“Over the 10 years we have been doing this in health care, we’ve seen people start to use the language of ‘I’m in the orange zone’ or ‘I know I’m in the orange zone when I feel like I’m one sleep-deprived moment away from a bad decision.’ We’ve seen people’s increased ability to recognize when they’re significantly stressed, and they are far more likely to recognize the signs of a colleague experiencing a stress injury,” said Richard Westphal, director of Alliance for Compassionate Care at the UVA School of Nursing, a co-creator of the stress first aid toolkit.