Sept 1st back in USA

Hi –

I’m back in USA and still following the Nepal news.

I’ m keeping this blog “up” but not focusing on it right now. My main effort has been going to the blog that accompanies my second book, the novel about Nepal.

Nepal is presently in political turmoil (to say the least) and you can read my thoughts about it here.

sending the best karma to all my readers.

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from CCNEPal about Joe Niemczura, post-earthquake April 26th, 2015

For readers of this blog, you know that it has not been active during this year that I am teaching critical care nursing skills in Nepal.

I am actively blogging on CCNEPal page, go there to read what I have to say.

For the record, I was in Bhairawaha Nepal on the day of the quake. In Bhairawaha, I noticed something odd at 11:56: the water in the glass was sloshing back and forth all by itself. I immediately got up, alerted the other people nearby that it was an earthquake, and we all left the building.

Here, nothing was damaged. not only that, but it was mild enough that things stayed on the shelves and tables. I spent much of the day (it was my day off) answering emails and messages to re-assure my friends that I was safe.  I am fine. I am not personally inconvenienced in any way.

I am on my long-planned “Road Trip” – fifteen sessions of my course outside the Kathmandu Valley. Five have been completed and ten remain. I am teaching today.

I would point out that CCNEPal, my organization, has trained 1,775 nurses and docs in Life Support skills, and about 800 are in Kathmandu. For that reason, I suppose you could say that CCNEPal has “pre-positioned” for this event (though I would not wish this on anybody). I am 100% certain that the Nepalese people will be helping each other, it is something I have always admired about this beautiful country. There is ample capacity to shift medical personnel from within the country, and I am sure that such a move will be easier than to bring in people from outside.  For those who wish to help, I guess the first thing is – send money to aid organization of your choice. (not to me!)

In general, I think it’s too early for nurses and doctors to come here unless they speak fluent Nepali and already know about the hospital system (most hospitals are intact). I do not think the needs will be quite the same as they were directly after Haiti, for example. Logistically, a self-contained team would be good.

From reading about other disasters in other parts of the world, I think that the early period will focus on recovery of victims. The time when foreign nurses can help will be down the road, when disaster fatigue sets in, and also to “backfill”  basic health services in unaffected areas where the Nepali nurses have and doctors have been shifted to Kathmandu.

We will all learn more as the full extent of damage is revealed in coming days.

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the perfect #NurseWeek present for the #nurse in your life, or for a new graduate

This blog entry will be brief.

Nurses Week comes up soon, in May.

Also, this year’s crop of new graduates will proudly walk on to the stage and accept their diploma.

If you need an idea for a present?

give them money.

But sometimes money is not enough, or too crass, so – buy this book. The Sacrament of the Goddess was written as an adventure story that will appeal to health care workers who have the daydream of using their skills in a Low Income Country. If you order it now it will get to your house before May 6th.

It’s a page turner, set in a hospital in Nepal during the Nepal Civil War.

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Nursing in Hawaii blog is still on Hiatus while I’m in #Nepal until May 30

Thank you for wandering into this blog site!

Though it’s titled Nursing in Hawaii, most of it is devoted to general advice about nursing. There are three blog entries that seem to get the most hits – look on the list at the right and you can see them in all their glory.

Work in Hawaii?

I do have specific advice for nurses from the mainland who want to work in Hawaii. In summary, if you enjoy the cultural stuff, you will love it here. You can maximize your fun by studying the different cultures of the patients and co-workers you will meet. Browse the blog entries to find the gems…. I love Hawaii!

Nepal

You may wondering why the blog is suspended. Well, the answer is, I have been following a lifelong dream and working in Nepal for a year. I am making a difference in health care in this country, and every day I thank God for designing my life so I can do this.

Read my Book?

My second book is a novel about Nepal health care. It’s titled The Sacrament of the Goddess, and there is a FaceBook page for it. Click here to get to the Amazon site.  Also I have another blog, just for the book.

The book is enjoying popularity here in Nepal, as crazy as that sounds. Want to read a review in Nepali language?

I will return to USA after May 30th.

Aloha!

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2014 in review for Nursing in Hawaii

Most of my blogging has shifted to http://www.joeniemczura.wordpress.com while I am in Kathmandu. But this blog is still up. I am humbled by the fact it reached 124 countries.

Wishing you all success for the new year!

The WordPress.com stats helper monkeys prepared a 2014 annual report for this blog.

Here’s an excerpt:

The concert hall at the Sydney Opera House holds 2,700 people. This blog was viewed about 43,000 times in 2014. If it were a concert at Sydney Opera House, it would take about 16 sold-out performances for that many people to see it.

Click here to see the complete report.

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Kaci Hickox and her license to practice nursing in Maine Oct 30 2014

The right wing nut jobs are going crazy about Ebola.

First off, before you go anywhere, check out one or the other of my two books on Amazon. Yes, I am a USA Registered Nurse, with both teaching experience and adult critical care experience; yes, I have worked with infectious diseases though not Ebola; and yes, I try to convey to my readers about the experience of nursing in a Low Resource Setting. I have a nursing license in the country of Nepal and I’m currently living in Kathmandu teaching critical care nursing.

Get to the Point?

I heartily applaud Kaci Hickox, RN, BSN, MPH for her work with Ebola victims. On the internet I found a small PR piece about her from the U of Texas at Austin, which gives a short version of her CV. She is the kind of person we need on the front lines fighting this illness.

Ms. Hickox has become a celebrity, by a strange twist of fate. Most likely she would not be famous unless Chris Christie, the Governor of New Jersey, hadn’t tried to wrongfully imprison her in The Garden State. I do not know any USA nurse that would voluntarily forego a daily shower or opportunity to practice meticulous hygiene; What was Christie thinking?

One thing that makes me laugh is so many comments saying that the Maine Board of Nursing (MEBON) should pull her license – i.e., take it away or prevent her from working in Maine. A fellow nurse went so far as to find the MEBON website where it lists possible disciplinary actions.

This is simply not possible. Why? because Ms. Hickox does not have a Maine RN license in the first place.  (you can search for the licnese of an RN in Maine, online). For that reason, the MEBON can not do anything about her. From what I can tell, Ms. Hickox is going to Maine to chill out for awhile and await the 21-day period. It’s a fine place for that sort of thing.

As an aside, this reminds me of that famous quip by the late John Silber of Boston University. They asked his opinion of nuclear power. He replied “Maine is a good location for a nuclear power plant-where the damn thing could have an accident and not hurt anybody.”(sic). This did not endear him to the people of Maine.

disclaimer: I don’t speak for the Maine State Board of Nursing. I am writing this because I doubt that the Board will make any statement. It’s not a political agency.

Nursing licenses, like most professional licenses, are administered on a state-by-state basis. The exception is the “multi-state nursing license compact,” of which Maine is a member, but even then, Maine has no jurisdiction over Ms. Hickox. If you don’t have a nursing license in Maine, and you don’t try to practice nursing in Maine, the Maine State Board of Nursing will not do anything about you.  It’s not in their mission.

The Board’s mission is “to protect the public” from incompetent or impaired nurses and to regulate the practice of nursing. Since Ms. Hickox is hanging out at her boyfriend’s house and not seeking employment, she is no threat to the public.

The Board can only act against the license, not the person. The Board can not put a person in jail.

Finally, it is crystal clear that Ms. Hickox in engaging in public advocacy in the highest tradition of American democracy and the Code of Ethics for nurses.  Any nurse knows that the most important part of their job is to “speak truth to power” and that is what she is doing.  Boards of Nursing in general are reluctant to use their authority  to limit this type of activity. To give a corollary from Medicine, Bill Frist, the doctor/former Senator from Tennessee, did not lose his license to practice medicine despite his pronouncements about Terri Schiavo.

Finally, even if Ms. Hickox does develop the fullblown illness, it does not change the validity of her position on the abuse of power taking place. She is presently not contagious. She is following the CDC guidelines. Christie ( and now LePage) need to actually seek the advice of scientists, and stop making things up as they go along.

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This blog is not dead, it’s in suspended animation

Why no entries lately?

I keep my blogs separate ( or try to…) and since I’m in Kathmandu, Nepal, the action has moved to my Critical Care Nursing in Nepal blog. Click here and you will be transported to that other place.

The Sacrament of the Goddess

in case you are wondering, my second book, the novel about love in the time of the Nepal Civil War, has been published in USA. You can find it on Amazon. No, it’s not on the New York Times Best Seller list. Not yet anyway.

Nepal edition?

I’m working to get it published in Nepal. The people here are interested in this book – after all, it’s about their country!

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Add May 1st to your literary calendar

the water at the tap outside was cold but she shampooed her hair anyway because that is how it always was.

the water at the tap outside was cold but she shampooed her hair anyway because that is how it always was.

be sure to click on the highlighted text, those are the hyperlinks

UPDATE: You can now find the book on Amazon. and – pre-order it. Click here to find The Sacrament of the Goddess and order your copy!

Brief announcement

The Sacrament of the Goddess will be published around May 1st 2014. This is my long-awaited second book, a novel of Nepal.

There is a FB fan page for The Sacrament of the Goddess. Please “like” the page. The book has no photos, but the FB fan page will post some so as to help people visualize events ( even though it is a work of fiction).

And there is a blog as well.  I  invite you to become a devotee of the blog.

Book Giveaway

On GoodReads, there will be a book giveaway. If you have a Goodreads account you can enter. If not, create an account. It’s easy.

Pre-Publication reviewers needed.

One challenge when a book is released is how to inform people as to the topic, etc.  For this reason, it’s important to get some reviews posted on GoodReads and also Amazon. I am willing to send pre-publication copies of the book to a half-dozen or so persons who might write a review of it. feel free to contact me and we can discuss.

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and now, for e-book readers… The Hospital at the End of the World

update: I re-added the links, now they will get you to the e-book site.  thanks for pointing this out.

2009

When The Hospital at the End of the World was published in 2009, e-books and e-readers were just beginning to be popular. We didn’t make a simultaneous e-book version.

2013

I took a plane trip to visit my parents and it seemed as though everyone on the plane was reading a e-book, whether it was a Kindle or an I-Pad.

2014

so my publisher and I decided to make available an e-book version. It is uploaded to Amazon and ought to appear there within a few days.

click here to go to the Amazon site.

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Escape the cold with a Nursing Job in Hawaii Jan 8 2014

note: you are missing the boat if you don’t click on the hyperlinks – the colored text. Click here to see how some Americans live

Two phenomenon:

a) record cold in the mainland USA – colder than it’s been in decades due to a “polar vortex

and

b) a small surge in hits on this blog with the title “Nursing in Hawaii

Q: are they related? or a coincidence?

A: darned if I know! But – it’s no accident that there is always a TV show about Hawaii…..

Fact is, this blog has four or five entries that directly address the nursing job situation in Hawaii, and they have taken an uptick in hits for the last month or so, really noticeable this past week.

The first is:  Read This Before You Move to Hawaii to get a Nursing Job.

Next: It’s Official Hawaii has an “Oversaturated” Nursing Jobs Market

then there is: Hawaii Nursing Jobs Update Oct 2013

and: part One Guide to Hawaiian Culture for the Travelling Nurse

along with: Part Two Guide to Hawaiian Culture for the Travelling Nurse

finally, there are special aspects of culture here, and while this one may seem like a stretch, you can have more fun if you approach it this way: Twelve Steps to Prepare for Global Nursing. If you come here, get off the beach and explore. You will find a wonderful mix of Asian cultures here. There is also something called “local culture” which I love love love.

Humbly, I recommend all of the above. When I lived in rural Maine, we spent winter evenings by the woodstove curled up with a cup of tea of cocoa and reading the seed catalogs. (studying the seed catalogs is more like it.)  I suppose the Youth of Today are curled up by the woodstove with their iPad or laptop (does anyone use a laptop anymore?) surfing the Nursing Jobs Board for Hawaii.

This is not new.

In World War Two, the US Government was desperate to promote nursing as a contribution to the war effort. As part of the marketing campaign, there was a series of books based on the adventures of Cherry Ames, a fictional nurse from Hilton, Illinois ( a fictional town; but I bet it’s cold there today!). The third book of the series was “Army Nurse” published in 1944, and the book opens as Cherry Ames, RN is celebrating Christmas in Panama under the palm trees.  Now, everybody knows she was actually in Hawaii but the information was classified.

What is the answer?

Should you move to Hawaii or – no? Well, if you ask me it’s too late for this year. By the time you get here it will be springtime! The vast majority of nurses working here are from here, and we have excellent schools of nursing. There is a steady stream of military nurses who come through here, as well as spouses of military. In past days when the job market was a bit more inviting, Hawaii was a must-stop for young nurses who wanted to use their profession to work/travel around the USA.  (it used to be, if you had a nursing license and walked into a hospital, you could get a job quickly. Not so much these days).  Alas, we do not presently have an acute shortage.

If you should decide, I invite you to read all my other blog entries to prepare. I have truly loved being here. It’s a special part of America, and the beauty of it extends beyond the climate and scenery.

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