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Tag Archives: critical care nursing
Ten Rules to Prevent Thrashing of Doctors in Nepal
Update October 2nd 2016 In Charikot, Dolkha district, there was an “incident.” I do not pretend to know the details, but one pertinent feature was publishing a videotape of the doctors involved, apologizing for what happened. Fortunately, these particular doctors … Continue reading
How to register for critical care training sessions in Pokhara May 2016
UPDATED with more specific info Wednesday May 4th and 12th ACLS training registration can be done at: Registration desk Paschimanchal Community Hospital Buspark, Prithvichowk, Pokhara – 9, Kaski, Nepal. Phone no. 061 530722 Email: pchospital2071@gmail.com Please share widely. CNEPal will … Continue reading
part 2: teaching critical care nursing in Low Income Countries. “Is there a problem, Officer?”
first – buy my second book. It’s a novel, but it will give you a realistic picture of what it’s like to be in a hospital in a Low Income Country. “Whether the events happened or not, it’s truth with … Continue reading
CCNEPal 2014 is counting down the days
Quick summary I bought my ticket for the 2014 trip. I leave from USA May 24th and I arrive in KTM May 26th at 0830. The plan is to continue teaching critical care nursing skills. I have been working to … Continue reading
New Name for this blog will be CCNEPal 2014
short announcement. The name of this blog will be changed to reflect the upcoming trip to teach critical care nursing in Nepal 2014 – not the past. yesterday is gone. we won’t get it back. on to the future!
Posted in medical volunteer in Nepal
Tagged ACLS in Nepal, CCNEPal 2013, CCNepal2013, critical care nursing, global nursing, Joe Niemczura, Nursing in Nepal, volunteer nursing in Nepal
Comments Off on New Name for this blog will be CCNEPal 2014
CCNEPal plans for 2014
time flies It seems like I only got home to Hawaii yesterday, but will be leaving for Kathmandu tomorrow. In truth, there are seven months before summer 2014 break. In the past I start planning in November or thereabouts. There … Continue reading
Links about burn care in Nepal.
Thermal Injury A friend of mine in Nepal is doing a BN nursing project on burn care in that country. For me, burn care is an indelible memory of bedside nursing on my trips there. I wrote about it in … Continue reading
Preliminary report of CCNEPal 2013
Preliminary report of CCNEPal 2013 The CCNEPal 2013 summer critical care nursing project is winding down. A single one-day training event remains, then we pack up our tents. This was an extension of the 2011 summer program which trained 190 … Continue reading
i need help from all nepali nurses august 2013
Thinking of the future Please help me. How can we make it so that every nurse in Nepal is comfortable with skills of emergency response? I want to know! CCNEPal 2013 In two weeks I will get on the plane … Continue reading
the key to ecg for acls is – the six basic rhythms
Onliest six rhythms Yes, Virginia, there are only six cardiac rhythms. The protocol is based on this construct. Believe and achieve! Just a quick note to accompany this YouTube link. You can practice mega-code without a fancy manikins and fancy … Continue reading
anatomy lab in our threeday course
Nurses fascination with body organs Been teaching critical care skills on & off since 1980. Years ago (was it 1985? 1992?) I had this idea to include an actual anatomy lab when I do these short courses on critical care. … Continue reading
Posted in The Hospital at the End of the World
Tagged ACLS in Nepal, critical care nursing, phokso
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Measuring an ICU in nepal
1958 A recent article about Critical Care in Nepal asserted that the best ICU ever established in the country was one which existed in 1958. Really? Baseball in USA I wonder when I read such things. “It was better in … Continue reading
June 16th in Pokhara
the two sessions in Bharatpur are in the books now, and I had a great week there. There are too many highlights to mention, but the program was enthusiastically received. In each place I deputized members of the class to … Continue reading
May 31 about Advanced Life Support in Nepal
Please share this widely, among every nurse you know. I welcome your comments. Be sure to click on the hyperlinks, I spent time putting them in and some are meant to be fun. Update – for the sessions to be held at … Continue reading
about fear of participating in ACLS
Fear of ACLS My blog post yesterday was prompted by a nurse who said she was afraid of doing ACLS. She felt fear. Ahhhh… I know this fear……. we all do. I suppose more questioning is needed. We are dealing … Continue reading
May 19 about teamwork in critical care nursing
And here in Kathmandu we begin teaching this week CCNEPal 2013’s first 3-day course will begin tomorrow. Most of our courses will be open to “the general public” of nurses – I promise that there will be a registration process … Continue reading
Posted in nursing education, The Hospital at the End of the World
Tagged ACLS, ACLS in Nepal, ACLS teamwork, Advanced Cardiac Life Support, can teamwork be learned?, CCNEPal 2013, code blue teamwork, commuication among ACLS team, critical care, critical care nursing, defibrillation, fear of failure during ACLS, Heart Association teamwork rules, how to teach teamwork skills, mega-code
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Hour-by-hour description of Critical Care Response Training for Nurses
NOTE: we are beginning to schedule the actual sessions for the 3-days course, and the first host agency asked me to supply a detailed hour-by-hour description of the class. I am posting it here as well so as to inform … Continue reading
CCNEPal 2013 – gearing up for summer 2013
We now have an official name for this project. Previously I have just called it Kathmandu Critical Care Nursing Education summer 2013. It will now be called CCNEPal – Critical Care Nursing Education Project Nepal which will be more “catchy” Summary: Until … Continue reading
The Most Interesting Man in the World?
Indulge me in a pleasant fantasy…. Surely you have seen this TV commercial? The Stay Thirsty Grant Here is the truth: I probably am actually pretty boring, if the truth must be told. But there is one thing I do that … Continue reading
Posted in medical care in low income countries, medical volunteer in Nepal, nursing education, The Hospital at the End of the World
Tagged Advanced Cardiac Life Support, adventure travel, critical care nursing, Dos Equis beer, global health nursing, Joe Niemczura, mega-code, Nepal nursing volunteer, Stay thirsty grant, the most interesting academy, the most interesting man in the world, volunteer nursing in Nepal
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Link to the Professionally-edited YouTube Video
please consider subscribing to my current blog, Honolulu 2011-2012 A late entry to this blog. One day a professional photojournalist came to class. She took footage of the mega-code drills, including small teams working on resuscitation protocols. She also interviewed me. She … Continue reading
Posted in nursing education
Tagged ACLS, Advanced Cardiac Life Support, code blue team, critical care nursing, global nursing, globnal nurse migration, ICU, Joe Niemczura, Kathmandu, Laerdal manikin, Lalitpur Nursing Campus, mega-code, mock code, nursing education, nursing school survival, Sim-Man, simulation in nursing education, simulation learning, The Hospital at the End of the World, translational health science
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The Secret of a Good Professional Curriculum Vitae and other fallacies
please consider subscribing to my current blog, Honolulu 2011-2012 Curriculum Vitae Was toying with how to describe this summer’s project in my CV, and the spectrum of descriptors extends to the horizon in both directions….. it can be anything from … Continue reading
Posted in scholarly work, The Hospital at the End of the World
Tagged academic publishing, cover letter tips, critical care nursing, curriculum vitae, CV, first nursing job, how to write a CV, Kathmandu, Nepal, Nurse credentialling, nurses professional resume, nursing career advice, nursing job search, publish or perish, tenure, tenure-track
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Presenting the certificates, tying it up with a red ribbon
The Final Exam Yesterday was the final exam for the big Wednesday class, I made 75 copies of the exam but didn’t really expect everyone to attend. 73 showed up. There was load shedding when we arrived and the classroom … Continue reading
Tie a Yellow Ribbon Round the Old Oak Tree
Tie a Yellow Ribbon Round the Old Oak Tree…. I don’t particularly listen to country music, but the old chestnut from Tony Orlando and Dawn http://www.youtube.com/watch?v=rBL2kzKg4nY has been going through my head to day, and I were in Honolulu I would … Continue reading
Posted in The Hospital at the End of the World
Tagged ACLS, Advanced Cardiac Life Support, adventure travel, asian travel, Boudhanath, critical care nursing, global nursing, ICU, Joe Niemczura, Kathmandu, Marco Polo, medical misson, Nepal, nursing education, simulation learning, Three Cups of Tea, Tie a Yellow Ribbon Round the Old Oak Tree, Tony Orlando
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Joe puts on his matador’s hat and Suit of Lights
“A Man Without a Cross” Each cohort of students this summer is a book on my shelf. A handsome cover beckons to us – nice words on the back – The first line of the first page draws us in … Continue reading
Joe is just as pretty as he always was, and wins a beauty contest to prove it
Time Travels back and forth The dilemma is always whether to use this as a chronology or not. Yesterday was a get-your-chores-done kind of day, picking up photocopying for my last cohort, meeting with people to plan events, grocery shopping, … Continue reading
Posted in nursing education, The Hospital at the End of the World
Tagged ACLS, Advanced Cardiac Life Support, critical care nursing, functional nursing, global nursing, ICU, Joe Niemczura, Kathmandu, Laerdal, Nepal, nursing education, Patan Hospital;, resusci-Anne, Sim-Man, simulation learning, Tribhuwan University Teaching Hospital, Ugly American
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The purpose of a Final Exam and other pedagogical mysteries
please take a look at my current blog, and consider subscribing The Party’s Over….. The Big Class finished the eighth of our weekly teaching sessions Wednesday, July 20. Sixty two nurses in attendance despite the heavy rain. The rain did … Continue reading
Three Cups of Tea in Kathmandu Nepal
please consider subscribing to my current blog Daybreak sounds of urban Nepal In the sleepy mornings of Jawalekhel, somebody about a block away meditates each day using a base drum and another instrument that chips away rhythmically with a hollow almost-Cuban … Continue reading
Posted in nursing education
Tagged ACLS, Advanced Cardiac Life Support, Bir Hospital, CPR mannikins, critical care nursing, global nursing, ICU, Kathmandu, Kathmandu earthquake, Laerdal, Nepal, Nepal earthquake, nursing education, Pashmina, Sim-Man, simulation learning, Three Cups of Tea, Tribuwhan University Teaching Hospital
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“The Wise Men Say There’s a Thousand Ways to Kneel and Kiss the Ground”
Nancy Harless was right when she said “Joe! Stop and smell the incense!” The title of today’s blog comes from The Gathering of Spirits, a wonderful song by Carrie Newcomer, one of my favorite singer/songwriters. Birthdays and Anniversaries A year … Continue reading
Posted in The Hospital at the End of the World
Tagged ACLS, Appalachian Trail, Carrie Newcomer, critical care nursing, karma, Kathmandu, Long Trail, monsoon, Nancy Harless, Nepal, nursing education, Patan Hospital;, Peter Niemczura, Shenandoah National park, simulation learning, singing bowl, Thangka, The Gathering of Spirits, Urban hiking, volunteer nursing in Nepal
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The Light at the End of the 2011 Tunnel for Kathmandu Critical Care
Pani 6 It’s raining as I write this, cool and delightful weather. The fridge at the Guest House was repaired while I was gone, I cooked spaghetti and meat for myself last evening. I am sharing the Guest House with … Continue reading
not sleeping alone in Bharatpur
Let’s start a nursing school Okay, so one missing piece of the economic puzzle is why there are so many B Sc nursing schools being started in Nepal. There is a rush of new programs on the books in Nepal. … Continue reading
Posted in The Hospital at the End of the World
Tagged ACLS, Charles Marlow, chitwan, christian missionaries, Congo Brazzaville, critical care nursing, gekko, honey hunters of Nepal, ICU, Kathmandu, Nepal, nursing education, nursing school accreditation, nursing school loans, nursing student, one-horned rhinoceros, The Heart of Darkness
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At Times Like These, I want My Mommy….
please consider subscribing to my current blog, Honolulu 2011-2012 Floating in space and time – You can think of a blog as a diary from one day to the next in which case there will be an ongoing stream of … Continue reading
Posted in nursing education
Tagged blogging, critical care nursing, diarrhea, food poisoning, Jason Waechter, Joe Niemczura, Kathmandu, Lalitpur Nursing Campus, linear time, mega-code, Nepal, Oprah Winfrey, papparazzi, People Magazine, teachingmedicine.com, The Hospital t the End of the World
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Male Nurses in Nepal – The Topic of Which We Dare Not Speak.
please consider subscribing to my current blog, Honolulu 2011-2012 Caveat: In this blog I am about to divulge something I generally refuse to discuss. Nowadays the youth of today have a term they call a “rant” – meaning, a diatribe … Continue reading
Posted in nepali culture, nursing education
Tagged American Assembly of Men in Nursing, assertiveness, critical care nursing, Deb Tannen, doctor-nurse game, feminism, gender roles, ICU, male nurse, male nurses, male nurses in Nepal, men in nursing, MinorityNurse, Nepal, Peggy Chinn, role socialization, role theory, sexism, sexual harassment, social etiquette, the doctor-nurse game, You Just Don't Understand
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How to Measure Health Progress (when we are all going to die)
Getting out of the Silo Something I liked about the medical community of Mission Hospital at Tansen was the accessibility of doctors and nurses to each other, something not common in Nepal, but for that matter, not common in most … Continue reading
Posted in The Hospital at the End of the World
Tagged brucellosis, church planting, critical care nursing, culture shock, global nursing, Kathmandu, lief expectancy, Loaves and fishes, lost nations, medical mission, missionary zeal, Nepal, nursing education, re-entry shock, Redington-Fairview General Hospital, Rick Warren, Samaritan's Purse, Skowhegan, Tansen Mission Hospital, The Troubles, Thomas Hale, transcultural nursing, Tropical medicine, United Missions to nepal
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Itching for something…..
An Ominous Silence? Okay, so I realize I have gone a couple days without an official blog entry…. Or an email to my support group ( that would be – you). I realize that if I ever truly get sick, … Continue reading
Posted in south Asia
Tagged Aawaaj, ACLS, arranged marriage, critical care nursing, dengue, Domestic Vioolence in nepal, dowry, Lalitpur, malaria, Mechhandranath, Patan Hospital;, slingshot
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A Hindu Wedding in Old Kathmandu, brass band, raksi, and mother-in-law
Start off with some puffery: There are hundreds, perhaps thousands of foriegn medical volunteers who come here, but not very many get a newspaper article written about their project. Here is one about me. I am flattered, of course. Chuba part … Continue reading
Posted in nepali culture, The Hospital at the End of the World
Tagged ACLS, Brass Band, busking, Chuba, clarinet, critical care nursing, Everest Brass Band, gypsy wedding, Heather Ericson, Hindu Wedding Brass band, Joe Niemczura, Kathmandu, Kathmandu Monsoon, Nepal, Rom wedding, Sudarshan Pariyar, The Hospital at the End of the W, wedding band
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Becoming a TV celebrity in Kathmandu
X-ing off days on the calendar. In 2007 I bought a brown leather diary in which to write every day for my first adventure to Nepal, and I filled 198 pages of it by the end of the time, single … Continue reading
Posted in The Hospital at the End of the World
Tagged critical care nursing, Kathmandu, Nepal, nursing education
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Smart Phones rule the world
Day Three in Bhairawa – If you haven’t been to the YouTube channel, check it out – I uploaded a nearly-six-minute Mega-code video last evening. Go to youtube and type in “Joe Niemczura” – it’s the Joe Niemczura channel! And … Continue reading
Bhairawa side-trip day two – not on the weather channel
Rickshaw part one Didn’t actually leave the Guest House until 0700, left my A/C room and stepped out into the hazy languid mugginess that is the Terai. Immediate bath of sweat. A beautiful flutelike sound of a bird I could … Continue reading
Posted in The Hospital at the End of the World
Tagged ACLS, bandh, Bhairawa, critical care nursing, ICU, nursing education, rickshaw
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Tales of the Terai, Day Two in Bhairawa Nepal
So they tell me it was 39 degrees here yesterday. Thank God the classroom was air conditioned, although it was being stressed by the work it was doing. I had to Google a temp converter. Yes folks, 102 and it … Continue reading
Dinner at Nine in the Terai
Dinner at Nine A gentle tap on the door promptly at nine PM, and I was summoned to join the other Universal College of Medical Sciences (UCMS) Guest House residents around the formal dinner table for the meal. T-shirt and … Continue reading
The Pirates of Kathmandu
please consider subscribing to my current blog, Honolulu 20110-2012. click on the link and then click on the “sign me up” box on the right. it’s easy! Being a Tourist now and again Nice day Friday the 17th, enjoyed Swayambu … Continue reading
Posted in medical care in low income countries, The Hospital at the End of the World
Tagged ACLS, Bhairawa, book publishing, critical care nursing, global nursing, international copyright, motion sickness, Nepal, nursing education, pirated books, pirates, Swayambunath Stupa, The Hospital at the End of the World
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definition of a “slum”
Further Adventures in documents Thursday I got my visa renewed. On arrival I only had the cash for a one-month visa due to my book-shipping problem, and now I am legally here til I leave Aug 2nd. The visa cost … Continue reading
Is ACLS ever “Warm and Fuzzy?”
Bandhs as a fact of life Tuesday late afternoon before Wednesday’s daylong class, I was eating with a friend who casually mentioned there would be a three-day bandh. Oh no. My plans for the once-a-week class do not allow for … Continue reading
Posted in nursing education
Tagged ACLS, bandh, critical care nursing, end-of-life, hospice, ICU, monsoon, Nepal, nursing education, Pablo Casals, rice paddy, Terai, Wynton Marsalis
2 Comments
Disseminated Intravascular Coagulation and other public spectacles
In previous blogs I have teased you a few times by saying someday I would tell the tale of a particular death at Mission Hospital; now is a good time to share. Oh, I had already been teaching certain specific … Continue reading
Posted in The Hospital at the End of the World
Tagged ACLS, critical care nursing, global nursing, ICU, medical mission, Nepal, nursing education
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The Truth About Butterflies. duuno why I did this, but – I did.
So I just posted the blog about yesterday’s class, this morning but feel energized right now so I am jotting down today’s while it is still fresh. As we ended the class Friday, the students had wheedled about dispensing with … Continue reading
The first group of little birds will now leave my nest
One more day and then the first cohort, fifteen BN students will be “done” with the training. These guys stuck with it, and still had some panache left at the end. Four more such groups will join them over the … Continue reading
Posted in nursing education
Tagged ACLS, critical care nursing, mega-code, Nepal, nursing education
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A break in the teaching marathon. ABGs in KTM.
My six-day teaching marathon is now history. Tomorrow is a day off, then two more days in which I will wrap up the fist of my five cohorts of students. There will be other similar weeks in which I teach … Continue reading
Do you ever have a “Theme Song” for an event in your life?
I am a musical guy. For each previous trip to Nepal I have had a piece of music that somehow becomes ubiquitous – a theme song. What’s the role of music in your life? In 2007 the theme song turned … Continue reading
Initiation into the tribe of Critical Care Nurses starts – now…..
Hey, check out the Joe Niemczura channel on YouTube! http://www.youtube.com/Joeniemczura Thursday I made just a small entry into the blog, a sort of tease I suppose – brief. What’s the ideal length of these posts anyway? My former clinical students … Continue reading
Posted in nursing education
Tagged ACLS, bahadur, critical care nursing, critical thinking, defibrillation, ecg rhythm analysis, global nursing, joining a cult, Kathmandu, LNC, mega-code, Nepal, nurse burnout, nursing education, Redington-Fairview General Hospital, RFGH, Robert W Kaschub MD, role socialization, tribal initiation
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First Day of Critical Care class – the “Main Event” of this particular three-ring circus
I will revise this in the next day or two unless of course I just add another one altogether – – – June 1st was the first class meeting of “the main event“. I will be doing other adapted versions … Continue reading
Posted in nursing education
Tagged ACLS, critical care nursing, global nursing, ICU, Joe Niemczura, Kathmandu, Nepal, nursing education, transcultural nursing
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Impact of Facebook. Meeting my Students
please consider subscribing to my current blog, Honolulu 2011-2012. when you get there, click on the little box to the right that says sign me up. Used to be: You’d have an overseas experience and return home. When you were … Continue reading
Posted in nursing education, The Hospital at the End of the World
Tagged ACLS, Bir Hospital, Brad Wong, burn nursing, critical care nursing, FaceBook, global nursing, ICU, Mr Chips, nursing, nursing education, pediatric burn care, The Hospital at the End of the World, We Band of Brothers
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Bringing 115 kg of books to Kathmandu and other travails
Arranging and re-arranging boxes of books in my office Monday the 16th of May I got to the office early and did my last minute re-arranging of items and boxes. As you know, I collect donated nursing textbooks. At one … Continue reading
Posted in nursing education, The Hospital at the End of the World
Tagged college road trip, critical care nursing, donating meddical euqipment to low income countries, Einstein's last blackboard, global nursing, international development, medical mission, nursing, nursing education in developing countries, SNEHA, Society of Nepalese in Hawaii, university semester break, used nursing textbooks
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Reprint of Interview with Joe Niemczura published in “Imprint” regarding volunteer nursing in Nepal
Editor’s note: Joe Niemczura, RN, MS teaches nursing at the University of Hawaii in Honolulu. He has also taught nursing in a rural area of the Himalayan country of Nepal. Joe was the keynote speaker at NSNA’s 2010 mid-year convention. … Continue reading
Posted in Buddhism, medical care in low income countries, nepali culture, nursing education, south Asia, The Hospital at the End of the World, travel
Tagged burn care, critical care nursing, culture shock, Doctors with out Borders, global nursing, Haiti earthquake volunteer nursing, Hurricane Katrina, ICU, Kathmandu, Medical mission work, medical missions, Nepal, NSNA Keynote speaker 2010, nursing, nursing volunteer in Low Income Country, re-entry shock, snakebite, snakes, thermal injury, travel, volunteer in Nepal
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Twelve steps to prepare for global health nursing
reprinted from something I wrote for one of the publications of the American Nurses Association. ++++++++++++++++++++++++++++++++++ Your nursing skills are your gift to the world. Take these steps to prepare to use them in a foreign culture. More American nurses are … Continue reading
Posted in medical care in low income countries, nursing education, The Hospital at the End of the World
Tagged adventure travel, cholera relief, christian missionary, critical care nursing, culture shock, Doctors Without Borders, global nursing, Haiti earthquake, Kathmandu, medical missions, Nepal, nursing volunteer, re-entry shock, Samaritan's Purse, transcultural nursing, travel style, vagabond travel, where there is no doctor
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reprint of 2008 meningococcal meningitis episode
Looking through old emails I cam across this, and thought I would share it…. something that happened in 2008 but is fresh in memory….. it’s an email I sent to friends at the time…. ***************************** don’t know how to start this … Continue reading
Posted in The Hospital at the End of the World
Tagged ACLS, contagion, critical care nursing, epidemic, global health nursing, handwashing, ICU, isolation precàutions, Joe Niemczura, meningococcal meningitis, Nepal, The Hospital at the End of the World, Three Stooges, universal precautions
4 Comments