Re: We got into the CLC Nursing program...now what
You will get all of your clinical information during orientation. You will get all of the directions you need in class before you go to clinical. You will have two clinical sites during your first semester. One will be a long-term care facility (nursing home). One will be a hospital. These sites can be anywhere in the county (with one or two sites in McHenry county) and can change from semester to semester. Your best bet is to not stress out about it. At orientation you can jot down your clinical sites and look them up to get some idea of how long it will take you to get there.
I was in the spring 2007 evening section and we went to Whitehall (Highland Park area) and Midwest Regional Cancer Centers of America (Zion). For nursing 172 we have been exclusively at Lake Forest Hospital (Lake Forest), rotating areas depending on what we are studying.
Someone mentioned stethoscopes… yes, you will need a stethoscope. No, you do not need to run out and buy a really expensive stethoscope. I wouldn’t recommend buying the ones in the bookstore, but if you’re on a tight budget, do what you have to do. A $30 stethoscope will get you through school and then you can get a nice Stethoscope for a graduation gift. A word to the wise concerning the lab stethoscopes – yes, they are terrible, but you will be required to use those stethoscopes during the end of semester Performance Exam, so do practice with them.
The evening instructor for Nursing 171 is retiring this year, so I am not sure who will be teaching that. The day instructor is very good.
You will be in class three days per week, but you know that already because you’ve seen the schedule! There is a 4-hour class, a 2-hour lab, and a 5-hour clinical. Prepare to create a study group early on. I cannot stress this enough. I find 6 to be an ideal size if you are looking for a group that can coordinate schedules and get together for study sessions before each exam, but that’s really up to you.
Each module contains vocabulary, a page of reading assignments, 30 EBOs (more on this later), a few case studies, supplemental drug information, a page detailing the lab day, and a packet of written work for your clinical day.
Before class you are expected to do your readings and review your class guides. You will find early on that the reading is overwhelming, so you’ll want to focus on the readings that pertain to your EBOs (don’t worry, I’m still getting around to that). During class you will go over a series of class guides. They involve discussion of a mock situation that pertains to whatever you are studying. There is rarely any formal lecture.
Before lab you may be asked to do some reading from your skills book, but I would say I usually didn’t do anything to prepare for lab. During lab you will be practicing nursing skills. You will have to take three or four “performance appraisals” over the course of the semester during which you demonstrate a skill and create a nursing note for a lab instructor. If I’m not mistaken, bed-making, bed baths, transfer and ambulation, TED hose and elastic bandages, and basic drug calculations/administration is covered during the first semester. These appraisals take 15-30 minutes to complete, sometimes with a partner, and are done on your own time by signing up for an appraisal time in the lab. I always come in to practice a skill several times and practice documenting said skill at least once before my appraisal, usually for at least 1 hour.
Before clinical there isn’t much to prepare. Just show up with your drug book, stethoscope, watch, and written work packet and the instructor will take it from there. Do everything you can do. See everything you can see. The more proactive you are during clinical, the better your experience will be. The written work for clinical usually took me 2-3 hours to complete.
And finally… the EBOs. The expected behavioral outcomes are just a series of questions. This will be your focus for the exam. Nobody checks that you do them, but your exam will be heavily based on these, so I would suggest that you answer the questions. This is where the study group comes in handy. Our study group splits up the EBOs and decides a study session date at the beginning of each set of modules. If you have dependable study group members, it saves a lot of time. I spend about an hour each week answering 6 EBOs. If I had to do all 30 it would kill me.
So here’s my time breakdown:
Reading, preparing for class: 2-3 hours/week
Written assignments: 2-3 hours/week
EBOs: 1 hour/week
Practicing in the lab: 1-2 hours/month
Appraisals in the lab: 30m-1h/month
Class, Lab, Clinical: 11h/week
So there you have it. It’s a big time commitment, but you get used to it. I almost never do anything on Fridays, so I still have one nursing-free day in my life, and I go to school and work full time. I don't have children, but some people in our class managed work and school and kids!
Hopefully that gives you an idea of what your weeks will be like. Just be prepared to put a lot of time and effort into your work. Be flexible, and realize that the first couple of weeks will be spent adjusting to the class and figuring out what study strategy works best for you. All of the instructors have office hours. If you need help with something, anything, talk to a staff member in the lab or another student or your instructor… they really do want you to succeed (though you will question this at times :P).
Nursing News