Get Riker Scale

Riker Sedation-Agitation Scale ScoreDescription4Calm and cooperative3Sedated2Very sedated1Unarousable3 more rows

For most patients a RASS of 0 to -2 is desirable. RASS = 0 means the patient is alert and calm. RASS = -2 means they awaken to voice (eyes open for <10 seconds).

The Richmond Agitation and Sedation Scale (RASS) is a validated and reliable method to assess patients' level of sedation in the intensive care unit.

Riker Sedation-Agitation Scale ScoreDescription4Calm and cooperative3Sedated2Very sedated1Unarousable3 more rows

2. The Riker Sedation-Agitation Scale uses a numeric score from 1 to 7 to assess the level of patient sedation and is especially adapted to warn the clinician of “unarousable” and “dangerous agitation” levels of patient sedation, which is not provided by the Ramsay Sedation Score (Table 33-2).

Richmond Agitation-Sedation Scale is one of the recommended scales for measuring the level of sedation in the ICU,26 which is a continuum of 10 scores ranging from 5 to 4 with three levels.

Richmond Agitation-Sedation Scale is one of the recommended scales for measuring the level of sedation in the ICU,26 which is a continuum of 10 scores ranging from 5 to 4 with three levels.

It is a 10-point scale, with four levels of anxiety or agitation, one level denoting a calm and alert state, and 5 levels of sedation. On one extreme of the RASS score, +4 represents a very combative, violent patient, who is considered dangerous to the staff.