Citing the development of a number of worrying and long-term trends among the patient and caregiver population of post-Katrina New Orleans, registered nurses from a wide variety of clinical settings will report on the severe challenges they face delivering care in their communities. The RNs will be sounding this public health alert as part of a day-long seminar sponsored by the Registered Nurse Response Network, (RNRN), a national organization with 4,000 members which was born in the aftermath of the Gulf region devastation.