHBUMED (OR 

DESIGNEE) TO GRANT OR DENY THE APPEAL.  CHBUMED'S (OR 
DESIGNEE'S) DECISION IS FINAL.  IF THE DECISION IS TO 

UPHOLD CHBUMED 
- M1C1'S DECISION TO DENY OR TERMINATE RN-ISP, THE 

EFFECTIVE DATE MUST 
BE THE ORIGINAL TERMINATION OR DENIAL DATE.  IF THE 

DECISION IS TO GRANT THE OFFICER'S APPEAL, THE 

ENTITLEMENT DATE MUST BE RETURNED TO 
THE ORIGINAL EFFECTIVE DATE.
    E.  TERMINATION OR DENIAL OF RN-ISP IS NOT 

AUTHORIZED FOR CASES OF PFA FAILURES.  FOR ALL OTHER 

CASES OF INADEQUATE MILITARY OR 
PROFESSIONAL PERFORMANCE (ADVERSE CREDENTIALS, NJP, 

ETC), TERMINATION OR DENIAL OF RN-ISP MUST BE FOR A 

MINIMUM PERIOD OF ONE YEAR.  PROCESSING FOR SEPARATION 

FOR CAUSE MUST BE INITIATED FOLLOWING TWO SUCCESSIVE 

DENIALS OR TERMINATIONS OF RN-ISP USING THE 
GUIDELINES OF SECNAVINST 1920.6C.  
444.  RECOUPMENT OF INDEBTEDNESS
    A.  TERMINATION OF AN EXISTING RN-ISP AGREEMENT 

CREATES INDEBTEDNESS TO THE UNITED STATES.  THE 

OFFICER, THEREFORE, MUST REPAY THE UNEARNED PORTION OF 

RN-ISP ON A PRO RATA BASIS EXCEPT IN THE FOLLOWING 

CIRCUMSTANCES:
        (1) DEATH OR DISABILITY WHICH IS NOT THE 

RESULT OF MISCONDUCT, OR WILLFUL NEGLIGENCE, AND NOT 

INCURRED DURING A PERIOD 
OF UNAUTHORIZED ABSENCE.
        (2) SEPARATION FROM MILITARY SERVICE BY 

OPERATION OF LAW OR REGULATIONS OF THE DOD OR SERVICE 

REGULATIONS OTHER THAN SEPARATION 
FOR MISCONDUCT.  INVOLUNTARY SEPARATION FOR TWICE 

FAILING OF SELECTION TO THE NEXT GRADE IS AN EXAMPLE 

OF A SEPARATION FROM MILITARY SERVICE BY OPERATION OF 

LAW FOR WHICH RECOUPMENT OF RN-ISP WOULD NOT OCCUR.
        (3) IN OTHER CASES WHEN UNUSUAL CIRCUMSTANCES 

WARRANT WAIVER OF THE RECOUPMENT REQUIREMENTS, 

OFFICERS MAY SUBMIT WAIVER REQUESTS WITH SUPPORTING 

JUSTIFICATION TO NAVPERSCOM (PERS-48).
    B.  IN THE EVENT AN OFFICER DIES BEFORE HE OR SHE 

RECEIVES THE FULL AMOUNT OF ISP, OR BEFORE THE OFFICER 

COMPLETES THE ASSIGNMENT FOR WHICH ISP IS PAYABLE (AND 

DEATH IS NOT CAUSED BY THE MEMBER'S MISCONDUCT), THE 

UNPAID/UNEARNED BALANCE OF THE ISP SHALL BE PAYABLE 
IN THE SETTLEMENT OF THE DECEASED MEMBER'S FINAL 

MILITARY PAY ACCOUNT (UNPAID ISP SHALL BE PAYABLE IN 

LUMP SUM).  IF DEATH IS DETERMINED TO BE VOLUNTARY OR 

THE RESULT OF THE MEMBER'S OWN MISCONDUCT, TERMINATION 

OF ANY FUTURE PAYMENT AND PRORATION OR RECOUPMENT OF 

THE ISP, AS APPLICABLE, WILL BE MADE IN ACCORDANCE 
WITH PROCEDURES ESTABLISHED FOR MEMBERS WHOSE 

INABILITY TO COMPLETE A CONTRACTED PERIOD OF SERVICE 

IS VOLUNTARY OR THE RESULT OF MISCONDUCT.
5.  SPECIALTY NURSE ISP (RN-ISP) PLAN IMPLEMENTATION.
    A.  ALL SERVICE AGREEMENTS MUST BE APPROVED BY 

CHBUMED M1C1.  CHBUMED M1C1 WILL DETERMINE ACTIVE DUTY 

OBLIGATION (ADO) INCURRED FOR MEMBERS.  MEMBERS WILL 

BE INFORMED OF ADO FOR MULTI-YEAR CONTRACTS VIA AN 

APPROVAL NOTIFICATION LETTER.  ACCEPTANCE OF FIRST 
PAYMENT BY MEMBER INDICATES AGREEMENT TO TERMS OF ALL 

CONTRACTS AND ADOS.
    B.  INDIVIDUALS WILL HAVE 30 DAYS FROM THE RELEASE 

OF THIS NAVADMIN TO REQUEST RETROACTIVE PAYMENT TO 1 

OCTOBER 2008 WITHOUT HAVING TO MEET THE REQUIREMENTS 

OF A RETROACTIVE APPROVAL PER REF B.  
    C.  POLICY, INCLUDING ELIGIBILITY AND 

ADMINISTRATIVE PROCEDURES ALONG WITH THE SERVICE 

AGREEMENTS ARE AVAILABLE AT 

WWW.NAVYMEDICINE.MED.NAVY.MIL (CLICK ON CHBUMED THEN 

CLICK ON SPECIAL PAYS).  
    D.  THE FOLLOWING NURSING SPECIALTIES ARE 

DESIGNATED BY CHBUMED AS ELIGIBLE FOR THE FY-09 

RN-ISP:
        (1) PSYCHIATRIC NURSING (1930)
        (2) PERIOPERATIVE NURSING (1950)
        (3) CRITICAL CARE (1960)
        (4) PSYCHIATRIC/MENTAL HEALTH NURSE 

PRACTITIONER (1973)
        (5) PEDIATRIC NURSE PRACTITIONER (1974)
        (6) FAMILY NURSE PRACTITIONER (1976)
        (7) OB/GYNO NURSE PRACTITIONER (1980)
        (8) NURSE MIDWIFE (1981)
    E.  THE FOLLOWING PAY RATES ARE EFFECTIVE 1 

OCTOBER 2008:
        (1) 5,000 DOLLARS PER YEAR FOR UNOBLIGATED 

INDIVIDUALS WHO SIGN A ONE-YEAR CONTRACT OR OBLIGATED 

INDIVIDUALS WITH LESS THAN 12 MONTHS OF INITIAL 

OBLIGATION.
        (2) 10,000 DOLLARS PER YEAR UNOBLIGATED 

INDIVIDUALS OR OBLIGATED INDIVIDUALS WITH LESS THAN 12 

MONTHS OF INITIAL OBLIGATION 
WHO SIGN A TWO-YEAR CONTRACT.
        (3) 15,000 DOLLARS PER YEAR FOR UNOBLIGATED 

INDIVIDUALS OR OBLIGATED INDIVIDUALS WITH LESS THAN 12 

MONTHS OF INITIAL OBLIGATION 
WHO SIGN A THREE-YEAR CONTRACT.
        (4) 20,000 DOLLARS PER YEAR FOR UNOBLIGATED 

INDIVIDUALS OR OBLIGATED INDIVIDUALS WITH LESS THAN 12 

MONTHS OF INITIAL OBLIGATION 
WHO SIGN A FOUR-YEAR CONTRACT.
    F.  DURING THE TIME OF AN INDIVIDUAL NURSE CORPS 

OFFICER'S RN-ISP OBLIGATION IT IS THE RESPONSIBILITY 

OF THE NURSE, DETAILER, AND SENIOR NURSE 

EXECUTIVE/DIRECTOR NURSING SERVICE AT MEDICAL 
TREATMENT FACILITIES TO ENSURE THE NURSE IS UTILIZED 

IN THE SPECIALTY FOR WHICH THE NURSE IS RECEIVING THE 

RN-ISP.  INDIVIDUAL MEMBERS SHOULD CONSIDER CAREER 

PLANS AND MILESTONES WHEN DETERMINING 
THE LENGTH OF TIME OF OBLIGATION FOR THE SPECIALTY 

REGISTERED NURSE ISP.  
    G.  FOR THE PURPOSES OF DETERMINING ELIGIBILITY 

PER PARA 440.3 
OF THE ABOVE INTERIM CHANGE TO REF B, THE EDUCATION 

SUFFIX ON THE 
MEMBER'S SUBSPECIALTY CODE REQUIRES EITHER A 'K' CODE 

MEANING CERTIFIED WITH SURGEON GENERAL APPROVED 

SPECIALTY-NURSING COURSE, OR 
A 'Q' CODE MEANING CERTIFIED AND MASTER'S PREPARED.  
    H.  FOR THE PURPOSES OF DETERMINING ELIGIBILITY 

PER PARA 440.4. OF THE INTERIM CHANGE TO REF B, 

OBLIGATED SERVICE CODES ARE TRACKED WITHIN THE BUREAU 

OF MEDICINE INFORMATION SYSTEM (BUMIS) AS AN "S - 
SUBSIDIZED TRAINING" FOR STUDENT TRAINING PIPELINES 

AND HPLRP, AN "I
- INITIAL OBLIGATION" FOR NAB, DIRECT ACCESSIONS AND 

RECALLS, AND A "T
- TRAINING OBLIGATION" FOR FULL-TIME DUINS.  OBLIGATED 

SERVICE DATES ARE CALCULATED BASED UPON ONE'S GAINING 

CATEGORY, PARTICIPATION IN HPLRP, OR THE NUMBER OF 

MONTHS IN FULL-TIME DUINS.
6.  POINTS OF CONTACT:  
- LAST NAME BEGINNING A THROUGH G IS MS. LU CHARBONEAU 

(301) 295-2050 EMAIL AT 

LULA.CHARBONEAU(AT)MED.NAVY.MIL
- LAST NAME BEGINNING H THROUGH O IS HM2 SHAWN HANEY 

(301) 295-2051 EMAIL AT SHAWN.HANEY(AT)MED.NAVY.MIL
- LAST NAME BEGINNING P THROUGH Z IS MS. KAREN GASTON 

(301) 295-9946 EMAIL AT KAREN.GASTON(AT)MED.NAVY.MIL
- CHBUMED SPECIAL PAY COORDINATOR IS MR. WILLIAM MARIN 

AT (301) 295-2073/DSN 295 OR EMAIL AT 

WILLIAM.MARIN(AT)MED.NAVY.MIL
- BUPERS IS CDR L. BATEMAN AT (901) 874-2818/DSN 882 

OR EMAIL AT LAWRENCE.BATEMAN(AT)NAVY.MIL.
7.  RELEASED BY VADM MARK FERGUSON, N1.//
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