---
asset_id: A2
title: CNO/CFO Approval Memo
tier: Green
status: Template
owner: Program owner
audience: CNO and CFO
generated_at: 2026-06-19
source_refs:
  - apps/sim-ariasos-com/nexus-pediatric-5min-sim-enterprise-plan.md
  - apps/sim-ariasos-com/nexus-pediatric-5min-sim-enterprise-plan.pdf
  - generated-local/nexus-pediatric-safety-studio-assets/aria-microphase-asset-buildout-20260619.md
  - generated-local/aria-research-substrate/nexus-5min-sim-budget-20260619/manifest.json
  - https://sim.ariasos.com
  - https://www.crisisprevention.com/en-GB/blog/general/cpi-crisis-development-model/
  - https://www.crisisprevention.com/blog/behavioral-health/risk-behaviors/
  - https://www.crisisprevention.com/en-AU/blog/general/understanding-the-importance-of-integrated-experience/
claim_boundary: "Executive and clinical review artifact. Not clinical policy. Not approved for rollout until Nexus/CPI/addendum/risk/legal validation."
---

# CNO/CFO Approval Memo

To: Chief Nursing Officer; Chief Financial Officer

From: Program Owner, Nursing Education

Subject: Approval Request for 90-Day Pediatric Behavioral Safety Simulation Pilot

## Recommendation

Approve a 90-day pilot of the Nexus Pediatric Safety Studio 5 Min Sim program, pending clinical validation and risk/compliance review.

## Business Case

This is a low-capital, high-discipline safety program. Most cost is staff time already present in huddle workflow. The pilot gives leadership a measurable way to strengthen staff judgment, reinforce least-restrictive response discipline, reduce drift between formal trainings, and improve post-event repair.

## Funding Request

Approve planning funds for materials, facilitator onboarding, quality measurement, and limited coverage support. All dollar figures are planning assumptions until finance replaces them with actual loaded rates and vendor quotes.

## Conditions

- CPI/Nexus addendum language must be validated.
- Restraint/seclusion and documentation references must be validated.
- Facilitators must pass onboarding and dry run.
- Stop criteria must be active from day one.
- No patient-facing or public clinical claims are approved by this memo.

## Decision

- [ ] Approve Phase 0 validation.
- [ ] Approve Phase 1 pilot build.
- [ ] Approve 90-day pilot launch after validation gates pass.
- [ ] Revise and resubmit.

- CNO: ____________________  Date: __________
- CFO: ____________________  Date: __________
- Program owner: ____________________  Date: __________