Karen Brandt, director of human resources for the Summit

Karen Brandt, director of human resources for the Summit Pacific Medical Center, assists Renee Smith, director of rural health clincics for Summit Pacific, with her personal protective equipment June 11, 2016 in Elma, Washington. The Kentucky National Guard’s CBRNE Enhanced Response Force Package (CERFP), assisted the SPMC with setting up and testing its abilities for decontamination of mass casualties for the first time in the hospital's three-year history as part of the Vigilant Guard program, a series of homeland defense exercises that allow Guard and local agencies to work together before a disaster scenario. (U.S. Army National Guard photo by Sgt. 1st Class Gina Vaile-Nelson, KYARNG/Released)