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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support-ig.pptx
January 20, 2006 - 15
TeamSTEPPS | Office-Based Care
Mutual Support
Slide ‹#›
CUS WORDS
SAY:
The CUS technique … CUS and several other signal phrases have a similar effect in verbal communication. … CUS stands for the following actions:
First, state your concern. … Can you think of some mutual support behaviors (feedback, advocacy and assertion, Two-Challenge Rule, CUS
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/slmutualsupp.pptx
February 03, 2006 - TEAMSTEPPS 05.2
Mod 6 2.0 Page ‹#›
Mutual
Support
16
Page ‹#›
17
Please Use CUS Words
but only … Monitoring
STEP
I’M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/ts-obc-webinar-052317.pptx
January 01, 2017 - Tools
Depends on clinical need on which tool to start with
TeamSTEPPS 101:
Huddle/Debriefing
SBAR
CUS … Awareness & Effective Communication
STEPP #3: Difficult Conversations & DISC Assessment
STEPP #4: SBAR, CUS
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_slides_msmt.pptx
February 03, 2006 - Stevens calm while ensuring that the responding nurse has support when needed, the team decides to use CUS … area where the evening shift change briefing occurs, they agree that if they hear a staff person using CUS
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pptx
February 03, 2006 - TEAMSTEPPS 05.2
Mod 6 LTC 2.0 Page ‹#›
Mutual Support
16
Please Use CUS Words
but only when appropriate … Monitoring
STEP
I’M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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www.ahrq.gov/teamstepps/longtermcare/downloads.html
April 01, 2013 - file, 3.1 MB)
DESC Script video (Zip file, 16.9 MB)
Task Assistance video (Zip file, 4.5 MB)
CUS
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
January 01, 2008 - DO:
Choose the video clip for SBAR, Team Huddle, STEP or
CUS. … DO:
Choose the video clip for SBAR, Team Huddle, STEP, or CUS. … •CUS words when nurse is concerned; Responder’s respect of
CUS words. … •
CUS words.
How can the administration team help with this issue? … –
CUS words.
–
Activating the RRS.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_slides.pptx
February 03, 2006 - or chain of command
TEAMSTEPPS 05.2
LTC Essentials Page ‹#›
Essentials
Assertive Statements: CUS … members
Effectively advocates for resident safety using the Assertive Statement, Two-Challenge Rule, or CUS … Monitoring
STEP
I’M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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www.ahrq.gov/teamstepps/officebasedcare/module8/office_teach.html
February 01, 2016 - Focus on conflict resolution and threat management and avoidance.
300-level tools include:
CUS. … CUS.
DESC script.
Collaboration. … What skills is she using to teach the CUS tool to Nurse Larry?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module8/8_ts_office_teach.pptx
January 20, 2006 - their teams
Focus on conflict resolution and threat management and avoidance
300-level tools include:
CUS … affects the culture of an organization
Task assistance
Feedback
Advocacy and Assertion
Two-Challenge Rule
CUS … What skills is she using to teach the CUS tool to Nurse Larry?
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www.ahrq.gov/teamstepps/instructor/videos/downloads.html
August 01, 2012 - CUS (10 sec.)
Debrief (24 sec.)
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_team_performance_obtool.pdf
April 24, 2017 - Effectively advocates for resident safety using the Assertive Statement, Two-Challenge Rule, or CUS
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
October 01, 2014 - change, in a resident's condition or an "outcome measure" like reported use rates for SBAR and for CUS … Try a change, e.g., provide a new I.D. badge with SBAR and CUS on the back, as well as a 1-hour, online … Learn from consequences, e.g., some used SBAR and CUS, but others did not. … Indefinite periodic measurement, e.g., of reported SBAR and CUS use rates, and review to ensure that … SBAR = Situation, Background, Assessment, Recommendation; CUS = Concerned, Uncomfortable, Safety.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-transcript.html
December 01, 2017 - CUS, C-U-S, is a nice tool. … Then, of course, the CUS and the two-challenge rules which help you advocate for your patients. … The CUS or two-challenge rule, there was a definite opportunity there for the nurse when she knew in … She should have questioned the need for that catheter and she could have used the CUS or the two-challenge
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-into-cusp-efforts-transcript.docx
April 07, 2015 - CUS, C-U-S, is a nice tool. … Then, of course, the CUS and the two-challenge rules which help you advocate for your patients. … The CUS or two-challenge rule, there was a definite opportunity there for the nurse when she knew in … She should have questioned the need for that catheter and she could have used the CUS or the two-challenge
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module7.pptx
March 07, 2019 - Provide feedback to overcome a problem
Advocacy and assertion
Work through conflict
Two-Challenge Rule
CUS … Mutual support tools, such as the Two-Challenge Rule, CUS, and the DESC script might seem daunting at … Situation Monitoring
STEP
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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www.ahrq.gov/news/newsroom/case-studies/201610.html
August 01, 2016 - useful in helping Carilion focus on safe and effective patient care have been: call out, check back, "CUS
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
July 11, 2017 - safety issue.
28 TeamSTEPPS 2.0 for Long-Term Care | Essentials Course
TWO-CHALLENGE RULE
CUS … SAY:
Using the CUS technique provides another tool for advocacy,
assertion, and mutual support … In verbal communication, “CUS” and
other signal phrases have a similar effect. … To use CUS:
• First, state your concern.
• Then, state why you are uncomfortable. … – Several TeamSTEPPS strategies and tools were used,
including:
– CUS used by Olivia, the physical
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www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
December 01, 2012 - CUS 1
Slide 29. Collaboration 1
Slide 30. SBAR 1
Slide 31. Call-Out 1
Slide 32. … CUS.
Collaboration.
Communication:
SBAR.
Call-Out.
Check-Back. … CUS 1
I am C ONCERNED!
I am U NCOMFORTABLE!
This is a S AFETY ISSUE!
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module6.pptx
March 07, 2019 - Please Use CUS Words
but only when appropriate! … CUS and several other signal phrases have a similar effect in verbal communication. … CUS stands for the following actions: First, state you are concerned. … of some mutual support behavior — such as feedback, advocacy and assertion, the two-challenge rule, CUS … Situation Monitoring
STEP
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS