CCNEPal 2018 updated schedule as of June 9, 2018 “On the trail to six hundred certificates”

This is the updated itinerary for CCNEPal as of June 9 2018.

We have taught six sessions since arrival, with 179 certificates given. We will do two more three-day sessions this week in Kathmandu, at Mediciti Hospital. Mediciti has been a wonderful host and I love the staff there.

At this rate we will train about 600 nurses and doctors in Nepal this year. We already trained 3,200 in past visits.

“This is not like other training”

I get similar feedback from every group. “Nobody told us what to expect, so I thought it would be one more lecture day by a videshi using all PowerPoint and many handouts. It turns out to be very practical and hands-on.”

Anybody can teach the drugs, how to do CPR, and read an ecg.

Not everybody can teach confidence, teamwork, poise and how to think under pressure.

I lie to think we are transforming the way people look at their role in critical care, and soon I will expand this idea in another bog. Not today, though.

Next Stop

We travel to Terai June 16th, by plane to Janakpur.

June 17th,18th and 19th, then 20th, 21st and 22nd. – 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 that JHCRC is  now offering a full range of critical care services, such as thrombolysis. We expect to focus on schools of nursing there, to ensure the supply of nurses. This will be Valerie’s introduction to the Terai.


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 trained 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.

18th, 19th and 20th? possibly another session in Bharatpur, who knows!

July 22nd through 27th – this is the only remaining week to be booked with teaching or consulting.  We can do two three-day sessions (for nurses) or three 2-day sessions(for MBBS). We have passed emails with various hospitals in Pokhara and western Terai but nothing is confirmed. If any body reading this wishes to host a session or two, please contact me at

July 28th -return to Katmandu

August 2nd – depart  Nepal for USA.


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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