Sedation Score

RASS Assessment Procedure

1. 1

   Observe patient

   Is patient alert, restless, or agitated? Score +1 to +4

2. 2

   Call patient's name, ask to open eyes

   Sustained awakening (>10s, eye contact) = -1. Brief (<10s) = -2. Movement, no eye contact = -3

3. 3

   Physical stimulation (shoulder shake or sternal rub)

   Any movement = -4. No response = -5

Target Sedation Ranges