CCNEPal critical care training update June 7th 2017

At Charak Hospital we do our small-group scenario practice on the roof, and it reminds me of the “Rooftop Concert” – last public performance of the Beatles.

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 on the roof of the building, in full view o fthe Annapurna Range (on a good day).


For those of you new to this blog – welcome! This project began in 2011 with three goals:

  1. train Nepali nurses and doctors in techniques of Advanced Cardiac Life Support based on the American Heart Association ACLS class (plz note that this is not the “official” class – in previous blog entries I describe in detail the hows, whys and wherefores). status: about 3,000 people have completed the course to date in about 97 sessions.
  2. bring attention to the fact that there is such as thing as ACLS and that it is needed. Seems odd to say, but at the beginning there was tremendous resistance to the idea that the need existed. Status: Now there is wider acknowledgement of the utility of this training. Especially for nurses. This training has elevated the role of nursing at the bedside in Nepal.
  3. create a movement within Nepal to “own” this training, not just at PG level, but during the crucial transition from MBBS to intern. It is the young doctors at bedside, often in the middle of the night or out in a rural area, who need the skills taught by this course. status: some medical colleges are sending 100% of their students to CCNEPal; others have unpgraded their training to teach in themselves. CCNEPal wrote a concept paper to strengthen the Nepal Health system and it’s right here on this blog.

You are invited to browse past entries (there are more than 200) to read all aspects of this project.

Here is the remaining schedule:

9. June 7th, 8th, 9th – 3-days course for nurses in Pokhara at Charak Hospital (38!)

June 10th – travel Pokhara back to Chitwan again. The bus goes through Tanahun, a beautiful section of Nepal.

10. June 11th, 12th; Batch #1 of four 2-day session for MBBS interns and medical officers at CMC in Bharatpur (30)

11. June 13th,14th; Batch #2 of four 2-day session for MBBS interns and medical officers at CMC in Bharatpur (30)

12. June  15th, 16th; – Batch three of four 2-day session for MBBS interns and medical officers at CMC in Bharatpur (30)

June 17th – travel back to Kathmandu

13. June 18th, 19th 20th – 3-days course for nurses at Norvic Hospital (30)

June 21st reserved for special event in Kathmandu. At 3 PM that day I will deliver a one-hour guest lecture to the sociology department of T.U. in Kirtipur.

14. June 22nd 23rd, 2-days course for Medical Officers at Norvic (30)

June 24th – travel – back to Bharatpur of course!

15. June 25th, 26th – Batch #4 of four 2-days session for CMC interns (final) (30)

16. June 27, 28; 29th Nurses at Narayana Sandiak Hospital Bharatpur (30)

June 30th and July 1st – If I haven’t gone to Sauraha birdwatching by now I will surely do it. My older brother is an avid birdwatcher and I will look for them in his honor!

July 2017

17. July 2nd and 3rd – Batch #2 of three at CMS for MBBS (30)

18. July 4th and 5th _ Batch #3 of three at CMS for Medical Officers at SMC (“Purano”) (30)

revised total is about 450 if all goes as planned. Seven travel days.

19. July 6th, 7th and 8th – travel. Then two days in Kathmandu to take in the wonders of the city – to stop and smell the incense – and buy souvenirs for my friends and supporters.

20. July 9th, 10th, 11th, National Burn Center, Kirtipur (nurses) (30)

21. July 12th – 13th – National Burn Center, Kirtipur, 2-day for interns (30)

My goal is to teach until I get on the plane! I leave Nepal July 14th at 0815 in the morning from Kathmandu. My Nepal phone number is now working 98010 96822 plz don’t call after 9 PM

email me at

Dates are subject to change. If you are interested to host me or wish to clarify – my Nepali number is now working – 98010 96822 please do not call after 9 PM


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.
This entry was posted in medical volunteer in Nepal. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s