Tag Archives: ACLS in Nepal

CCNEPal 2020 summer plans


This will be brief. CCNEPal teaches a version of Advanced Cardiac Life Support to nurses and doctors in Nepal. Since inception in 2011 we have trained 4,500 nurses and doctors. ( yes, it’s a large number, hard to believe). We … Continue reading

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CCNEPal will visit Nepalgunj in July for five sessions


Since 2011, CCNEPal teaches critical care skills to nurses and doctors. Sessions have been conducted in Kathmandu Valley, and also in Dulikhel, Biratnagar, Janakpur, Bharatpur, Butwal, Palpa, Pokhara, and Bhairawaha. We have logged more than 120 sessions and given about … Continue reading

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List of CCNEPal sessions summer 2019 – start planning now


As previously announced, CCNEPal will be in Bharatpur at College of Medical Sciences (CoMS) for about six weeks in a row and we will offer sixteen sessions of our critical care course. For nurses, the course is three days in … Continue reading

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Plan now for course with CCNEPal in summer 2019


Destination – the future! Now that Christmas is over, it will fade out of sight in the rearview mirror as we hit the gas for our destination – 2019. Naturally it starts out as a year full of promise. Destination … Continue reading

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


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 … Continue reading

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Teaching #criticalcare skills to nurses and doctors in #Nepal, getting ready for summer 2018


Summer break. School in USA goes for one more week. Then in two weeks, CCNEPal gets on the plane for Nepal again, teaching critical care skills for summer 2018. What does CCNEPal do, exactly? This has been answered on the blog … Continue reading

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April 21 2018 Update on CCNEPal summer trip to Nepal


The ticket(s) have been purchased. CCNEPal is (usually) a one-person circus of teaching and we never know whether any given trip to Nepal will be the last one. I have been saying this since 2007, the first year I visited … Continue reading

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Feb 16 2018 update from CCNEPal regarding summer plans for 2018


This will be brief. I haven’t added to this blog in some time, not since reporting on one of the most recent thrashing incidents. This blog provides commentary on issues affecting nursing and especially critical care nursing, in the country … Continue reading

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Partial review of media reports of “thrashing” of doctors in Nepal and India. Please send more links


Internet based list of links to thrashing episodes in Nepal Compiled by Joe Niemczura, RN, MS September 2018 Update: click here to read my take on the NMA protest. This is provided as background to the issue of thrashing. I … Continue reading

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Sept 31st: The NMA hospital protest fizzles out


The hospital protest is over, and the question is whether it made any difference. Here is the press release in Nepali from Nepal Medical Association. I sent out a general query as to whether it was a successful protest or … Continue reading

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about mechanical ventilator patient in Nepal


Update:  This one got hundreds of hits, but few clicks on the video and I think I needed to be more focused. I made a separate entry to focus just on the ET tube cuff volume issue.  CLICK HERE for … Continue reading

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May 25th Summer 2017 updated schedule


May 2017 1 & 2. May 18th, 19th – two one-day trainings at MC are now in the history books. 18 and 18. May 20th – travel to Palpa 3. May 21,22, 23 – Batch #1 3-days course for nurses at … Continue reading

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CCNEPal concept paper for Strengthening a decentralized health system in Terai of Nepal May 15th 2017


Notice of Funding Opportunity The Ministry of Health and USAID have proposed a new project in Nepal which will focus on “Health Systems Strengthening” over a five year period.  To inform the groups that will apply for the funds, USAID … Continue reading

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CCNEPal Summer 2017 How to arrange hosting a session of the ICU training


It starts May 12th and ends July 14th May 16th update: I leave for Terai in the morning. My Nepal phone chip has been activated. The number is 98010 96822 To call me from USA: 011 977 98010 96822 I … Continue reading

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Feb 27th – CCNEPal announces NEW GoFundMe campaign for summer 2017


Summer 2017 CCNEPal will once again teach in Nepal. Today we announced a new, scaled-down fundraising campaign to support CCNEPal’s summer 2017 activities. We are trying to raise $4,000 for a three-month trip to teach ACLS in Nepal, especially the … Continue reading

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CCNEPal 2017 summer plans – sign up now!


This is a brief announcement. I expect to be in Nepal once again for summer 2017. My plan is to teach more sessions of the 2-day course in Cardiac Life Support for MBBS docs and interns, as well as the … Continue reading

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Announcing “The Himalayan Zap Trek 2019”


Mention Nepal and everyone thinks of #Everest. Thirty million people live in Nepal, and 99.999999999% of them do not live anywhere near Everest.  Nepal also has a large rice-growing region, where western tourists are rarely seen. See the above photo! … Continue reading

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CCNEPal begins planning for 2017 in Nepal – taking it up a notch?


CCNEPal began a special project to upgrade critical care skills of nurses in 2011. Since that time we have trained 2,885 nurses and doctors to perform cardiac life support skills using scenario-based teaching, which in itself is new to Nepal. … Continue reading

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Biratnagar 2016 excursion part 2 – the sessions


In summer 2016 I spent two weeks teaching in Biratnagar, Nepal. Though it’s the second-largest city in the Himalayan country, it’s not on tourist path. In the first part of this series I described a few things about the town. … Continue reading

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July 21st report for the summer and upcoming schedule


I’m back in Bharatpur, where I was a month ago. The return bus ride through eastern Terai was wonderful – like riding through The Shire. Statistics to date: As of today I taught 19 sessions, with 560 certificates awarded.  The present … Continue reading

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Ten Rules to Prevent Thrashing of Doctors in Nepal


Update October 2nd 2016 In Charikot, Dolkha district, there was an “incident.”  I do not pretend to know the details, but one pertinent feature was publishing a videotape of the doctors involved, apologizing for what happened.  Fortunately, these particular doctors … Continue reading

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The Overall Schedule for CCNEPal summer 2016 is taking shape


The Theme of Summer 2016 In past years, I don’t worry too much about what the schedule will be when I get to Nepal. As long as the first few days are scheduled, I know I will get many eager … Continue reading

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How to register for critical care training sessions in Pokhara May 2016


UPDATED with more specific info Wednesday May 4th and 12th ACLS training registration can be done at: Registration desk Paschimanchal Community Hospital Buspark, Prithvichowk, Pokhara – 9, Kaski, Nepal. Phone no. 061 530722 Email: pchospital2071@gmail.com Please share widely. CNEPal will … Continue reading

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CCNEPal planning for summer 2016


CCNEPal is an ongoing educational project since 2011. We have trained 2,170 nurses and doctors in Nepal to use a particular set of critical care skills. May 1st Update I bought my ticket and I arrive May 16th to TIA.  … Continue reading

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part two of debriefing video is now on YouTube July 25th 2015


This will be brief. please read the blog entries over the past few months that address the issue of thrashing of health care workers in Nepal. It’s something every Nepali nurse or doc needs to be aware of. Ke garne? … Continue reading

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July 18, 2015 an MBBS doc writes about ACLS for interns


Editor’s note: I was privileged to work with Chitwan Medical College (CMC) in 2015 to train 120 MBBS interns with the 2-day course of Cardiac Life Support from CCNEPal. CMC was a terrific partner and they are now teaching this … Continue reading

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Why not certify ICUs in Nepal? July 2015


The trend A hospital decides it will have an ICU. They buy the equipment and hire the staff. Poof! Magic! Now they have one! or do they? No. To create an ICU you need a team of nurses. The question … Continue reading

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May 28 report of CCNEPal part three


Please read parts one and two. In part one, I summarized the numbers of sessions, the locations and the people who took the 2-day (MBBS) or 3-day (for nurses and nursing students) versions of the ACLS course. In part two, … Continue reading

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CCNEPal Preliminary report for 2015, late May, part one, just the facts…..


note: I will depart Nepal for 2015 on May 30th. It’s a slow day and I thought I’d start this. The calendar year 2014 was summarized in a previous blog. Considerable detailed notes have been published here on a frequent basis. … Continue reading

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April 18, 2015 #Criticalcare Road Trip through #Nepal


CCNEPal is a small #NGO with one mission: teach Advanced Cardiac Life Support  in #Nepal. For months, we planned a “road trip” outside the Kathmandu Valley with twelve sessions. We made 500 sets of handouts, printed 500 certificates, pre-positioned our teaching … Continue reading

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April 6 2015 New Critical Care Book at LNC Library in Sanepa #Nepal


Every nurse in #Nepal is invited to learn about this new resource. It’s perfect if you are doing a research project on ICU care. Or if you wish to learn about mechanical ventilators, for example. This book costs $125 USD … Continue reading

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CCNEPal “Road Trip” starts April 8th – dates and locations announced


Schedule of #ACLS training in #Nepal announced CCNEPal has always made our training available outside Kathmandu Valley. The next “Road trip” starts in just a few days. Here is the plan: April 8th – travel day, from KTM to Biratnagar. … Continue reading

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part 4) De-Escalation skills for Critical Care nurses and doctors in #Nepal March 31st 2015


Sept 28 2016 update I wrote a blog specifically about the recent incident in Charikot – read this: http://wp.me/p1pDBL-1aB Update May 7th 2015 I wrote the blogs on this subject prior to the earthquake. Now, post-earthquake, there’s lots of speculation … Continue reading

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Mentoring ACLS Instructors in Nepal 2015 – CCNEPal invites – YOU!


What has CCNEPal done? CCNEPal has been teaching ACLS skills in Nepal since 2011 and in that time we have given certificates to about 1,600 nurses and doctors who have taken the 3-day (nurses) or 2-day (doctors) course. We have … Continue reading

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March 5th 2015 list of scenarios we use in the CCNEPal sessions


Okay, so at CCNEPal we model the course after the template published by the American Heart Association in their Instructor Manual. The course we teach at CCNEPal is NOT the “official” AHA ACLS course, though, because it is specifically adapted … Continue reading

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March 1st 2015 update as to seats available in CCNEPal 3-day critical care course at LNC March 29, 30 and 31 and again in April 5, 6 and 7th, 2015


March 4th UPDATE: four seats opened up unexpectedly for session two, March 8,9 and 10th. see below for instructions as to how to register….. today I checked with LNC Library, who are handling the further registrations for the 3-day sessions … Continue reading

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Equipment List to Teach BLS and ACLS in Nepal and any place


Improvising Equipment CCNEPal teaches BLS and ACLS since 2011 in Nepal, and we travel around the country. One time we planned to travel to Biratnagar and the local contact person asked: “How many CPR manikins do you bring?” My answer was, … Continue reading

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Schedule for 2-day course in Advanced Life Support for MBBS docs Feb 5th 2015


I have been asked to share the hour-by-hour schedule and the objectives,  for the course in Advanced Cardiac Life Support, that CCNEPal uses when we teach a class of MBBS docs. here it is, in all it’s glory. First, the … Continue reading

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March 2015 dates for 3-day sessions at Lalitpur Nursing Campus announced


UPDATED Feb 19th We are still registering students for these sessions! From here on, go to Lalitpur Nursing Campus in Sanepa, to the library, and register there. Session 1, March 1st, 2nd and 3rd – all seats taken, class is … Continue reading

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CCNEPal 3-day critical care nursing course in Kathmandu Valley February/March 2015


This will be a brief announcement. we expect to offer a series of the 3-day critical care skills training course in Kathmandu once again ( the fourth such series!) in February/March. This is the same 3-day course that has now … Continue reading

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Looking for a nurse to appear in ecg teaching videos, Jan 6 2015


CCNEPal is back from holiday in India. It was nice but it’s even nicer to see all my friends and to start talking about advancing critical care in Nepal again. The main thing that CCNEPal does is to teach the … Continue reading

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What is A.C.L.S. and why should every MBBS doc enroll in A.C.L.S. course?


“Critical Care is not a geographic location like the ICU of a hospital. Critical care is a set of knowledge and skills that a doctor carries with them. And nurses too!” _Joe Niemczura, CCNEPal A.C.L.S. (or just plain ACLS) is … Continue reading

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CCNEPal report as of Oct 2nd, 2014


Summary: every public thing stops in Nepal during Dasain. I decided not to go trekking, so I am just hanging out in Kathmandu. It’s a good time to reflect on progress. to begin with, here is a list of the … Continue reading

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Updated hour-by-hour schedule for 3-day course on critical care nursing


Executive summary In 2013 somebody asked to see the schedule for the course. it’s a reasonable request, but – I had not written it down. so I dashed off a reply. Two weeks ago I updated the schedule to reflect … Continue reading

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list of upcoming sessions as of June 16, 2014


UPDATED JULY 1st to register for August sessions at LNC campus, go to the LNC Library. there are still seats available for some of the sessions. schedule-as-you-go for CCNEPal I don’t start filling up the calendar until I arrive here. It’s easier … Continue reading

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How to register for summer sessions of Critical care Nursing 3-day course in Kathmandu, August 2014


UPDATED JULY 21st 2014 We have completed arrangements to offer the 3-day Critical Care Nurses Training session in Kathmandu in August. This is the same session that was offered in 2013, when 534 people took this training. to learn about … Continue reading

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Schedule for 2-day version of Cardiac Life Support course


MBBS? Medical Officers? CCNEPal will be available to train MBBS students in Cardiac Life Support, and is working to schedule this with some hospitals (I will announce more when dates are confirmed). for nurses When we teach this to nurses, … Continue reading

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A Nurse responds to the SCCM article on Critical Care in Underserved Areas


May is National Critical Care Awareness Month in USA. and the campaign is to “turn your ICU blue” hey, read my second book might as well include a link to my second book, The Sacrament of the Goddess, a novel … Continue reading

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CCNEPal 2014 is counting down the days


Quick summary I bought my ticket for the 2014 trip. I leave from USA May 24th and I arrive in KTM May 26th at 0830. The plan is to continue teaching critical care nursing skills. I have been working to … Continue reading

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New Name for this blog will be CCNEPal 2014


short announcement. The name of this blog will be changed to reflect the upcoming trip to teach critical care nursing in Nepal 2014 – not the past. yesterday is gone. we won’t get it back. on to the future!

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CCNEPal plans for 2014


time flies It seems like I only got home to Hawaii yesterday, but will be leaving for Kathmandu tomorrow. In truth, there are seven months before summer 2014 break. In the past I start planning in November or thereabouts. There … Continue reading

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Preliminary report of CCNEPal 2013


Preliminary report of CCNEPal 2013 The CCNEPal 2013 summer critical care nursing project is winding down. A single one-day training event remains, then we pack up our tents. This was an extension of the 2011 summer program which trained 190 … Continue reading

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i need help from all nepali nurses august 2013


Thinking of the future Please help me. How can we make it so that every nurse in Nepal is comfortable with skills of emergency response? I want to know!  CCNEPal 2013   In two weeks I will get on the plane … Continue reading

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life is better when the major events are accompanied by a theme song


theme song Maybe you did not know that CCNEPal had a theme song. Here is one version of it. I write this the day I put batch thirteen in the 2013 record books – there are only three batches remaining … Continue reading

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the key to ecg for acls is – the six basic rhythms


Onliest six rhythms Yes, Virginia, there are only six cardiac rhythms. The protocol is based on this construct. Believe and achieve! Just a quick note to accompany this YouTube link. You can practice mega-code without a fancy manikins and fancy … Continue reading

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anatomy lab in our threeday course


Nurses fascination with body organs Been teaching critical care skills on & off since 1980. Years ago (was it 1985? 1992?) I had this idea to include an actual anatomy lab when I do these short courses on critical care. … Continue reading

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Measuring an ICU in nepal


1958 A recent article about Critical Care in Nepal asserted that the best ICU ever established in the country was one which existed in 1958. Really? Baseball in USA I wonder when I read such things. “It was better in … Continue reading

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icu nursing in nepal june 30 2013


Announcement: CCNEPal will once again go to Pokhara, the second-largest city in the country, August 8th, 9th, and 10th. For the first session there were thirty seats and a hundred applicants, this time we will offer a larger number of seats … Continue reading

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June 16th in Pokhara


the two sessions in Bharatpur are in the books now, and I had a great week there. There are too many highlights to mention, but the program was enthusiastically received. In each place I deputized members of the class to … Continue reading

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May 31 about Advanced Life Support in Nepal


Please share this widely, among every nurse you know. I welcome your comments. Be sure to click on the hyperlinks, I spent time putting them in and some are meant to be fun. Update – for the sessions to be held at … Continue reading

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May 29 2013 in Pulchowk


I have now been here for two weeks, and the time has flown by. Early sessions The idea in 2011 was to get here in mid-May and spend two weeks doing last minute things, then start teaching June 1st. This … Continue reading

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May 19 about teamwork in critical care nursing


And here in Kathmandu we begin teaching this week CCNEPal 2013’s first 3-day course will begin tomorrow. Most of our courses will be open to “the general public” of nurses – I promise that there will be a registration process … Continue reading

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an ambitious goal for CCNEPal 2013


If you don’t dream dreams, then your dreams will never come true. settling in The first few days here are consumed with setting up camp in Kathmandu. grocery shopping, getting a Nepali phone number ( which happens to be 980 … Continue reading

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Hour-by-hour description of Critical Care Response Training for Nurses


NOTE: we are beginning to schedule the actual sessions for the 3-days course, and the first host agency asked me to supply a detailed hour-by-hour description of the class.  I am posting it here as well so as to inform … Continue reading

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Update About Advanced Cardiac Life Support (ACLS) training component


We will focus on critical care nursing skills, but not do an “official” ACLS class. As described in previous blogs, a lot of what I teach is based on materials from the American Heart Association (AHA) and my own background … Continue reading

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Time to start thinking about summer 2013 in Nepal


August 2015 update:  I don’t expect to return to Nepal until May 2016. click on the  blue letters to see about Nurse.Teach.Reach. My summer 2012 hiking and backpacking trip in USA is concluded. I enjoyed it tremendously but all good … Continue reading

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