CCNEPal itinerary for #Nepal critical care teaching summer 2018, places and dates


At Bir Hospital school of nursing, the B Sc program is for nurses who completed PCL then have worked for two years. The focus of education there is to improve medical-surgical nursing and they are keenly interested in critical care. I was there last year and the students were excellent. The “five assistants” are shown, wearing the distinctive uniform sari of Bir.

We arrive May 17th (Joe) and 19th (Valerie) and run around like crazy getting supplies and things organized for a couple of days. Wish us luck!

The schedule is falling into place

May 20th,21st and 22nd – Bir Hospital B Sc students. These nurses have completed their PCL nursing and are going for the B.SC. degree. Bir is government-run. It is the main teaching hospital for NAMS, the National Academy of Medical Sciences, and serves as a free-of-charge resource for people from all over Nepal. Located right on the edge of Old Kathmandu. This is a return engagement for us.

May 23rd, 23th and 25th Bir Hospital Trauma Center staff nurses.

May 26th holiday and recuperation

May 27th, 28th and 29th – National Burn Center staff nurses, Kirtipur


The “HDU” at Kirtipur is the most active critical car unit for burn victims in Nepal. This will be our second trip to teach there.

May 30th and 31st National Burn Center Kirtipur, interns and Medical Officers (2-day)

June 1st and 2nd holiday for two days – r & r

June 3rd, 4th & 5th – Meditici 3-day #1 session. This is a new facility just outside the Ring Road in Lalitpur.

June 6th, 7th and 8th – Mediciti 3-day,  #2 session.

June 9th – travel day. From Kathmandu to Janakpur. This begins the Road Trip through Terai.  Most likely we will fly there. My first trip in 2016 was memorable and epic.

June 10th,11th and 12th, then 13th, 14th and 15th. – two 3-day sessions at Janakpur. This is also a return visit. In 2016 we worked to develop ICU staff there. I am pleased to report they are offering a full range of critical care services, such as thrombolysis. We expect to focus on schools of nursing there, and we have yet to determine whether we stay an additional week. It depends on the demand for training and also whether we will add a PALS course, etc.  specific breakdown TBD ( combination of 2-day and 3-day sessions)


I asked to take a photo and the shopkeeper got a new vat of yogurt out of the fridge. the yogurt here is every bit as good as the fabled yogurt of Bhaktapur!

Travel day June 23rd. long distance bus from Janakpur to Chitwan.

June 24, 25 & 26th – College of Medical Sciences (COMS), Bharatpur.  Nursing 3rd years. Also known as “Purano.” This first session will be for nursing students. COMS is a location I visit since 2011. Because it is a major teaching facility, people i train here disperse throughout the Terai region.

June 27th, 28th and 29th – College of Medical Sciences (COMS) a second batch of nursing students.


The College of Medical Sciences Teaching Hospital in Bharatpur operates one of the busiest Emergency Rooms in Nepal. They first hosted me in 2011.

July 1st,2nd, 3rd COMS – a batch of staff nurses.


CMS Nursing College in Bharatpur enrolled their thirdyears in the CCNEPal 3-day class. They were really good.

July 4th, 5th, July 8th & 9th, July 10th & 11th – three 2-day sessions for Medical Officers and interns at COMS. 

July 12th, 13th and 14th – Maybe time to go to Chitwan National Park so Valerie can ride an elephant and feed a tiger. My personal favorite in that location is the river trip in a dugout canoe to observe wildlife, mainly birds.

July 15th, 16th, 17th Narayani Samaiyudak, Bharatpur.

July 18th,19th 20th open, any session needs to be in Bharatpur.


(my photo) Rush hour in Sauraha, next to Chitwan National Park. This is what the tourists see. Most cities do not actually have these.

July 22nd, 23rd, 24th possible Danghadi. tentative, CCNEPal has never been further west than BTWL, it’s about time don’t you think?

July 25th, 26th, 27th possible Dangadhi at Zonal Hospital.


The “standar5d class size” is thirty. Five are asked to be “assistants” ans then five groups of five each. So, we need five sets of the flash cards! They are colorcoded. Each assistant gets a laminated list of the possible scenarios we will eventually be doing……. this system is impervious to loadshedding.

Subsequent dates and locations tentative, will be announced as they are booked.

July 28th, travel day. We will disappear from one location and re-appear as if by magic, hundreds of miles away. Here is a short video that explains how this is done:

July 29th, 30th, 31st – one last session in Kathmandu. Historically, CCNEPal has always offered a few first-come-first-served sessions in Kathmandu, and we have been reminded that this year’s schedule has not allowed room for such trainings.


Pediatric Life Support course: we have yet to schedule these sessions, stay tuned.

one of our youngest patients

Nepal is a low income country and the profile of illnesses are not quite what you would see in USA. Read my first book, The Hospital at the End of the World, to learn more.

Return to Kathmandu the week of July 29th.

Fly out back to USA August 2nd.


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.
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2 Responses to CCNEPal itinerary for #Nepal critical care teaching summer 2018, places and dates

  1. Valerie Aikman says:

    Oh JOE! I’m so excited! I’m forwarding this out to family and friends!!!!


  2. Good.
    Um, relax, we will be there long enough for any novelty to wear off and flake away. It’s about twenty sessions and we’ll train 500+ nurses and doctors before we stumble back into Kathmandu. If all goes to plan.

    Encourage them to also read past entries in this blog, because for most of these locations this is a return trip (for me anyway). also, if they are on FaceBook they can go to

    and hit “like” – FaceBook is where I post most photos.

    There is some vacation time built in, and my contacts have already said they would help you get oriented to cultural stuff there.

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