RICHMOND AGITATION SEDATION SCALE (RASS) AND NURSES

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  • Опубліковано 21 лют 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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