Author Archives: Joe Niemczura, RN, MS

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.

Arranged Marriage with Nepali guy in USA on H1-B visa? read about the H4 visa issue, here


As you know, I travel to Nepal to teach critical care skills to nurses and doctors. My goal is to improve the skill level and have a positive impact on health outcomes in Nepal. One of the challenges for me is … Continue reading

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Nepal nurse takes NCLEX and the result is……. ????


Seems like every Nepali nurses is curious about NCLEX A Nepali nurse-friend now in California told me she passed NCLEX, and I invited her to write a guest blog. It’s lightly edited  – I broke it up into more paragraphs … Continue reading

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


  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 … Continue reading

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what you need to know about Scrub Typhus in Chitwan, Nepal Oct 11th 2016


http://emedicine.medscape.com/article/971797This caught my eye yesterday: RATNANAGAR, Oct 10: As many as 59 new cases of scrub typhus infection have been reported in Chitwan district in Asoj, pushing the number of patients in the district to 264 in the last six months. … Continue reading

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CCNEPal goes to Norvic Hospital, Kathmandu August 2016 – some pics


In August 2016 CCNEPal conducted a session of the three-day course at Norvic Hospital in Thapathali, a neighborhood of Kathmandu right near the river. This was not the original plan, but turned out to be fortuitous and fun. Web page … Continue reading

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चरीकोटमा भएको जस्तो हमलालाई कसरी टार्न सकिन्छ ?


ग्रामिण क्षेत्रमा स्वास्थ्य सेवा उपलब्ध गराउँने चिकित्सकहरू को हुन् ? नेपालमा एमबीबीएस डिग्री एउटा स्नातक तहको चारवर्षे कार्यक्रम हो जसको अन्त्यमा एक वर्षे इन्टर्नशिप गर्नुपर्ने हुन्छ। चारवर्षे यो कोर्श अत्यन्त प्राज्ञिक खालको छ र यसमा पढ्ने र परीक्षा लिने विधिमा … Continue reading

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About the Charikot Incident, Sept 28th 2016


Sept 30th update and correction The post below was written shortly after I learned of the events in Charikot. Turns out the patient was two-and-a-half years old, not a newborn. There have been other developments – all the doctors have left; … Continue reading

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