June 8th 2019 Itinerary Update – sessions available in Kathmandu – let’s talk


I am presently in Bharatpur at “Purano” Medical College, and I just finished the seventh session. As of June 6th, there are 193 certificates awarded.

the class size is thirty. At CoMS we had one batch of 39. Half were MBBS and the other half were BDS. The MBBS group is finishing their program; in one month they take their last exam as an undergraduate then begin their internship year. It is perfect timing for them to be exposed to this skill set. Conscious sedation is used by dentists in Nepal, and so it is advantageous for the BDS group to learn the skills of this course.

Remaining Sessions in Bharatpur

8) June 9th, 10th & 11th h last three-day session for nursing staff at CoMS

9) June 12th, 13 &14th additional session in Bharatpur, for staff nurses and B Sc students of Zonal Hospital and NPI Hospital.

B Sc students in anatomy session of course. For this, we obtain some heart-lung assemblies of goats from local fresh shops and examine cardiac and pulmonary structures. In critical care, it is necessary to visualize what id going on inside the person, (without opening them up to look!) No matter how many books you read or videos you may watch, there is no substitute for examining and handling the actual organs.

Due to the heat and lack of aircon venue I will not be teaching in Butwal this summer, though I love the people there. I will go at some future date during a time of year when temperatures of 40 C are not expected.

June 16th, 17th Last 2-day session at CoMS for MBBS, BDS, Medical Officers

June 18th ( travel days back to Kathmandu and re-settling in location.

June 19th, 20th and 21st National Trauma Center training hall. Three day session for BSc nursing students of Bir College of Nursing )

“Doctor Rajasthani” appears at every session of this course. We do role play and acting. Doctor Rajasthani is the “Senior Doctor” who provides guidance and wisdom when it is needed the most. As for the puggri? we all need a costume. This one was purchased in Jaiselmer, Rajasthan in 2014.

Dates available in Kathmandu are:

June 23rd, 24th and 25th;

June 26th, 27th & 28th;

June 30th, July 1st & 2nd; ( possible at B Sc program in Kathmandu)

July 3rd, 4th & 5th.

Nepalgunj in July

I have always wanted to offer this training in western Nepal but the furthest west I have been was Rupandehi District. I will probably use airplane to get there and back. The weather may impact the final plans and dates.

July 9th and 10th – two -day course for MBBS and Medical Officers (thirty seats)

July 11th and 12th – two-day course for MBBS and Medical Officers (thirty more seats)

July 14th, 15th and 16th – three day course for nurses, especially critical care nurses ( thirty seats)

July 17th and 18th – final two-day session for MBBS and Medical Officers. (thirty seats).

Location – not yet finalized in Nepalgunj.

After July 19th my daughter from USA will join me here and we will do touristy activities.

How to host a training session with CCNEPal summer 2019

Contact me by sending email to  joeniemczura@gmail.com

I will travel to locations outside Kathmandu if the host can do the following:

  1. provide a class space suitable for the program. This  needs to be a big space. We move around a lot during this class. It needs: 1) a whiteboard (I do not use PowerPoint) 2) thirty chairs, 3) five patient beds or trolleys for the role play scenarios. 4) air con if possible. The classroom needs to be away from a patient care area. ( we make a lot of noise).
  2. provide a roster of thirty nurses and/or doctors or MBBS students for each session of two, or three days. Nurses take a 3-day sessions and MBBS take the 2-day/ Each participant must attend all sessions of the same class to get the certificate (in other words, the three day class is a three day class – not three one-day classes). arrange for morning chiya and lunch, if there is not a cafeteria.
  3. The sessions are for PCL nurses, B SC nurses, or MBBS. I do not register ANMs in the class. It’s okay if the person is a recent graduate, but the persons need to be working in acute care or intending to work there.
  4. while at a place outside of KTM Valley, the host provides fooding and lodging. I live simply, it can be at a guest house, no need for finest hotel in town. I eat  DBT etc so I’m okay with local food. At some locations, they lodge me in a private room on cabin ward. ( they do not need to check my vital signs though!)
  5. My preferred schedule is to teach six days per week, either two three-day sessions (for nurses) or three two-day sessions (for doctors). I travel on Saturday and repeat. In summer 2016 I stayed two weeks in Pokhara, two in Bharatpur, two in Janakpur, and three in Biratnagar before returning to Kathmandu.
  6. I try to make a “circuit” of sessions, not go out-and-back from Kathmandu all the time. It’s more efficient.
  7. I supply the certificates. I keep a minimum amount of photocopy but we need about six pages per person.
  8. My Nepali is poor ( I am ashamed to admit). Strange as it may seem, that is not an insurmountable obstacle if there are some English speakers. I adapt my teaching techniques so as to “Code Switch” in a certain way. If a person has no English, this may not be the class for them.

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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