| ARCHETYPE ID | openEHR-EHR-OBSERVATION.rass.v0 |
|---|---|
| Concept | Richmond Agitation-Sedation Scale (RASS) |
| Description | The Richmond Agitation-Sedation Scale (RASS) is a tool used to measure the agitation or sedation level of a patient. |
| Use | Used to record the result for the Richmond Agitation-Sedation Scale (RASS). |
| Purpose | To record the result for the Richmond Agitation-Sedation Scale (RASS). |
| 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 German translation from https://www.icu-rehab.de/resources/RASS.pdf |
| Copyright | © openEHR Foundation |
| Authors | Date originally authored: 2025-02-04 |
| Other Details Language | Date originally authored: 2025-02-04 |
| Other Details (Language Independent) |
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| Keywords | agitation, sedation, alertness, cognition, |
| Lifecycle | in_development |
| UID | c4b087e6-22ae-4a8c-afe2-1bffa9d68163 |
| Language used | en |
| Citeable Identifier | 1246.145.2953 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Extension | Extension: Additional information required to extend the model with local content or to align with other reference models or formalisms. For example: local information requirements; or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes |
| data | |
| The Richmond Agitation–Sedation Scale | The Richmond Agitation–Sedation Scale: 4: Combative [Overtly combative or violent; immediate danger to staff] 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] |
| events | |
| Any event | Any event: @ internal @ |
| Other contributors | |
| Translators |
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