The American Nurses Association (ANA) is dedicated to examining the significant health and disaster preparedness policy questions related to an altered standard of care that can result from a major natural or manmade disaster. It is in the best interest of all involved, to inform nurses, policy makers, government and other disaster planners and responders regarding reconciliation of the professional, legal and regulatory conflicts of a diminished standard of care and promote better decision-making, all to improve possible patient outcomes and the quality of care provided during a major disaster.