ARCHETYPE Richmond Agitation-Sedation Scale (RASS) (openEHR-EHR-OBSERVATION.rass.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.rass.v0
ConceptRichmond Agitation-Sedation Scale (RASS)
DescriptionThe Richmond Agitation-Sedation Scale (RASS) is a tool used to measure the agitation or sedation level of a patient.
UseUsed to record the result for the Richmond Agitation-Sedation Scale (RASS).
PurposeTo record the result for the Richmond Agitation-Sedation Scale (RASS).
ReferencesCurtis N. Sessler, Mark S. Gosnell, Mary Jo Grap, Gretchen M. Brophy, Pam V. O'Neal, Kimberly A. Keane, Eljim P. Tesoro, and R. K. Elswick "The Richmond Agitation–Sedation Scale", American Journal of Respiratory and Critical Care Medicine, Vol. 166, No. 10 (2002), pp. 1338-1344. doi: 10.1164/rccm.2107138

©Norsk oversettelse godkjent av Curtis Sessler november 2008 / Hilde Wøien, Hanne Alfheim, Anne Kathrine Langerud og Audun Stubhaug,
Anestesi- og Intensivklinikken Rikshospitalet HF
Copyright© openEHR Foundation
AuthorsDate originally authored: 2025-02-04
Other Details LanguageDate originally authored: 2025-02-04
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Curtis N. Sessler, Mark S. Gosnell, Mary Jo Grap, Gretchen M. Brophy, Pam V. O'Neal, Kimberly A. Keane, Eljim P. Tesoro, and R. K. Elswick "The Richmond Agitation–Sedation Scale", American Journal of Respiratory and Critical Care Medicine, Vol. 166, No. 10 (2002), pp. 1338-1344. doi: 10.1164/rccm.2107138 ©Norsk oversettelse godkjent av Curtis Sessler november 2008 / Hilde Wøien, Hanne Alfheim, Anne Kathrine Langerud og Audun Stubhaug, Anestesi- og Intensivklinikken Rikshospitalet HF, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=06297BB5D1275AA53F2101F3C8FA0A4F, build_uid=bf92128e-adbf-4422-b5b8-eb0f5109a07b, revision=0.0.1-alpha}
Keywordsagitation, sedation, alertness, cognition,
Lifecyclein_development
UIDc4b087e6-22ae-4a8c-afe2-1bffa9d68163
Language useden
Citeable Identifier1013.1.7753
Revision Number0.0.1-alpha
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    3: Very agitated [Pulls on or removes tube(s) or catheter(s) or has aggressive behavior toward staff]
    2: Agitated [Frequent nonpurposeful movement or patient–ventilator dyssynchrony]
    1: Restless [Anxious or apprehensive but movements not aggressive or vigorous]
    0: Alert and calm [Spontaneously pays attention to caregiver]
    -1: Drowsy [Not fully alert, but has sustained (more than 10 seconds) awakening, with eye contact, to voice]
    -2: Light sedation [Briefly (less than 10 seconds) awakens with eye contact to voice]
    -3: Moderate sedation [Any movement (but no eye contact) to voice]
    -4: Deep sedation [No response to voice, but any movement to physical stimulation]
    -5: Unarousable [No response to voice or physical stimulation]
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