Published Dec 31, 2009
hiddencatRN, BSN, RN
3,408 Posts
Hi All,
I'm about to start my second quarter in the ACE program and wanted to share my impressions and advice so far. Disclaimer: this is my experience, and other people with have different things to say about the program, but I know when I was looking at schools I couldn't get enough details and personal experiences.
1. We no longer have to go to clinical the night before to prep. This means prepping in the morning, and for our Principles clinical we weren't expected to have a care plan in the morning- we turned one in the next class. Get the care plan book they recommend that is not required, because you won't really know anything first quarter to be able to do a care plan on your own, and if you have the instructor I have, she LOVES the book and will praise you to high heaven if you use it.
I felt completely lost in the clinical- we only have 3 days in Q1, with time in the lab on alternate weeks. I'm nervous about having 3 clinical every week this coming quarter because I really don't feel we had enough time in clinical first Q. I'm sure by the end of this quarter I'll feel much better; I just wish we had more prep for this.
You need to practice the skills a lot on your own (blood pressure and parenteral meds especially) because when you test out there is some variation in how strict the people testing you are. I've been lucky to have had people who want you to do well, who give you more than one chance to try to get it right, and who will ask questions to help jog your memory if you blank. For the first Q, if you do fail a check out, you have a chance to repeat later in the day, and if you still fail, you get assigned remediation and retest in a week.
2. Do not assume that some classes will be blow off, easy A classes. While there were a couple of classes that required minimal effort, I was (unpleasantly) surprised by two classes that didn't seem like they should be a big deal. Familiarize yourself with APA and be very careful about correctly citing everything in classes where you have to put together something with outside sources. Don't buy the manual- go to Purdue's OWL website. If you google APA OWL it comes right up and is kept up to date and best of all is free.
Do not bother buying: Health Promotions, Genetics (I think they do tell you it's optional), any of the ethics books, med terms (there's a lot of practice in Blackboard). Do not buy the clicker thing they will tell you is absolutely mandatory in Informatics- we never used it and they are not returnable if you get them from the bookstore.
Speaking of the bookstore- make sure you get the correct bundle version of Health Assessment. I was given a CD version instead of an online code for Blackboard and the publisher and the bookstore were completely unhelpful so I ended up having to buy the online code separately. In fact, I would avoid the bookstore and try to get as many of your books as you can online. Bigwords.com is a great site that scans all online bookstores for the best price on your books (including Amazon, alibris, half, etc).
Use the powerpoints as a guyde for studying. Many other people on here have said the same thing, but there wasn't a single book I really read. I looked at boxes and highlighted sections in the books and saved a lot of time studying that way. I do wish that I'd spend a little more time in the Principles book looking at normal values, needle and syringe sizes, hygiene. This is all in the boxes, but I sorta skimmed and should have studied more closely.
3. Get a better stethescope than the one they give you. I got a Littman Classic II. You do want to practice in the lab with the double headed stethescope since that is what you will be tested on, but the one they give you is absolute poopoo. Get really good shoes, you can get by without the lab coat (it's basically there for you if you get cold at clinical), and practice squatting in your scrub pants before buying. The pair I got gives me plumber butt when I squat down and I haven't had to do a lot of squatting but knowing it can happen makes me feel uncomfortable in those pants.
4. Math test- you will not be tested during orientation despite the fact that the orientation packet you'll get says you will. However, it is a good idea to do some math practice with Calculate with Confidence if you're weak with math. You get to chances to take the math test and you have to pass with a 90 (it counts as a P/F towards your grade).
5. The test review sessions were actually pretty helpful. They're run by the learning center and you go over NCLEX style questions and it helped me figure out what sorts of things I should be focusing on for the exams. There were a couple of cases where a question or two on the practice exam was very similar to a question on the actual exam.
6. Check your Drexel email at LEAST once a day. Some professors send out important, last minute emails, and other professors send out important but not last minute but it's still nice to get that info as soon as it's available emails.
7. The end of the quarter HESI was harder than the tests we took for our classes, but it's only 5% of your grade, so do your best and don't stress. The first HESI is really just to get you a taste of what they are going to be like.
Overall, I didn't think the first quarter wasn't that bad. I made use of the resources available, watched the cheesy principles and assessment videos on Blackboard (seriously, they are so cheesy but once you get beyond that the demonstrations are really helpful). It was hard to get to know professors in the larger test and I did feel a little anonymous there, but if you have questions they are happy to talk to you about them. With the exception of one professor I had, I felt that even the tough love teachers are really routing for you to do well.
Avoid negative people and approach things with a positive outlook and when you do get sucked in to the negativity, take a deep breath and recenter yourself.
Try to avoid the post-test "what did you put for that question on perineal care for men?" sessions (I was not always successful). If you must it's better to do that after you get your grades back so that you can keep the focus on figuring out the rationale for the correct answer. Approach professors respectfully and professionally if you feel a question was really ambiguous- there were a couple of questions where second answers were accepted after being reviewed by the professor.
Try not to get frustrated with Informatics- our TA told us towards the end of the class that the Info professor was told to structure the class towards a student group that had very little experience with computers and technology, which made a lot of the class too basic but do pay attention to the search techniques they'll give you- some of it will be totally "duh" but there are some new tricks I learned in there.
I hear that Q2 is much more intense, so really use Q1 to get yourself organized and figure out what you need to do to learn well. A friend of mine put each week of the quarter on a page of paper with all the different assignments for that week, and I copied her and found that really helped with pacing for me. If you pm me, I'd be happy to send it to you so you can have a more clear idea what exactly that would look like.
pamkc12
11 Posts
Thanks so much for all this information. I will be starting the program in the fall. I've read some really negative things that made me second guess my decision. You make it sound a lot more "doable". I know it's going to be difficult, but like you said, approach things with a positive outlook and avoid the negativity. Either way, I'm going to do whatever I have to do to become a nurse in 11 months!
witty8925
4 Posts
Thank you so much for the info! It is reassuring to hear that Q1 will be manageable. I try not to read a lot of the negative posts about the program out there - but it still makes me nervous. I have been accepted to start in the Fall of this year - exciting yet nerve-wracking! Keep sharing your experiences - it is much appreciated! Do you live in Stiles, or did you find your own housing? I live outside the city but spend a lot of time in it - and I am very much on the fence as to where to live. What would you recommend?
curiosity123
91 Posts
Hi - I was wondering what sort of prep might be helpful before starting the program- would it have helped to take a course in pathophysiology or pharmacology or review medical terminology? Have you seen much attrition?
brooklynne
54 Posts
Very helpful! How is it going this quarter? How are the clinicals?
I am curious about the PDA that is used. Is it used on a daily basis?
Very helpful! How is it going this quarter? How are the clinicals?I am curious about the PDA that is used. Is it used on a daily basis?
We use the iPod touch as our PDA. I use it in my clinicals and for clinical prep frequently, plus I have some music on it. It's just a really great resource to have around. I'll post more about Q 2 when I'm done with it- it's definitely very busy!
Thanks. I just hope I won't lose the thing.
Hope you have good news at the end of the semester.
I received this list for a student as some of the books I should get. Is there any that I should not bother getting ? Any other that you can think of?
Code of Ethics for Nurses with Interpretive Statements
Nursing: Scope and Standards of Practice
Publication Manual of the American Psychological Association (Spiral Edition)
Professional Nursing: Concepts & Challenges
Health Promotion throughout the Lifespan
Medical terminology
Mosby’s Medical Terminology Flash Cards” (800 cards)
Doing Honest Work in College
Fundamentals of Nursing
Clinical Nursing Skills and Techniques
Fundamentals of Nursing Study Guide and Skills Performance Checklists
Calculate with Confidence
Health Assessment in Nursing with online interactive
Nurses’ Handbook – Health Assessment
Essentials of Nursing Informatics
"
Nursing Informatics: Scope and Standards of Practice
"Computers in small bytes: A workbook for
healthcare professionals"
Thanks. I just hope I won't lose the thing. Hope you have good news at the end of the semester. I received this list for a student as some of the books I should get. Is there any that I should not bother getting ? Any other that you can think of?Code of Ethics for Nurses with Interpretive Statements Nursing: Scope and Standards of Practice Publication Manual of the American Psychological Association (Spiral Edition) (This info is all available free online. Google APA OWL for the Purdue OWL site)Professional Nursing: Concepts & Challenges Health Promotion throughout the LifespanMedical terminology I had another version that worked out just fine.Mosby's Medical Terminology Flash Cards" (800 cards)Doing Honest Work in College This one wasn't on our booklistFundamentals of NursingClinical Nursing Skills and TechniquesFundamentals of Nursing Study Guide and Skills Performance ChecklistsCalculate with ConfidenceHealth Assessment in Nursing with online interactiveNurses' Handbook - Health AssessmentEssentials of Nursing Informatics"Nursing Informatics: Scope and Standards of Practice"Computers in small bytes: A workbook forhealthcare professionals"I think that's a different informatics book, and the second two we didn't have on our booklist.
Publication Manual of the American Psychological Association (Spiral Edition) (This info is all available free online. Google APA OWL for the Purdue OWL site)
Medical terminology I had another version that worked out just fine.
Mosby's Medical Terminology Flash Cards" (800 cards)
Doing Honest Work in College This one wasn't on our booklist
Nurses' Handbook - Health Assessment
healthcare professionals"I think that's a different informatics book, and the second two we didn't have on our booklist.
The ones with strikethrough are ones I didn't use at all. There's no reason to buy the APA manual, since it's available for free on Purdue's OWL website. I honestly only studied minimally for medical terminology, used another book and did practice quizes online and got high 90's on both quizes.
Great. Thanks a lot hiddencat! Really appreciate it.
Just finishing up midterms in my final quarter. It's amazing how quickly (and slowly at times) the program has gone by.
Here are some updates:
Second quarter was tough. I spent the first few weeks just feeling completely overwhelmed and confused about what we were supposed to be doing. I used the HESI book a lot for Women's and Adult I, and the care plan book became my BFF. I switched to a laptop to take notes directly on to the powerpoints (many of the powerpoints have important details in the notes area that don't print out when you print in handouts or slide format). Clinicals were more exciting that in principles, we gave meds, I got to see a few births and a c-section and learned that I'd rather work just about anywhere OTHER than in mental health nursing.
We lost about a third of our class after finals in second quarter. That's usually a big quarter to lose people, but we lost more than usual. A lot of folks have rejoined the following cohort this quarter, and we've gained a few students to our group who need to retake a class along the way as well.
After second quarter, the sections are broken down in to two groups from the 3 we started with (although I understand they are going to start having 4 cohorts again to start the program soon). I was part of the cohort that was split in half, and that was rough- you definitely start to bond with the people in your section, and get to know people and the sections all develop a certain personality to them. So on top of losing a lot of our classmates, there was also a certain amount of culture shock to third quarter. Academically, it didn't feel as bad as second quarter. I think the material was on the same level, but I think second quarter is hard because it's such a jump in workload and difficulty from first quarter.
I remember thinking at the start of third quarter that there was no way I was halfway ready to be a nurse and actually responsible for patients, but by the end of third quarter, I started to feel really competent and confident in clinicals.
So it's week 5 of quarter 4, I've taken my midterms, am waiting to do the simulated patient experience, have started applying for jobs (my class seems split on this- about half of everyone I talk to is waiting and half is applying now). It's very similar to 1st quarter in that we have a ton of classes with papers and reflections and group projects but the actual course work seems light in comparison to Q2 and 3. My attention span has pretty much been used up at this point, so it's a struggle to stay focused!
kdrose01
329 Posts
Thanks so much, hiddencat! This information is so helpful and is greatly appreciated. Best wishes to you for your last quarter and finding a job quickly!
jcumerma, BSN
3 Posts
Great post and very useful information about the ACE program Q1! Thank you! I have just been admitted to the Fall 2011 ACE cohort, and I am looking forward to this coming year! Any updates on what it's like post-grad from Drexel?