Improve communication regarding sedation and agitation among healthcare providers. The RASS is a 10-point scale ranging from -5 to +4. [1] . Levels -1 to -5 denote 5 levels of sedation, starting with “awakens to voice” and ending with “unarousable.” Levels …

Procedure for RASS Assessment 1. Observe patient a. Patient is alert, restless, or agitated. (score 0 to +4) 2. 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. (score –1) c. Patient awakens with eye opening and eye contact, but not sustained. (score ...

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

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status over time in ICU patients: the reliability and validity of the Richmond Agitation Sedation Scale

RASS scores are closely associated with GCS and CAM-ICU assessments. Pain, agitation and delirium are all interlinked. Patients at RASS -2 to +4 should be assessed for delirium. CAM-ICU is not applicable for RASS -4 and -5. At -3, it is clinician judgement whether patient is conscious enough to participate in the assessment.

Procedure for RASS Assessment 1. Observe patient a. Patient is alert, restless, or agitated. (score 0 to +4) 2. 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. (score –1) c. Patient awakens with eye opening and eye contact, but not sustained. (score ...

There are lots of ways to assess sedation in critical care. In our unit we use the RASS scoring system. By recording the score on the chart we can also see trends in how the patient has been sedated. Positive scores of +1 to +4 are based on observing the patient.

Procedure for RASS Assessment * Rubbing the sternum is not appropriate for palliative care patient assessment and is not recommended.