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

If not alert, state patient's name and say to open eyes and look at speaker. Ask 'Describe how you are feeling?'

Ely EW, Truman B, Shintani A, Thomason JWW, Wheeler AP, Gordon S et al. Monitoring sedation status over time in ICU patients: the reliability and validity of the Richmond Agitation …

Comparison and agreement between the Richmond Agitation-Sedation Scale and the Riker Sedation-Agitation Scale in evaluating patients' eligibility for delirium assessment in the ICU.

UCH Critical Care: DELIRIUM PROTOCOL Sedation Scale / Delirium Assessment Delirious (CAM-ICU positive) Non-delirious (CAM-ICU negative) Consider differential Dx e.g. Sepsis, …

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 …

The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care patients. Am J Respir Crit Care Med 2002;166:1338-1344.

Any movement (but no eye contact) to voice. No response to voice but any movement to physical stimulation. No response to voice or physical stimulation. Procedure for RASS Assessment Step

The Richmond Agitation Sedation Scale evaluates sedation in patients who are hospitalized, respectively their level of agitation prior to being sedated. The original study has been followed …

May 26, 2025 · The Richmond Agitation-Sedation Scale (RASS) is a widely used assessment tool in critical care nursing to measure the level of sedation or agitation in patients.