The terrorist attacks of September 11, 2001, along with natural disasters such as Hurricane Katrina, have led to decades of disaster preparedness planning. Despite the attention and focus on planning, many studies have found that hospitals are ill prepared to appropriately manage extended disasters. The author completed her doctoral program capstone project on neonatal intensive care unit disaster preparedness. This article discusses lessons learned during the coronavirus disease 2019 (COVID-19) pandemic and what future disaster preparedness plans must consider.