Richmond Agitation Sedation Scale +4 - Combative, Violent, Immediate Danger to Staff +3 - Very Agitated - Pulls or Removes Tube(s) or Catheter(s); Aggressive +2 - Agitated - Frequent non-PurposefuI Movement, Fights Ventilator +1 - Restless - Anxious, Apprehensive but Movements are not Aggressive or Vigorous 0 - Alert and Calm -1 - Not Fully Alert. but has Sustained to Voice (Eye Opening & Contact > 10 sec) -2 - Light Sedation - Briefly Awakens to Voice (Eye Opening & Contact < 10 sec) -3 - Moderate Sedation Movements or Eye Opening to Voice (BUT NO Eye Contact) -4 - Deep Sedation - No Response to Voice, BUT has Movement or Eye Opening to Physical Stimulation -5 - Unarousable - No Response to Voice or Physical Stimulation Stimulation REBEL Reviews #RASS #Richmond #Agitation #Sedation #Scale #diagnosis #criticalcare
