RASS HELP
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This app is intended to help students learn the descriptors of the Richmond Agitation-Sedation Scale (RASS). RASS is a medical scale used to measure the agitation or sedation level of a person.
The criteria are:
| Score | Term |
| +4 | Overtly combative or violent; immediate danger to staff |
| +3 | Pulls on or removes tube(s) or catheter(s) or has aggressive behavior toward staff |
| +2 | Frequent non-purposeful movement or patient-ventilator dyssynchrony* |
| +1 | Anxious or apprehensive but movements not aggressive or vigorous |
| 0 | Spontaneously pays attention to caregiver |
| -1 | Not fully alert, but has sustained (more than 10 seconds) awakening, with eye contact, to voice |
| -2 | Briefly (less than 10 seconds) awakens with eye contact to voice |
| -3 | Any movement (but no eye contact) to voice |
| -4 | No response to voice, but any movement to physical stimulation |
| -5 | No response to voice or physical stimulation |
*According to the (US) National Institute of Health, ventilator dyssynchrony is defined as the inappropriate timing and delivery of a mechanical breath in response to patient effort. It may cause ventilator-induced lung injury (VILI).
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