Appendix: Examples of the SBAR and CUS Tools
A. A good tool for shift-to-shift handoffs and for situations that require immediate attention and action: SBAR
- Situation (identify yourself, the resident, and the problem).
- Background (history, vitals, results, etc).
- Assessment (findings, severity, life-threatening?).
- Recommendation (what is next?, needs, timeframe).
- Review the chart.
- Complete the SBAR.
- Speak clearly.
- Document SBAR in the progress notes.
B. Getting your supervisor's attention when you really need it: CUS
- I am Concerned about my resident's condition.
- I am Uncomfortable with my resident's condition.
- I believe the Safety of the resident is at risk.
Example: "I'm concerned that Ms. C is not her usual self. I'm
uncomfortable that she is behaving so oddly. I believe she is
not safe; she may have something serious going on that we are
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