Richmond Agitation-Sedation Scale Calculator Sponsored Advertising placement Richmond Agitation-Sedation Scale (RASS) Clinical Decision Tool Grades agitation and sedation from +4 to −5 using the Richmond Agitation-Sedation Scale. Observed Agitation or Sedation Level +4 — Combative; overtly violent, immediate danger to staff +4 +3 — Very agitated; pulls or removes tubes/catheters or aggressive +3 +2 — Agitated; frequent non-purposeful movement or fights ventilator +2 +1 — Restless; anxious but movements not aggressive +1 0 — Alert and calm 0 −1 — Drowsy; sustained awakening to voice for more than 10 seconds -1 −2 — Light sedation; briefly awakens to voice for less than 10 seconds -2 −3 — Moderate sedation; movement or eye opening to voice but no eye contact -3 −4 — Deep sedation; movement or eye opening to physical stimulation -4 −5 — Unarousable; no response to voice or physical stimulation -5 Calculate Richmond Agitation-Sedation Scale (RASS) Clear Calculator ☆ Log in to save Save this calculator to your MDPDA account. + Add to Toolkit Log in to save incomplete calculator progress and return later. Log in to save progress Clinical Decision Support Only MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress. Read our Clinical Disclaimer Sponsored Advertising placement
