COVID-19: Were we Preapred?

Author: Ron Hilliard, MSN, RN

My name is Ron Hilliard, MSN, RN and I have dedicated much of my career to disaster preparedness and nurses being ready to respond. The COVID-19 pandemic put a whole different perspective on being ready for a major event. I am driven to understand the implications of the COVID-19 pandemic that occurred early this year and I would like to invite a discussion with nurses from the field to understand what they experienced and how we can work together to strengthen our response.

In 2001, I was detailed to establish and manage the HRSA Hospital Preparedness Program to respond to Bioterrorism in Texas under the Texas Department of State Health Services. For over 5 years there was a great deal of federal funding pushed into state public health to prepare for bioterrorism. This included training and equipping health care and public health to be ready if something happened. Great strides were made in expanding public health capabilities and health care, specifically hospitals, being able to handle surge if a biological outbreak occurred. This took a lot of time and effort by many to get to a point we felt like we were ready. Yet, it seems we have had to start all over to prepare for a large-scale disease outbreak while the COVID-19 pandemic is evolving. 

That raises a lot of questions. How did it have a direct effect on nurses? Please share what you have experienced from the aspect of being prepared for this event.

  • What did you, as a nurse, experience in being personally ready for the COVID-19 outbreak and your response to the pandemic?
  • What advice can you give to other nurses, especially those new nurses that are struggling with entering the profession and facing a major disease outbreak at the same time?

It was 20 years ago that states started preparedness efforts for such events. Over the years, we had no major events that pushed us to fall back on those preparations and the readiness posture fell off the radar with the effort to sustain those preparations not staying as a priority. The result was we were not ready for a large-scale event. We first saw the gap in preparation for a biological event with the Ebola incident in Dallas that occurred in 2017. A large number of personnel that led these initial efforts have all pretty much retired and the historical experience has been lost.

I hope we can take this opportunity to learn from each other and promote activities that will make us stronger.

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