The role of pediatric hospitals in the COVID-19 pandemic changed quickly. The team of clinical nurse specialists and clinical nurse educators in a large pediatric hospital were instrumental in the institutional response through simulations, serving as change agents, collaboration, and implementing systems thinking. Leveraging the expertise of this team during this historical and unprecedented time optimized patient and associate safety as part of a pediatric hospital's COVID-19 response.
COVID-19 has introduced a "new normal" way of life, especially for nurses and all healthcare providers, with the challenge of maintaining safety and continuing promotion of excellent patient care practices. Despite ongoing U.S. preparedness planning for a pandemic, incorporating recommendations from the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC), the novel coronavirus has presented challenges far beyond any expected or imagined. Since 2014, the CDC and WHO have updated and published essential steps for a national pandemic plan, and the Department of Health and Human Services updated the pandemic influenza plan in 2017 (Jester et al., 2018). The basis of this planning included personal protective measures, social distancing, and other methods to slow the transfer of the virus, along with adequate hospital beds and equipment, which are all part of the present plan to manage COVID-19 (Jester et al., 2018). However, previous planning did not address the current situation in the United States and the world, which includes a deadly virus with significant infectious characteristics in a population lacking any known immunity or previous exposure. COVID-19 has affected and changed everyday life as it was known only several months ago and came into being with limited information and understanding and continues to evolve.The lack of knowledge and experience in dealing with this novel virus was obvious, requiring health care, in general, and specifically nurses who are at the forefront of