Made it through Block 1 PN @ Gateway, my experiences..

U.S.A. Arizona

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When I found out I got into the Fast-Track PN program at Gateway, posts on this forum gave me an idea of what to expect, and it really helped ease some of the fear and anticipation that comes with starting something completely new. In that interest, I thought I'd post some of my experiences to help those that enter the program in the future.

First and foremost - scheduling - I can't help you there! My program was over both summer semesters, and classes were sometimes evenings, sometimes mornings, and sometimes both in the same week. Your mileage can and will vary, they'll still be writing the schedules the day before your class starts, and you'll get whatever they have available.

Clinicals for block 1 are long-term care. Ours were 12-hour days, and your clinical experiences will vary greatly based on who your clinical instructor is. Some instructors require care-plans every week, and some only require a couple per semester - don't worry too much about care plans, or buy a bunch of care-plan manuals before class starts, because every instructor is looking for something different, and they have to tell you what that is.

For clinicals - you need to begin developing that "backbone" and resist the temptation to take shortcuts. In my facility, staff often ignored the requirements for gowning & gloving in c-diff & MRSA rooms, gave insulin in the halls, never checked armbands, and sometimes asked us to do things we weren't allowed to do or hadn't been signed off on yet. I'm not knocking the facility - I heard from other students it happened everywhere, just expect to get called out if you break the rules and your instructor pops onto your floor and catches you. Better to avoid the drama.

You'll get to do some injections, glucose testing, lots and lots of vital signs, dressing changes, passing meds, small-volume nebulizers, eye-drops, etc. You'll be taught how to do foley caths and feeding tubes, but you may never do one on a real person, depending on the facility you draw.

You'll have a couple of "practicums" where you'll demonstrate in front of an instructor the proper procedure to place a foley, a NG tube and a physical assessment. You'll also have a "med pass" and a dressing change practicum in the facility with your clinical instructor. You can fail a practicum once, and many do - it isn't the end of the world - you'll get another chance to do a perfect one.

You'll likely have a couple of "simulations" - which are in the lab, sometimes with a robo-dummy, sometimes just the regular mannequins. You'll be assigned to a group and given a role (you might be a charge nurse, primary nurse or a NA). These were actually fun in my class - remember the basics (keep the room safe and identify your patient!)

Grading... :)

My instructor had 9 quizzes and a final. The quizzes were deceptively easy, compared to the final. You could pass, and even do fairly well on the quizzes just by listening well during the lectures and skimming the book. The final was a different story - many of my classmates (including myself) dropped a full grade on the final, several failed the class because of it, and several more got through by only one or two points. Doing all of the reading, and spending even just an hour a week working on the nclex practice questions made a huge difference for me. Lots of those nclex questions ended up on the final.

The moral of the story is - don't count on bringing yourself up at the end of the class - you can't do enough "cramming" at the end to make a difference.

My group started with 30 students - we lost one before the first quiz, and two more dropped because they missed two clinicals. We ended up losing six more on the final, bringing the "casualty" total to almost 30%. :eek: I'm not sure if that's "normal" , but it is what it is...

If the questions on the final were just slightly different, that number might have jumped or fallen by 10%+. The point being - it is do-able, but not everyone will pass. My Block 2 class has several students repeating who missed the mark by only a couple of points.

My advice to students starting the program in the future would be to not "give up" a single point by not studying - you may need that point later in the semester. Don't worry about the class - it can be done, even without a medical background - but also don't get complacent - make the time to study and review at the beginning of the semester so you won't have to "white-knuckle" the final.

Good Luck!

Has anyone in any of these programs addressed the current situation in our local economy with new nurses not being able to find jobs? When I say addressed, I mean with instructors?

Is it discussed frequently?

Sure it is, but what would you have them do?

Back in my old hometown in Michigan, the local for-profit diploma mill has expanded dramatically over the past couple of years. They now have six (6) locations offering $15k truck driver "certificates", and they've set up "stores" in the strip malls with financial-aid specialists and recruiters standing by. If you think jobs are scarce and wages are low in nursing, look up the perils of driving a truck for a living.

When the economy tanks, contrary to what is often said in the mainstream media, many people flock to training programs, even overpriced but worthless training. The same "talking heads" that prattle on about "lazy" unemployed people "refusing to go back to school" or take a reasonable pay cut and changing careers are also spouting the party line about nursing jobs being freely and easily available.

The last I heard, the wait list was at around 2800 students in the MCCD system, which is up a couple hundred from the spring, and according to my instructors, there was no wait list at all three years ago...

No one knows the future, and who can predict what will happen when everyone is required by law to purchase health insurance in 2014?

I think it means we're in for a couple more years of famine followed by a "feast" like the profession has never before experienced.

Pedi - I guess you were responding to Mica? I wouldn't say that my lead instructor was "all over the place" - she was one of the best college instructors I've ever had, (and this isn't my first time in college, so I've seen a few!). That said, if someone told me they got a bad instructor, I'd be inclined to believe them - every nursing class has a half-dozen other instructors attached (for labs and clinicals) , and luck of the draw applies there.

Sorry, yes, I was responding to Mica, who has sent me an email to which I will respond. Oh, I believe that there is a difficulty with this particular instructor, I had her, I know EXACTLY who it is. I am also hearing the same complaints from others in the class, which, by the way are familiar as I heard them during my course as well. You can't change who the instructor is, so I am just hoping to give a little perspective so others can get thru like I did. Good luck to all.

Specializes in ER.

I would like to apply for this program, and am waiting for the next application period. I thought they had a weekend and evening program. I'm a teacher, so this was the only program that would fit with my schedule. Did you go for two summer semesters? Or just start during the summer?

I would like to apply for this program, and am waiting for the next application period. I thought they had a weekend and evening program. I'm a teacher, so this was the only program that would fit with my schedule. Did you go for two summer semesters? Or just start during the summer?

Both summer semesters for block one - but we were told they don't normally do a summer session...

Specializes in ER.

That's really interesting because I"m a teacher, and the reason I was looking at Gateway was because of the schedule issue. I wonder if they'll be offering it again. Did you apply just like everyone else? or did you go through the program through one of the Phoenix works or job training programs?

miteacher, there may be a confusion going on. No Gateway does not normally do "summer session" the accelerated LPN program starts/ends earlier than the traditional program, i.e. we actually started two weeks earlier than the traditional program. They do have nights lecture/lab with Saturday 12 hr clinical. If this is what you are looking for then apply for the program.

Specializes in Cardiac Care.

Haha it sounds like the Sims are the same each semester! They've changed a few things since I graduated in December of 09 it seems with regard to practicums and the like. But overall the program is the program.

Congrats and good luck in Block 2!

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