People, institutions, communities not normally in communication lack the agreements and understanding required to provide safe, effective, respectful care and safety when first working together. As a result, moral and ethical decisions are problematic. Definitions of responsibility, safety, effective care, personal obligation, professional duty, once relevant in an intuition are not applicable or agreed upon in the larger scope of the crisis. Nurses may become torn between the desire to support their family and the call to duty in the community. ANA Standard 2 would have the nurse leave their family during a natural