Disaster is defined as an event or series of events that threaten and disrupt people's lives and livelihoods which are caused either by natural factors and / or non-natural or human factors, resulting in human casualties, environmental damage, property loss, and psychological impacts. Natural disasters or calamities that befall a country can come suddenly, so that people who are at the location of the disaster do not have time to anticipate the prevention of the disaster. Geographically, Indonesia is located within the ring offire, where the 1,200 km stretch from Sabang to Papua is the boundary of three large plates world namely; the Indo-Australian, Eurasian and Pacific plates will have the potential to trigger major natural disasters. The nursing profession is flexible and covers all conditions, where the nurse not only limited to providing care in the hospital but also prosecuted able to work in a state of alert and responsive disaster. Handling situations between circumstances alert and normal state is very different, so that the nurse must be able in skills and techniques in the face conditions like this. Medical aid activities and care in a state of disaster preparedness can be done by the nursing profession. Armed with knowledge and abilities owned a nurse can do disaster preparedness aid in various form. The role of the nurse in disaster management 1. Search and rescue Localize the victim. Move victim from hazardous area to place collection / shelter. Checking the health status of the victim (triage at the scene). Provide first aid if needed. Move the victim to the field medical post if necessary. 2. Triase Rapid identification of victims who need immediate stabilization (maintenance in the field). Identify the victim who can only be saved by emergency surgery (life saving surgery). Patients must be identified and placed quickly and precisely, grouping victims according to their severity in each tag color, namely yellow and red. Areas of action must be predefined and marked. Discovery, isolation and actions of contaminated / infected patients must come first. 3. First aid Treat minor wounds effectively by performing techniques first aid, such as bleeding control, treating shock and stabilizes fractures. Perform basic life support such as management external bleeding, securing inhalation, and performing appropriate techniques for injury management. Has first aid skills such as cleaning airway, doing resuscitation from the mouths, doing CPR / CPR, treat shock, and control bleeding. Open airways as quickly as possible and check for obstruction airway should be the first action, if necessary a channel air must be opened by the Head-Tilt / Chin- Lift method. Allocating first aid to victims with bleeding, then the nurse must stop the bleeding, because uncontrolled bleeding can lead to weakness and if in the end the shock can cause the victim to die. 4. The process of transferring victims Check the patient's condition and stability by monitoring vital signs; Examination of equipment attached to the patient's body such as intravenous drips, ventilator / oxygen pipes, immobilization equipment and others. 5. Hospital treatment Measuring hospital care capacity. Location of treatment at the hospital Relationship with field care. The flow of patients to the hospital must be direct and open. The flow of patients must be fast and direct to the hospital, must be determined, beds must be available in the ER, OK, room and ICU 6. RHA Assess health quickly through information gathering quickly with magnitude analysis of the problem as a basis to take decision on the need for immediate countermeasures. 7. The role of the nurse inside evacuation posts and disaster post Facilitate the schedule of medical consultation visits and health checks daily. Continue to plan daily nursing care priorities. Plan and facilitate patient transfers as needed health care in the hospital. Evaluating daily health needs. Check and organize supplies of medicine, food, special foods baby, health equipment. Assist in the management and placement of patients with disease contagious and psychologically unstable to endanger oneself and the environment in coordination with the mental nurse. Identify the psychological reactions that occur in the victim (Anxiety, depression as indicated by frequent crying and self-isolation) and psychosomatic reactions (loss of appetite, insomnia, fatigue, nausea, vomiting, and muscle weakness). Helping the victim psychiatric therapy, especially children, can done by modifying the environment for example by therapy played. Facilitating counseling and other psychiatric therapy by para psychologist and psychiatrist. Consult with local supervision regarding inspections health and the needs of people who are not displaced. 8. The role of the nurse in phases postimpact Helping people to return to normal life through a consultation or educational process. Help restore physical conditions that need it long period of healing time to return to normal even there are circumstances in which the defect occurs.