| 7 |
Dangerous agitation. Pulling on the endotracheal tube, attacking medical staff, climbing over bed rails. |
| 6 |
Very agitated. Unable to calm down, requires restraint, biting the endotracheal tube. |
| 5 |
Agitated. Attempting to sit up but can be calmed with verbal prompts. |
| 4 |
Calm cooperation. Follows instructions. |
| 3 |
Sedated. Difficult to awaken, can follow simple commands. |
| 2 |
Very sedated. Responsive to stimulation, unable to follow commands. |
| 1 |
Unawakenable. No or only minimal response to painful stimuli. |
Home
Back