In the event of a disaster, nurses are expected to utilize their healthcare knowledge in addition to communication, teamwork, and proper use and understanding of equipment. Arguably the most important responsibility of the nurse is understanding the chain of command, such as the HEICS (Hospital Emergency Incident Command System). In this model, roles are formally structured with clear lines of authority and accountability, thereby increasing efficacy and patient safety.
It is understandable to see the ethical dilemma given the contradiction of the two ANA provisions. However, I think the best way to answer that is by implementing prioritization, casualty triage, and considering justice and equity. There is no cut and dry answer here, beyond evaluating the situation as it happens and acting accordingly, as nurses deserve priority care just as much as a civilian does.
