RICHMOND AGITATION SEDATION SCALE (RASS) AND NURSES
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 Published On Feb 22, 2021

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RICHMOND AGITATION-SEDATION SCALE

-10 point scale

-4 levels of anxiety or agitation (+1 to +4)

-1 level denote a alert or calm (0)

-5 levels of sedation (-1 to -5)

RASS is mostly used in the setting of mechanically ventilated patients in the intensive care unit to avoid over- and under-sedation.

To assess the level of consciousness and agitated behavior in ICU patients

Obtaining a RASS score is the first step in administering the Confusion Assessment Method in the ICU (CAM-ICU), a tool to detect delirium in intensive care unit patients

It helps to guide sedation therapy & improve communication of patient care between healthcare provider
RASS assessment takes 30-60 seconds using 3 steps
Observation
Response to auditory stimulation
Response to physical stimulation
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