RASS Calculator
Richmond Agitation-Sedation Scale
Used to assess level of sedation and agitation
Agitation
+4
Combative
Overtly combative, violent, immediate danger to staff
+3
Very Agitated
Pulls or removes tube(s) or catheter(s); aggressive
+2
Agitated
Frequent non-purposeful movement, fights ventilator
+1
Restless
Anxious, but movements not aggressive or vigorous
Alert
0
Alert and Calm
Spontaneously pays attention to caregiver
Sedation
-1
Drowsy
Not fully alert, but has sustained awakening (>10 seconds) to voice
-2
Light Sedation
Briefly awakens (<10 seconds) with eye contact to voice
-3
Moderate Sedation
Movement or eye opening to voice (but no eye contact)
-4
Deep Sedation
No response to voice, but movement or eye opening to physical stimulation
-5
Unarousable
No response to voice or physical stimulation