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 of critical care nursing training during this trip, for example I will do a five-day version for the 30 B.N. students here at LNC. I will also go to places outside the Valley. But the final roster has 75 students as well as another American expatriate from Florida named Shirley Evans who has taken time from her own teaching to join this. They came from many neighborhoods of Kathmandu and represent many hospitals. 

As you know, I enjoy the little moments of cross-cultural insight, and one such happened today. As a point of emphasis I sometimes ask the students at UH to put their hand over their heart and promise something (such as “I will always look under the covers….” Or ” I will never leave the floor without telling somebody”). I attempted to do that here. But people in Nepal do not do it that way.

“Okay, well what do you do instead?” To the uproar of the class, a brave student showed me a particular set of gestures. “What was so funny?” Turns out this is what schoolchildren use at play. The phrase that goes with it is the equivalent of “cross my heart and hope to die”, but the literal translation is more “I promise to do this or may I develop mumps” which is of course more colorful.

O what joy.

 I love the nuances of body language and these little things. I try to throw in some Engpali when apropos.

Even the DBT for lunch, was better than average. My host NGO has been wonderful to me. Am tired but happy. Got a lot of administrative work to do but after six months of planning, we are on the bus here in Kathmandu.

The physical building is a palace leftover from the “Rana Era” and everyone seemed to know exactly which member of the Rana dynasty lived here (name escapes me right at this moment). This is the former ballroom, in all it’s unreconstructed grandeur.

crystal chandelier. balcony. pressed tin walls. enjoy.

This YouTube video gives an idea of the classroom we are using. A unique space. I think the Webster Hall renovation at UH should be revised so that we too can have a nice place like this!

Am happy. today I reconciled the list of registratnts with the list of those who paid, and it all came out balanced. hooray!


About Joe Niemczura, RN, MS

These blogs, and my books, and videos are written on the principle that any person embarking on something similar to what I do will gain more preparation than I first had, by reading them. I have fifteen years of USA nursing faculty background. Add to it fifteen more devoted to adult critical care. In Nepal, I started teaching critical care skills in 2011. I figure out what they need to know in a Nepali practice setting. Then I teach it in a culturally appropriate way so that the boots-on-the-ground people will use it. One theme of my work has been collective culture and how it manifests itself in anger. Because this was a problem I incorporated elements of "situational awareness" training from the beginning, in 2011.
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2 Responses to First Day of Critical Care class – the “Main Event” of this particular three-ring circus

  1. manisha parajuli says:

    Ya! dat was a great day and thoroughly enjoyed ur classes.hoping for same excitement in further classes.thanku for ur sincere guidance to us.

  2. okay, by popular demand, the video that includes the gesture…

    cross your heart……

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