Pasero Opioid-induced Sedation Scale (POSS) with Interventions* S = Sleep, easy to arouse Acceptable; no action necessary; may increase opioid dose if needed

Early identification of unacceptable levels of opioid-induced sedation and appropriate intervention can PREVENT opioid-related respiratory depression.

Modified Pasero Opioid-induced Sedation Scale (POSS) • POSS is for monitoring and early detection of unintended sedation with opioid administration • Sedation usually precedes respiratory depression

monitor respiratory status and sedation level closely until sedation level is stable at less than 3 and respiratory status is satisfactory. *Appropriate action is given in italics at each level of sedation.

A descriptive survey-based study was undertaken to test the validity and reliability of three scales that are used to assess sedation during opioid administration for pain management: the Inova Health System Sedation Scale (ISS), the Richmond Agitation and Sedation Scale (RASS), and the Pasero Opioid-Induced Sedation Scale (POSS).

Unacceptable; stop opioid; consider administering naloxone; notify prescriber or anesthesiologist; monitor respiratory status and sedation level closely until sedation level is stable at less than 3 and respiratory status is satisfactory.

Discover the importance of the Pasero Opioid-Induced Sedation Scale (POSS) in assessing sedation levels during opioid administration. Learn about nursing interventions based on POSS scores and ensure patient safety.

Sedation scales enable nurses to reach knowledgeable decisions maximizing patient safety during opioid administration. Adult literature has focused on the Pasero Opioid-Induced Sedation Scale (POSS) to address this risk in the adult population; however, literature in the pediatric setting is limited.

Apr 18, 2021 · Purpose: To examine sedation scales and monitoring practices, specifically evaluating utilization of the Pasero Opioid Sedation Scale (POSS) in the clinical setting. Design: Literature review. Methods: A thorough review of the literature was conducted using three databases from January 2009 to June 2016.

A validated and reliable sedation scale for assessing and reporting opioid induced sedation. Registered Nurses' Association of Ontario. (2013). Appendix O of Assessment and Management of Pain Third Edition. Toronto, ON, Canada p.99.