All Nepali nurses who want to go to UK need to read this

UPDATE June 2019 if you need to spiff up your spoken English especially “medicalese” click here and learn an easy trick:

Summary: even if you do not read all the way to the bottom, click here to go to the FaceBook page for The Center for Medical Simulation Pvt., Ltd and click on “like.”  Also, subscribe to this blog for further entries on simulation learning in Nepal.

“Simulation Learning” has jumped to the forefront of education for health professions in Kathmandu.

In BBC news from August 27, 2014, there was the following article: (look for the sections in BOLD – I added those for emphasis)

Nurses and midwives who complete their training in hospitals outside Europe will now face shorter tests to check they are fit to work in the UK.

The Nursing and Midwifery Council (NMC) says its plans include a computer-based exam and tests in simulated clinical scenarios.

And the regulator says these will replace the minimum three months of supervised practise currently required.

But nurse leaders warn they need more details to confirm checks are adequate.

At the moment nurses and midwives who have trained overseas make up about 10% of the workforce registered to work in the UK.

Around 1,000 nurses a year come to work in the UK from outside the European Economic Area – the majority from Australia, India or the Philippines.

‘Agile process’

The NMC says one of the reasons behind the change to assessments is that the current supervised placements – which can last between three months and one year – are not fast enough to meet demand.

The regulator says the system is “not agile enough for employers who need to recruit quickly.”

And the experts report applicants have had difficulties obtaining places on the programme, as they are in short supply.

The new tests, planned to start in the autumn, consist of two parts:

  • A computer-based multiple choice exam, discussing various situations
  • Observing applicants during simulated healthcare scenarios
Nurses and midwives who have trained overseas currently make up about 10% of the workforce

Similar checks have already been adopted by other healthcare regulators, according to the NMC.

The regulator says: “This will ensure the hundreds of nurses and midwives who trained overseas and wish to practise in the UK are assessed in a a proportionate and robust way, in order to protect the public.”

Jackie Smith, the NMC chief executive, said: “The new system will not replace the need for employers to ensure that the staff they recruit display the behaviours, skills and knowledge necessary for the specific role to which they are recruited, and provide further support and development as required.”

‘Dedicated workers’

Janet Davies, executive director of nursing at the Royal College of Nursing said: “Health care in the UK relies on the hard work and dedication of many nurses who trained overseas.”

“These proposals may well form part of a more robust and consistent mechanism for ensuring that nurses who work in the UK are equipped to practise in the UK.

“However, we need to know more about how nurses will be evaluated as part of this system before we can judge whether or not the system is adequate.

“Whether nurses come from the EU or the rest of the world, it is vital that employers are recruiting them for the right reasons and supporting them when they get there.

“Too often, nurses are recruited from overseas to fill short term gaps and given inadequate support to care for patients well.”

Official figures suggest some 67,000 nurses and midwives who completed training outside Europe currently hold NMC registration.

This adds to the present workforce of more than 600,000 nursing and midwifery staff who have trained within Europe and gained registration with the UK regulator.

summary: even if you do not read all the way through, or if you do not look at the links highlighted in blue, go to the FaceBook page for The Center for Medical Simulation and hit “like,” so you will get future announcements.

News: You won’t be able to get a UK license unless you can pass a simulation learning exam.

Right now, there are only two places in Kathmandu where nurses can learn about simulation learning.

the first is CCNEPal. This is a small NGO that provides one specific course – Cardiac Life Support. In this course, CCNEPal uses techniques borrowed from the American Heart Association to focus on lifesaving skills including ecg, protocols, Basic Life Support, and teamwork. CCNEPal trained 534 nurses in 2013 and CCNEPal is on track to train 600 more in 2014. CCNEPal has posted a number of videos of their project on YouTube. Click here to see the longest one. We do scenario-based training, and small group work is a big part of what we do.

Simulation learning usually is a surprise to Nepali nurses. Click here for a short video in Nepali Basha in which one nurse tells her reaction. Or maybe click on this one…. or this one … Or just find somebody who took the class and ask them.

Announcing The Center for Medical Simulation

The second is The Center for Medical Simulation, Pvt.,Ltd., which will be having it’s grand opening in late September. The Center for Medical Simulation, Pvt., Ltd is now undergoing the final stages of construction, but it is a state-of-the-art facility on  par with anything on Planet Earth. I have toured their place in Dillibajar and It’s going to be a fine location for learning.

disclosure: I do not have any financial stake in Center for Medical Simulation. I am serving as a volunteer consultant for them on an UNPAID basis. My opinion is my own and has not been influenced by them other than the fact that I have discussed with them their plans. For me, I have worked with simulation in both USA and Nepal, and I am writing this because Center for Medical Simulation is going about it in the right way.

The Center for Medical Simulation is on the fourth floor of this buiisling in Dillibajar, right where the second row of windows is open.

The Center for Medical Simulation is on the fourth floor of this building in Dillibajar, right where the second row of windows is open.

The Center includes classroom space and also will have a “3G Sim Man” – the fanciest patient simulation manikin ever devised. But even more importantly, the Center will be managed by a nurse who is familiar with simulation learning and who got a BSN in USA (even though she is Nepali.) Srijana Kansakar will be guiding a trained staff to help nurses learn how to achieve in simulation, and – to enjoy it. Each simulation experience will be carefully designed from an educational perspective to give you confidence and skills.

Medical Training too

back to CCNEPal and our mission. Our goal is to advance the quality of medical care during critical situations, and to train both nurses and doctors. CCNEPal courses fit the needs of Nepal, but they do not lead to “official certification” from the  American Heart Association (it’s expensive due to the equipment). Obviously, we want the highly-skilled professionals to stay in Nepal, but for many young doctors the career path is to learn in USA, UK or Australia for awhile before returning. The word is, they will compete for abroad residency better if they have ACLS certification and are able to do simulation. for that reason, The Center for Medical Simulation is offering courses leading to official certification in ACLS, BLS and other areas. The Center for Medical Simulation has invested the funds needed to provide an “official course.” And yes, they will charge a fee.

Grand Opening

The Center for Medical Simulation will host short talks about their mission, during their Grand Opening in late September, 2014. Click here to get added to the Center for Medical Simulation FaceBook page. You will be able to get info on the Grand Opening and other events.

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.
This entry was posted in nursing education and tagged , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s