According to this article, a nurse in Spain is the first to contract Ebola outside of Africa. This nurse in Madrid was diagnosed with Ebola after tending to a priest with Ebola who got it while in Sierra Leone.

If this nursing survey that has been posted a couple times already reflects reality--that many nurses feel that they and their institutions are ill prepared for Ebola--this Spanish incident could lead to a lot of soul searching, especially now that more and more community based hospitals in the US are dealing with cases or suspected cases in recent days rather than "elite" teams from the CDC and special high-risk biocontainment wards.