The Big Island gets more than our fair share of natural disasters and as the only hospital in a district as large as the entire island of Oahu, we must be prepared. Nona Wilson, our Assistant Administrator, Director of Nursing and head of emergency preparedness leads our hospital in continuous disaster readiness. This readiness has been put to the test over the past couple of years. Most recently by Hurricane Iselle and most drastically by the Ka’u brush fire of 2012 which required a hospital-wide emergency evacuation. For two days after the evacuation, our staff set up temporary operations for our long term care residents in the senior center in Na’alehu. Despite the complexity of the evacuation and difficulties in relocating, the stress on our kupuna was minimal and care continued as usual. Some said it was “just like camping.” Throughout these events our residents, patients and staff have been kept safe because of our readiness and the ongoing coordination between our hospital and partners in the Emergency Management System led by the Healthcare Association of Hawaii.