Bharatpur/Chitwan is the “Medical City” of Terai part one Oct 11th 2016


 

cmc-master-plan-1

from the CMC website, architects drawing. Like most of the big hospitals, CMC is perpetually under construction. But they are well on their way!

Bharatpur, Nepal is located where the east-west highway  intersects with the highway to Kathmandu and Pokhara. Tourists going to Chitwan National Park to see wildlife go through Bharatpur on the bus. Because of the location, Bharatpur is home to four major hospitals.

College of Medical Sciences Teaching Hospital; (also known as “Purano Medical College”) http://www.cmsnepal.edu.np/

Chitwan Medical College Teaching Hospital; http://www.cmc.edu.np/

the Bharatpur District Hospital http://bharatpurhospital.gov.np/, and

the B.P. Koirala Memorial Cancer Hospitalhttp://www.bpkmch.org.np/

Each of these has their own sprawling complex. There are many smaller ones such as Pushpanjali Community Hospital.

There are fourteen nursing schools in greater Bharatpur.

I’m doing a series of entries on the places I teach when I am in Nepal. I’ve already described Janakpur and Biratnagar as well the National Burn Center in Kirtipur. I would be remiss if I didn’t describe the ones in this city. The challenge is, I spent a lot of time here and I know many people – it’s hard to do justice!

In general, institutions in Bharatpur do not have the kind of hosting arrangements enjoyed by some of the places in Kathmandu enjoy. They all express the interest in developing contacts. If you are from USA and you are looking for a potential partner to collaborate with, Bharatpur is a prime site for such things. Let me know.

img_20160722_163613

This was new in 2016. it’s about one km from CMC.

You can get organic coffee in Bharatpur these days. When I was there in 2016, I learned that CMC is leasing space for a Lavazza coffee café just inside,off the main entrance.

img_20160722_131422

site of future Lavazza coffee shop at CMC lobby floor CMC has also contracted out with a bank to put a branch on the premises, to handle all patient accounts.

Focus on Chitwan Medical College (CMC)

http://www.cmc.edu.np/

img_20140609_080243

the front entrance of CMC. Because CMC is at the top of the hill east of the downtown, it presents an imposing view from far away. this is close and doesn’t do it justice…

the main feature of the ground floor is an interior plaza

img_20140608_085822

looking down onto the plaza from fourth floor. Judging by the uniform, these are MBBS students. It’s a grand spot for morning conference

CMC has four ICUs.

img_20140710_140340

One of the ICUs at CMC. Dust is pervasive in this climate. To enter this ICU requires going through a sort of airlock that keeps the dust down

another ICU. they’ve recently reconfigured their ICUs and relocated.

img_20140710_135508

surgical ICU at CMC

Nisha Bhandari is one of the senior nurses. She helped CCNEPal when we did four sessions in a row to train 120 MBBS sessions, and now she also does inservice training for other activities.

cmc-faculty-development-workshop

CMC’s 2016 faculty development workshop. Dr. Rano M. Piryani, is third from left in front row, he has been strong advocate for critical care skills collaboration. Mr. Siddeshwor Angadi of the nursing faculty s seated o the right end in front row, he’s my main colleague for day to day teaching.

CMC does an annual faculty development workshop for all disciplines.

Health Professional Education and Research Center.

HPERC is a new initiative of CMC. In the Nepali MBBS education system, , each batch of interns leaves for a year or two working as a Medical Officer. There is incentive for them to accept assignment in a rural or under-served area. HPERC is designed to provide Continuing Medical Education to this group, so they will more easily advance to post-graduate (PG) level and ultimately, training as a specialist with the title of “MD”

Ultimately all Medical Colleges are destined to develop a similar setup.

img_20140710_135909

generally the mechanical ventilators are from European maufacturers. Like other major hospitals, CMC has four or five different models.

 

Nurses desk at Emergency Room

img_20140710_133913

this also is well-lit and busy.

a few pictures of emergency equipment setup.

img_20140710_134154

med drawer. throughout Nepal this is the standard setup. somewhere along the way everybody decided to do it this way. note that each ampule sits on cotton wadding to mitigate breakage

and another:

img_20140710_134127

this is what you see when you pull out the drawer.

One of the defibrillators

img_20140710_134059

CMC owns more than one defibrillator, and this time around we used the above for training. It’s not my favorite. The nice one ( Nihon-Kohden) was in use in their cath lab.

tour of fundamentals lab at CMC

tour of midwifery lab part one.  Siddeshwor took me on a tour of the nursing education facilities, in a different part of town from the Teaching Hospital. I’m always interested to see what kind of learning lab they have.

tour of midwifery part two

next

On YouTube I posted a series of interviews with nursing leaders, and here is one with the Matron of CMC. In Nepali.

There are not many psyche nurses in Nepal, and Mr. Ramesh Subba is a resource.

I’ve previously described the AT-35 rhythm generator. The video below shows what it does, I took this at CMC back along.  (2013)

I have more pictures of the training and the people, but I think this is enough for now. I do not conduct sessions at the District Hospital, but I have pictures of it and many of their nurses have previously taken my training when they were students at CMC or CMS.

About Joe Niemczura, RN, MS

Experienced nursing educator and problem-solver. I have fifteen years of USA nursing faculty background. Add it with 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. I travel outside of Kathmandu Valley as well. When the recent violence happened, I knew the cities - I had trained people in those locations. 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. Global Health Nursing is not all sweetness and light; not solely milk & honey and happy moms and babies.
This entry was posted in medical volunteer in Nepal and tagged , . Bookmark the permalink.

One Response to Bharatpur/Chitwan is the “Medical City” of Terai part one Oct 11th 2016

  1. Nancy Kerr says:

    New England journal reports three cases of scrub typhus identified in Chiloe Island in Chile. New dx for south america. We are one world. Article in NEJM on scrub typhus, September 8. Vol 375, no. 10.pp 954-961. Love that tsutsugamushi word.Article has some good pictures. I fly to Chile in a week….Have antibiotics, will travel. Cheers, Nancy

Leave a Reply

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

WordPress.com Logo

You are commenting using your WordPress.com 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 )

Google+ photo

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

Connecting to %s