part two of debriefing video is now on YouTube July 25th 2015

This will be brief. please read the blog entries over the past few months that address the issue of thrashing of health care workers in Nepal. It’s something every Nepali nurse or doc needs to be aware of.

Ke garne?

You can not always control the behavior of an upset family or crowd of people, but you can become “street smart.” You can analyze the security needs of a workplace. You can set things up so that access is controlled and activities are monitored. You can work with the chowkidars so they know their role. You can identify when the situation is escalating, and how to de-escalate. You can help the family grieve appropriately and stay safe.

First, the scenario itself:

Next the first part of debriefing in which the actors told what they thought:

Now, the debriefing response by the teachers:

click here for the link.

Chitwan Medical College in Bharatpur, where this was filmed, is among the top tier of Teaching Hospitals in Nepal. I appreciate their willingness to do this. They are a training resource for the country.


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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