Author Archives: Joe Niemczura, RN, MS

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.

Report of Summer 2017 CCNEPal sessions in Nepal


Packing up for a long flight This is a quick summary of activities for summer 2017. The trip this year would not have been viable without the support of a GoFundMe campaign, to which thirteen people contributed. The campaign allowed me … Continue reading

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Any USA acute care pediatric nurses out there? plan now for summer 2018 in Nepal!


You are now reading the blog to accompany a project that trains Nepali nurses and doctors in critical care skills using a 2- or 3-day course based on the American Advanced Cardiac Life Support (ACLS) course. ( let me be … Continue reading

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Revised Schedule for Summer sessions of CCNEPal 2017


Three weeks shortened from end of schedule Updated June 24th I need to update my schedule. I cancelled all the previously-scheduled sessions outside Kathmandu Valley  after June 23rd. I gave the talk in Kirtipur, and will deliver the sessions listed below. I … Continue reading

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Don’t put 10 cc air in the cuff of any endo-tracheal tube


Use the minimal-leak method instead. Described below. In a recent blog, I got lots of hits but very few clicks on the actual video. I decided to rewrite this to focus only on this one specific issue. Summary: Here is a … Continue reading

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You are invited to a talk June 21st about Thrashing, plain and simple


Who: Joe Niemczura, RN, MS Principal faculty of CCNEPal What: Public lecture Violence Against Health Care Workers in Nepal and what can be done about it When: Wednesday June 21st from 2 PM to 3, then Q & A afterwards … Continue reading

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about mechanical ventilator patient in Nepal


Update:  This one got hundreds of hits, but few clicks on the video and I think I needed to be more focused. I made a separate entry to focus just on the ET tube cuff volume issue.  CLICK HERE for … Continue reading

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CCNEPal critical care training update June 7th 2017


June 7th update We’re about to begin this year’s only session in Pokhara. This is my fifth trip here – I spent two weeks in 2016 and led five sessions. Charak Hospital is the venue, and the training hall is … Continue reading

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