The Richmond Agitation-Sedation Scale (RASS) ranks agitation and possibility for sedation.

Procedure for RASS Assessment Observe patient Patient is alert, restless, or agitated. (score 0 to +4) If not alert, state patient's name and say to open eyes and look at speaker. Ask 'Describe how you are feeling?' Patient awakens with sustained eye opening and eye contact. (score -1)

Levels -1 to -5 denote 5 levels of sedation, starting with “awakens to voice” and ending with “unarousable.” Levels +1 to +4 describe increasing levels of agitation. The lowest level of agitation starts with apprehension and anxiety, and peaks at combative and violent. RASS level 0 is “alert and calm.” The full scale can be found ...

Procedure for RASS Assessment Observe patient Patient is alert, restless, or agitated. (score 0 to +4) If not alert, state patient’s name and say to open eyes and look at speaker. b. Patient awakens with sustained eye opening and eye contact. c. Patient awakens with eye opening and eye contact, but not sustained. d.

2022年11月2日 · Richmond躁动-镇静评分（Richmond Agitation and Sedation Scale，RASS）是2002年由Sessler等提出，该评分表共分为10个镇静等级，从+4分～-5分代表患者从“有攻性”到“昏迷”的程度，每个分值对应一种意识状态。

2023年5月7日 · RASS镇静程度评估表的分值范围：+4分~-5分，该表共计10个分值，代表患者从“攻击性”到“昏迷”的程度逐渐加深。 使用过程中白天和夜间的镇静目标分别为：白天0分~-2分之间，患者意识维持在清醒且平静与轻度镇静之…

Richmond Agitation-Sedation Scale (RASS) is a medical scale used to measure the agitation or sedation level of a person. It was developed with efforts of different practitioners, represented by physicians, nurses and pharmacists. [1][2] The RASS can be used in all hospitalized patients to describe their level of alertness or agitation. [3]

A score of 0 signifies a calm and alert patient. Positive RASS scores denote levels of aggressive behavior, and negative RASS scores denote less responsiveness, and differentiate between response to verbal (–1 to –3) and physical stimuli (–4 and –5).

Explanation Mainly used to monitor the sedation level of patients in the ICU or other settings. Steps for performing the RASS score: Step 1: Observe the patient Is the patient awake, restless, or agitated? Score: 0~+4 Step 2: If the patient is not awake, call the patient's name to awaken them and ask them to look at the speaker

Assess using the Attention Screening Examination (ASE) – Letters or Pictures. Attempt ASE Letters first. If pt is able to perform this test and the score is clear, record this score and move to Feature 3. If pt is unable to perform this test or the score is unclear, perform the ASE Pictures.