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Climate impacts are striking at an alarming rate within the United States. Fires and Maui, Burning Man in Nevada with rain and sheltering in pace, Hurricane Idalia, and those left in her wake are the tip of the iceberg, so to speak. Nurses can be pivotal in preparation long before the event or disaster strikes. Understanding the risks your patient population may encounter is the first step. Tools such as the ones published by Americares are just one example of timely patient education. This session discusses how one primary care nurse practitioner approaches climate change and the changes necessary in primary care.