Gateway Fast Track LPN - after 1 month-my experiences

U.S.A. Arizona

Updated:   Published

This forum has been my primary resource to find answers about what to expect as a new student @ Gateway, and one thing I've noticed is dozens of threads asking about what goes on once you actually begin block 1 - especially in regards to what might be helpful to study before classes start.

I'm sure I'll forget some things, but here's what I've experienced in the first month...

Lectures are once a week, and "labs" are twice a week - this could be because I'm enrolled in a Summer schedule and they needed to get the hours in somewhere. Clinicals for us are 12 hours, on Saturdays, but we've been told that they avoid Saturday placements whenever possible.

Grading - 76% is passing, 75.9% is failing, and they don't do rounding. Attendance - you get to miss ONE lab or clinical per semester. My clinical instructor said if you're really sick, come to clinicals anyway and she'd try to find an "alternate" assignment if at all possible, that didn't involve patient contact.

225 points for quizzes( 9 quizzes total), 75 points for the final. No points for clinical or lab time, it's either pass or fail.

There is a medication math quiz, 10 questions - not part of your grade, but you can't pass meds until you pass the test. At least one clinical instructor has her own test, you must pass both tests to pass meds with her. You get three chances to pass, after you take the quiz twice, our instructor makes you wait and review for a month before your third and final try. Not sure what happens if you fail 3 times - I doubt it's good.

Quiz number one was 15 questions, it was given 2 weeks into class, and covered 13 chapters. Yeah, you read that right - get out your reading glasses. We covered a ton of material very quickly, but it was primarily CNA-type material, and for fast track, you already took a CNA class. Things like vital signs, ROM, Scope of Practice, PPE.

Quiz #2, 25 points - covered 22 chapters (a couple of different books) , and a couple of electronic modules (evolve, EDGT, etc) - The eight "rights of medication" (look up the five rights, then add, - right to refuse, right documentation, and right supplies).

Quiz #3 was 30 points, and ONLY covered 11 chapters... :)... medication/biology, etc...

I'm not trying to scare anyone, this is what I experienced, and FWIW, the quizzes weren't easy, but you aren't likely to fail if you did the reading. My average is currently 85%, and I have no background in healthcare at all.

As you can imagine - they're looking mostly for concepts, not factoids.

Clinicals so far have been a blast for me - I got a great instructor who told us on the first day that we'd walk out of her clinicals with almost every single proceedure on our chart checked off, if they did that proceedure @ this facility, and so far we seem to be on track. I did clinical #2 last week, and so far, I've been checked off on accuchecks, passing meds, wound care, and foleys.

For some instructors you need a care plan every single week, and my instructor said we only need 3 for the semester, but they better not be cut-n-paste plans. They have to be well thought out, specific (customized) to the client, and you need to be able to explain why you're doing what your doing to the instructor. I haven't turned one in yet, and the patient I picked week one went home Saturday, so I get to start over...:crying2:

As for what you'll experience in month 1 - it could be WAAAAY different... I've already experienced some instructors that do a great job of putting you to sleep or confusing you. I hope that isn't who you get, but understand they are out there.

Yeah clinicals are probably on Saturday then. Sorry.

Specializes in Hopice and School Nurse.

Hey RZYZZY, can you give us another update? I really enjoyed and appreciated the one you did in June. I hope you are doing well and having a good time to boot.

What are clinicals like?

Where are they typically at?

Do you really have to do all the reading to pass? Blech!

Do you feel well supported in the program?

How is your family handling your new schedule?

Thanks in advance!!

Hey RZYZZY, can you give us another update? I really enjoyed and appreciated the one you did in June. I hope you are doing well and having a good time to boot.

What are clinicals like?

Where are they typically at?

Do you really have to do all the reading to pass? Blech!

Do you feel well supported in the program?

How is your family handling your new schedule?

Thanks in advance!!

Glad to hear you got something good out of it!

I was thinking I'd do a post after I completed the block - Finals are on the 14th.

A few random thoughts since my last post -

You'll be doing some "practicums" in class and in clinicals - things like inserting a foley, wound care, and giving meds - orally and injections as well as one for "data collection".

Data collection is serious business - and really shows the instructors who has been paying attention, and who was coasting... - this was the one I had the hardest time with, and there wasn't much in-class preparation for it before the practicum. Practice. I happened to do the practicum with a guy who had been practicing with his dog for a week - he did everything and in the same order as our handout. It was a really tough act to follow.

I can't tell you what to expect for clinicals, because your clinical instructor has a pretty wide latitude in running them. Some students in my block had to do a care plan every week, but they were off the floor and working on the care plan by noon. We only had to do a couple, but we were on the floor all day, and not allowed to work on care plans during the clinical.

My clinical instructor was really supportive and helpful at the beginning of the semester, but has been increasingly grumpy and hard to deal with. Many of us got to help with changing a dressing (1) time at the beginning of the semester, and then we had a practicum on it 5-6 weeks later (without getting to see or help with any dressing changes in the meantime).

As far as I know, at least half of us "failed" the wound care practicum and had to do it again (and you only get two tries). I was surprised the instructor expected us to do a perfect job without any real practice. Your experience will differ based on the instructor you draw.

The classroom experience hasn't changed much - do the reading, attend ALL of the lectures, and seriously consider the "review" class if they offer one - The quizzes are pretty basic, and you can probably pass most of them just by attending the lectures - but the class will get much harder later in the semester if that's all you do.

Those that did the reading will easily be able to spot those that didn't do the reading, just by the questions that you ask...

Hint: It's in the book! ;)

Specializes in Hopice and School Nurse.

You are awesome, thanks! I will do the reading because it sounds like it's important. I don't just want to do okay, I want to do well. Is the data collection all the stuff you are supposed to note like skin color and condition, vitals, level of consciousness, pain level, peripheral pulses, heart and lung assesments, etc? Or is it something else?

Sounds like you got the short straw on clinical instructors. Do you get the switch after the semester? Does her last name start with C? I've heard stories about one in particular to avoid, but it sounds like it's the luck of the draw.

I'll look forward to your after block 1 update. Thanks so much for sharing!!

You are awesome, thanks! I will do the reading because it sounds like it's important. I don't just want to do okay, I want to do well. Is the data collection all the stuff you are supposed to note like skin color and condition, vitals, level of consciousness, pain level, peripheral pulses, heart and lung assesments, etc? Or is it something else?

Sounds like you got the short straw on clinical instructors. Do you get the switch after the semester? Does her last name start with C? I've heard stories about one in particular to avoid, but it sounds like it's the luck of the draw.

I'll look forward to your after block 1 update. Thanks so much for sharing!!

The data collection practicum is checking all of the cranial nerves ( and naming the nerves you're checking while you're doing them) - Heart sounds( and naming the points that you're checking along with the correct intra-costal space) , lung sounds, checking pulses(and naming the points you're checking as you're doing them) , etc - They'll give you a 2 page handout on it early in the semester, start working on it as soon as they do -

You get the same instructor for the whole semester, and no, you can't switch until block 2.

I don't think we had the instructor's names when we picked clinical sites, so I'm not sure if that would even help.

For the record, I don't think my instructor is really "bad" - she's just frazzled - and I suspect a little overwhelmed by the slackers in her group. We've had a huge problem with late/absent students, and trying to get everyone checked off on all of the practicums has been an issue - not because she's lazy (far from it), but because students aren't there on the day she planned to check them off, or they did a crappy care plan, show no initiative etc, and she has to spend alot more time with them to protect the patients. By the afternoon, she's ready to chew through nails and anyone who makes even a minor (well intentioned) mistake gets kicked hard.

I don't want to give you the wrong impression - you'll be given your practicum check-off sheets on the first day of class, and a huge portion of the practicum is really basic stuff that you learned in CNA class. You can score some points by verbalizing as you walk into a patient's room "I'm safety checking the room, making sure the patient has a call button", bumping the bed with your hip and mentioning you checked the bed brakes, picking up the patient's arm and actually reading the armband as you ask them to tell you their name, etc.

People are still failing practicums because they didn't check the armband.. :uhoh3: - Even if it's silly, and you've been working with the same patient for a month, even if they have their name tattooed on their forehead - you HAVE to check the armband.

When you get to do "simulations" you'll find a half-dozen things wrong with the room (bed rails down, urine bags on the floor, missing call buttons, nasal cannula under the patient - wrong patient!), before you even get to the actual "meat" of the simulation.

You'll do fine if you do the reading and carve out even a few hours a week for studying & reviewing handouts.

the data collection practicum is checking all of the cranial nerves ( and naming the nerves you're checking while you're doing them) - heart sounds( and naming the points that you're checking along with the correct intra-costal space) , lung sounds, checking pulses(and naming the points you're checking as you're doing them) , etc - they'll give you a 2 page handout on it early in the semester, start working on it as soon as they do -

we ended up making our own worksheet that flowed a little easier than the handout they give you, which seemed to jump all over the place. literally start from the head and work your way down. i did the cranial nerves and pulse points as i worked down, rather than clustered, that way i knew i didn't miss any. you really do need to have this practicum down pat. both my clinical instructors in block i and block ii had us do a head to toe on patients.

you get the same instructor for the whole semester, and no, you can't switch until block 2.

i don't think we had the instructor's names when we picked clinical sites, so i'm not sure if that would even help.

for the record, i don't think my instructor is really "bad" - she's just frazzled - and i suspect a little overwhelmed by the slackers in her group. we've had a huge problem with late/absent students, and trying to get everyone checked off on all of the practicums has been an issue - not because she's lazy (far from it), but because students aren't there on the day she planned to check them off, or they did a crappy care plan, show no initiative etc, and she has to spend alot more time with them to protect the patients. by the afternoon, she's ready to chew through nails and anyone who makes even a minor (well intentioned) mistake gets kicked hard.

rzyzzy, pm me with your clinical instructor's name and facility you were out. just curious.

i don't want to give you the wrong impression - you'll be given your practicum check-off sheets on the first day of class, and a huge portion of the practicum is really basic stuff that you learned in cna class. you can score some points by verbalizing as you walk into a patient's room "i'm safety checking the room, making sure the patient has a call button", bumping the bed with your hip and mentioning you checked the bed brakes, picking up the patient's arm and actually reading the armband as you ask them to tell you their name, etc.

people are still failing practicums because they didn't check the armband.. :uhoh3: - even if it's silly, and you've been working with the same patient for a month, even if they have their name tattooed on their forehead - you have to check the armband.

and always the armband with the mar. i know so many that got dinged because they didn't check the armband and then the armband witht he mar.

when you get to do "simulations" you'll find a half-dozen things wrong with the room (bed rails down, urine bags on the floor, missing call buttons, nasal cannula under the patient - wrong patient!), before you even get to the actual "meat" of the simulation.

lol! our first simulation we got all the way thru and mr. j said "did you notice anything about the patient?" we had been treating the wrong patient! the chart and patient did not match up. we did really good otherwise...:lol2:.

you'll do fine if you do the reading and carve out even a few hours a week for studying & reviewing handouts.

also do the nclex questions related to the body system you are studying. i wish i had done this first semester, didn't really utilize nclex until 2nd semester. it makes such a difference on the quizzes. actually, 2nd semester i just skimmed the chapter and then did nclex questions over and over. the review class is very helpful, as they pretty much go over the quiz....at least they did in my case.

Thanks for the answers so quickly...you guy's rock!

However, I now have one more question. The paper I received from Gateway LPN program said clinicals are on Saturday? Am I just confused or is there a chance we may be able to do them another day of the week? Man, that would be sweet if that is the case, but not getting my hopes up =) It's only two semesters, so it works either way, but it would be nice to do during the week.

Thanks again you guys for your input....it helps alot. I am sure you know all the anxieties while you are waiting to start! Congrats to you both again!

I think the evening classes generally have Saturday clinicals. ( they're figuring that you work m-f 9/5 and they can take your Saturday). For Block 2 I'm going mornings and afternoons and clinicals are during the week.

Specializes in ER.

I had a question for someone who has turned in their application already. What did you submit as proof of your vaccines? Or did you get titers done for everything? I faxed all of my stuff to the admin asst who looks over the medical part of the application, but she hasn't gotten back with me yet. I am wondering if what I am going to submit will be sufficient.

I had chicken pox as a kid, so i got the titer. I also got a titer for hep b because i had the vaccines farther apart than I was supposed to. For the other vaccines, I submitted a copy of the record from the health dept in Michigan. Will that be sufficient? What did everyone else submit? What about the TB test? What proof did you need of the two step test? Any help is greatly appreciated! I am scrambling to make sure I have everything in order!

I had a question for someone who has turned in their application already. What did you submit as proof of your vaccines? Or did you get titers done for everything? I faxed all of my stuff to the admin asst who looks over the medical part of the application, but she hasn't gotten back with me yet. I am wondering if what I am going to submit will be sufficient.

I had chicken pox as a kid, so i got the titer. I also got a titer for hep b because i had the vaccines farther apart than I was supposed to. For the other vaccines, I submitted a copy of the record from the health dept in Michigan. Will that be sufficient? What did everyone else submit? What about the TB test? What proof did you need of the two step test? Any help is greatly appreciated! I am scrambling to make sure I have everything in order!

For the vaccinations, I had them all redone, because my childhood doctor is dead, and I didn't want to take a chance on a titer coming back low. I just submitted the receipts. I had the PPD skin test done at "The Little Clinic" in the Fry's grocery store - they had a nice single page form that shows both tests were given and read. They're pretty meticulous about your medical records in the program, but if they didn't hand them back immediately, you're probably fine.

Specializes in ER.

So do you think I should go ahead and have the shots redone again? I got them done at the health dept in Michigan, so that is the only record I have. I am so worried now!

Specializes in ER.

I am so worried now because I only got a hep b titer and varicella titers done. I didn't get titers done for anything else. The MMR, I had done as a child at the health dept and I had them fax over a list of the vaccines and the dates when I received them. I wonder if that will be sufficicient. I faxed over the papers for the person to review them there and she still hasn't gotten back with me.

I did get the application signed off by the adviser, but I am worried about the medical part when I go to turn it in. Maybe I will just try to go get another MMR vaccine done...

I am so worried now because I only got a hep b titer and varicella titers done. I didn't get titers done for anything else. The MMR, I had done as a child at the health dept and I had them fax over a list of the vaccines and the dates when I received them. I wonder if that will be sufficicient. I faxed over the papers for the person to review them there and she still hasn't gotten back with me.

I did get the application signed off by the adviser, but I am worried about the medical part when I go to turn it in. Maybe I will just try to go get another MMR vaccine done...

No, let them tell you that they want new ones. It's likely you're fine. Don't worry! :D

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