Nurse leaders quickly realized the deep emotional impact of this mass-casualty event on the entire team. Although the trauma nurses and inpatient nurses were clinically strong and frequently deal with difficult situations, including death, this was of a different and far greater magnitude. Counseling sessions were held around the clock for weeks, totaling more than 1,200 sessions.
Although Orlando Health had anticipated the impact of the clinical aspect of a mass-casualty incident, the organization had never anticipated the effect of the aftermath. This came in many forms, including international media interest and visits from well-wishers, including politicians, celebrities, sports figures and the general public. At times, the staff and patients were overwhelmed with all of the attention. When this occurred, nurse leaders actively advocated for the privacy of patients and staff.