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    MSU-Iligan Institute of Technology

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    Lorraine Gambito
    This rubric evaluates nurses on effectively communicating concerns about patient safety issues using the CUS method: C - Courteously address personnel and introduce yourself and role in patient care. U - Provide the patient's name, status, and description of the concerning situation. Express how it makes you feel uncomfortable. S - Suggest alternatives to ensure patient safety, seek agreement on resolving the problem, and demonstrate conflict resolution skills. The rubric awards points based on inclusion of these elements, justification of urgency, and demonstration of professionalism and concern for the patient.

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    MSU-Iligan Institute of Technology

    Uploaded by

    Lorraine Gambito
    35 views2 pages
    This rubric evaluates nurses on effectively communicating concerns about patient safety issues using the CUS method: C - Courteously address personnel and introduce yourself and role in patient care. U - Provide the patient's name, status, and description of the concerning situation. Express how it makes you feel uncomfortable. S - Suggest alternatives to ensure patient safety, seek agreement on resolving the problem, and demonstrate conflict resolution skills. The rubric awards points based on inclusion of these elements, justification of urgency, and demonstration of professionalism and concern for the patient.

    Original Description:

    Delivery room duty CUS

    Original Title

    5 CUS Rubric

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    This rubric evaluates nurses on effectively communicating concerns about patient safety issues using the CUS method: C - Courteously address personnel and introduce yourself and role in patient care. U - Provide the patient's name, status, and description of the concerning situation. Express how it makes you feel uncomfortable. S - Suggest alternatives to ensure patient safety, seek agreement on resolving the problem, and demonstrate conflict resolution skills. The rubric awards points based on inclusion of these elements, justification of urgency, and demonstration of professionalism and concern for the patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views2 pages

    MSU-Iligan Institute of Technology

    Uploaded by

    Lorraine Gambito
    This rubric evaluates nurses on effectively communicating concerns about patient safety issues using the CUS method: C - Courteously address personnel and introduce yourself and role in patient care. U - Provide the patient's name, status, and description of the concerning situation. Express how it makes you feel uncomfortable. S - Suggest alternatives to ensure patient safety, seek agreement on resolving the problem, and demonstrate conflict resolution skills. The rubric awards points based on inclusion of these elements, justification of urgency, and demonstration of professionalism and concern for the patient.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    MSU-Iligan Institute of Technology

    COLLEGE OF NURSING
    Level II AACUP Accredited

    EVALUATION TOOL: CUS RUBRIC

    UNACCEPTABLE SATISFACTORY EXCEPTIONAL


    POINTS
    (10) (15) (20)

    PRESENTATION Vague portrayal of Lacking in one of the Clear presentation of roles in


    Clear depiction of the roles. Lacking three (CUS) elements. depicting the situation:
    situation and roles assertiveness in Addresses concerned a. courteously addresses
    while demonstrating nursing role as the individual and introduces personnel being alerted
    professional courtesy client’s advocate. self and his/her role in b. introduces self
    Brash in conversation client care but needs c.clearly depicts assertiveness
    improvement in concise as a nurse.
    polite conversation Demonstrates effective self-
    regulation. No demonstration
    of defensive behaviour or
    hyperarousal
    I am Insufficient data to Patient is identified but Nurse provides information on
    convince concerned pertinent data is patient’s:
    CONCERNED personnel to incomplete. a. name
    Pertinent and brief reconsider the Data concerning the b. status
    information related to situation situations needs to be c. situation that needs
    the situation, the Lacks description on better organized. rectification.
    patient and his needs pertinent information Conveys urgency in the matter
    in the situation on the client and the at hand
    situation.
    Unable to justify the
    urgency of the
    situation
    I am Concern for client’s Presents limited Expresses how the situation
    wellbeing and assessment data to makes you feel uncomfortable.
    UNCOMFORTABLE evidence for unease support concern in the Provides pertinent information
    Statement justifying in the matter is not situation.. on the specific urgent concern
    concern towards the evident. such as relevant
    situation laboratory/diagnostic test
    results, medication or current
    vital signs and why these have
    aroused concern

    This is a Lack of convincing There is some elaboration States or asks


    SAFETY Issue evidence to” stop the
    line”.
    on why the situation
    poses a threat to the
    a. How the situation
    compromises the client’s
    Action requested to Poor evidence of safety of the client. safety or wellbeing.
    ensure client safety agreement towards Lacks recommendation of b. informed suggestions on
    resolution of the interventions needed for the alternatives for
    problem the continuity of care continuity of care.
    .
    Seeks agreement and
    resolution of problem.
    Demonstrates excellent
    conflict resolution skills
    Total ___/80

    Describe the specific situation or behavior; provide concrete data.

    E—Express how the situation makes you feel/what your concerns are.
    S—Suggest other alternatives and seek agreement.

    C—Consequences should be stated in terms of impact on established team goals;


    strive for consensus.

    Assert a corrective action in a firm and respectful manner

     Make an opening.
     State the concern.
     State the problem (real or perceived).
     Offer a solution.
     Reach agreement on next steps.

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