The after-action report detailing our response to the Pulse nightclub shooting included almost 80 changes to our disaster plan. Only a few were related to patient care. The majority addressed how we will interact with family members, the media, and our law enforcement and governmental partners in future incidents. We also have expanded our plans for providing counseling and emotional support to our team members. Although each of these was addressed in our previous disaster plan, we realized the need to expand our capabilities based upon the significant impact each had upon our response to the Pulse tragedy. These are important considerations that are rarely addressed in most hospital disaster plans, let alone practiced during disaster exercises.