Nursing Care in Chiang Mai

Trip Start Jan 02, 2013
1
6
22
Trip End Jan 25, 2013


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Tuesday, January 8, 2013

Today I decided to stay back on campus. I am preparing for a 3-day conference on simulation. I was initially informed that 70 BCN faculty would be present. Now, the numbers are up to around 90 something. It should be a fun conference. I could always talk about simulation. I need to get my handouts ready today, finish my PPs and learn how to use Sim Man. The BCN network just purchased Sim Man. BCNC just bought one simulator last month. Some of the other schools are still in the process of their purchase so everyone will be "green" on the implementation of simulation across the nursing curriculum.

I spent the afternoon in the conference room getting all of the technology up and running for tomorrow. It looks as if there will be plenty of help in running the Sim Man. I do not need to worry about the operation of the simulator. I will just be focusing on the pedagogy of simulation. OK, I am feeling much better now. J

The students had their first day at Nakornping Hospital. Three students are on the trauma ward and three on female surgical ward. They have 1:1 attention today. I knew that there would be one FT English speaking Thai faculty for each unit but they also added 2 new faculty to each unit so this brings the ratio to 3 faculty for 3 students/unit. Can't get any better than that J.  This year is no different. I received a report that the students did very well with wound dressings, IMs, blood draws, etc. They did not hesitate to jump right into patient care. This makes me very happy.

The students reported they had a good day. They got to use a glass syringe for IV medications, performed wound dressings using transfer forceps, drew blood and assisted with nursing care. They were amazed at how different things were done. They recognized that the nurses do a good job with what they have available to them. They also reported that the nurses do a lot more than in the USA. There are very few doctors so the scope of practice is much broader here. It is reported that RNs can intubate a patient and initiate and manage ventilators. This is performed by Respiratory Therapists, anesthesiology, and physicians back in the States. They were also surprised of the lack of privacy. The patient area is a ward environment with curtains separating one bed from another. Most of the time the curtains were not pulled during procedures. They are having a hard time with the concept of reusing equipment. I had to explain to them that this was common practice in the USA years ago. They did not understand the sterilization process. They were not used to seeing sterile gloves wrapped in sterile cloth. We use disposable supplies for so many things. The Thai are very resourceful people.

Greg, Jeremy and Maew spent the morning at a local Chiang Mai temple. Jeremy took a lot of pictures for his architecture class. After lunch Greg and Jeremy accompanied the students to Mae Rim private hospital. It follows more of the westernized culture. They just renovated the Pediatric Outpatient area and the students reported that it was nicer than anything they ever saw in the USA. The area included a big space ships, grass, electronic technology, structures to climb on, etc. The students were glad that they got to see both public and private institutions for comparison sake.

Greg and Jeremy were able to get in some basketball tonight. I am sure they will both be sore tomorrow. They had a good workout. Maew cooked us dinner tonight. We had romaine noodles with Thai spice and vegetables. It had some spice to it but it was very good. They have had plenty of salad fixings since that is about all that Greg and I are trying to eat.

The evening was a relaxing evening. The guys read, caught up on FB, did some journaling and relaxed. The students and I had a NURS 495 meeting for about 2 hrs. The students were glad that they were able to relax a little bit tonight.

Tomorrow is a big day for all of us. The students are in the hospital all day and I have my conference. So, it is off to bed. Goodnight everyone.
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Comments

pjlinstedt
pjlinstedt on

Sounds like you're all keeping busy and things are going well! Praying for your conference, hope the first day went well...since it's 6 pm there now! J term starts here today, so it's back to a regular schedule ...

Marti on

Not sure what time it is there since I can't tell when Pam wrote her note! ~~ but I'll be praying for you too and trusting that God's chairos timing will span the time difference. You'll do great ~ just do what you do here at home. You're very experienced at this now.

Carolyn Kreamer on

Debbie,
Please check your Messiah E-mail at your earliest convenience.
Carolyn

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