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.

getting a handle on #GlobalSurgery via video links Dec 30 2016


Everything I write is based on a simple premise: If you are a medical professional from a developed country trying out #Globalhealth or #globalsurgery for the first time, you need to know as much as possible before you go. No … Continue reading

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Vandalism and anger at CMC Dec 2016


A pregnant woman died in Terai last week, and the family was overcome by grief. They showed it by angry protests. The doctor is always blamed, regardless of the facts. This is an issue that prevents young doctors from wanting … Continue reading

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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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