Since the onset of the devastating Bhote Koshi flash flood on 26 August 2026, the Nursing Association of Nepal (NAN) and the Nepal Society of Disaster Nursing (NSDN) have been working jointly in monitoring, coordination, and disaster response. On 30 August 2026, a four-member response team travelled with relief materials including clothing, blankets, sanitary pads, undergarments, medicines, and other essentials. The team initially planned to reach Trishuli Hospital, but heavy rainfall, rising rivers, flood and landslide alerts, and unsafe road conditions made the route inaccessible. After coordinating with local authorities, communities, and security personnel, the team redirected to Belkotgadhi Municipality in Nuwakot, where they assessed severely affected areas and temporary shelters. Four holding centres were identified in a school, campus, church, and temple, many of which were being managed by affected families themselves and were not fully organized or safe. Relief materials were handed over through local coordination mechanisms for distribution to affected communities. The team also observed damage in Galchi Rural Municipality and Baireni Hospital. One of the major challenges identified during the visit was transportation and access, as damaged roads and disrupted routes continued to delay relief delivery to several affected areas.