ESCALATE WITH CONFIDENCE: THE CUS FRAMEWORK


Mini-course · 15 minutes · $10 · no CE credit

You don't need years of experience to effectively advocate for patient safety.

In 15 minutes, learn how to escalate with confidence and actually practice the skill by talking out loud, with an AI colleague persona.
three phrases you'll LEARN to use:
"I am concerned…"
Name what you're seeing.
"I am uncomfortable…"
Back it with your assessment.
"This is a safety issue."
Stop the line.
TheN, Practice Out loud in a simulated conversation:

Yusha, 20 years on the unit: "Can you help me turn Mr. Henderson real quick? Grab the far side, we can turn him in a minute."
You: "I'm concerned — he's charted for a three-person turn."
Yusha: "We're fine. Don't overthink it."

She isn't wrong about the unit being short-staffed. How might you raise the risk to Mr. Henderson without shutting the conversation down?
Three phrases from the TeamSTEPPS framework, two spoken conversations, fifteen minutes. You'll get feedback on three things: whether you escalated in the right order, whether you backed your concern with assessment data, and whether you stayed calm while holding your position.
Practice three conversations every nurse experiences.
Escalating a concern, calling a physician, and taking a verbal order. Forty-five minutes of practice, all together.

this course

Escalating with confidence

Raise a safety concern with a senior nurse who tells you not to worry about it.
SBAR communication

Call an on-call physician at 2 a.m. and give a report they can act on.
Closed-loop communication

Take a verbal order and read it back before the person walks away.
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