Sync template from atomicqms-style deployment

Forms/Sedation-Scoring/FRM-SED-001-COMFORT-Scale.md

@@ -0,0 +1,128 @@
+# COMFORT Sedation Assessment Scale
+
+| Form ID | FRM-SED-001 | Revision | 1.0 |
+|---------|-------------|----------|-----|
+
+---
+
+## Patient Information
+
+| Field | Entry |
+|-------|-------|
+| Patient Name | |
+| MRN | |
+| Date of Birth | |
+| Assessment Date | |
+| Assessment Time | |
+| Assessed By | |
+
+## COMFORT Scale Scoring
+
+### 1. Alertness
+
+- [ ] 1 - Deeply asleep (eyes closed, no response to changes)
+- [ ] 2 - Lightly asleep (eyes mostly closed, occasional response)
+- [ ] 3 - Drowsy (eyes mostly closed, occasional response to environment)
+- [ ] 4 - Fully awake and alert
+- [ ] 5 - Hyperalert (exaggerated responses to stimuli)
+
+### 2. Calmness/Agitation
+
+- [ ] 1 - Calm (no agitation, peaceful)
+- [ ] 2 - Slightly anxious (slightly anxious but easily reassured)
+- [ ] 3 - Anxious (anxious, not easily reassured)
+- [ ] 4 - Very anxious (very anxious, resistant to treatment)
+- [ ] 5 - Panicky (panicky, fighting/pulling at tubes)
+
+### 3. Respiratory Response (for ventilated patients)
+
+- [ ] 1 - No spontaneous respirations
+- [ ] 2 - Spontaneous respirations with little response to ventilator
+- [ ] 3 - Occasional cough or resistance to ventilator
+- [ ] 4 - Actively breathes against ventilator
+- [ ] 5 - Fights ventilator, coughing regularly
+
+### 4. Physical Movement
+
+- [ ] 1 - No movement
+- [ ] 2 - Occasional slight movement
+- [ ] 3 - Frequent slight movement
+- [ ] 4 - Vigorous movement limited to extremities
+- [ ] 5 - Vigorous movement including torso and head
+
+### 5. Blood Pressure (MAP) Baseline
+
+**Baseline MAP:** ______ mmHg
+
+- [ ] 1 - MAP below baseline
+- [ ] 2 - MAP consistently at baseline
+- [ ] 3 - Infrequent elevations ≥15% above baseline
+- [ ] 4 - Frequent elevations ≥15% above baseline
+- [ ] 5 - Sustained elevation ≥15% above baseline
+
+### 6. Heart Rate Baseline
+
+**Baseline HR:** ______ bpm
+
+- [ ] 1 - HR below baseline
+- [ ] 2 - HR consistently at baseline
+- [ ] 3 - Infrequent elevations ≥15% above baseline
+- [ ] 4 - Frequent elevations ≥15% above baseline
+- [ ] 5 - Sustained elevation ≥15% above baseline
+
+### 7. Muscle Tone
+
+- [ ] 1 - Muscles totally relaxed, no muscle tone
+- [ ] 2 - Reduced muscle tone
+- [ ] 3 - Normal muscle tone
+- [ ] 4 - Increased muscle tone and flexion of fingers and toes
+- [ ] 5 - Extreme muscle rigidity and flexion of fingers and toes
+
+### 8. Facial Tension
+
+- [ ] 1 - Facial muscles totally relaxed
+- [ ] 2 - Facial muscle tone normal, no facial tension
+- [ ] 3 - Tension evident in some facial muscles
+- [ ] 4 - Tension evident throughout facial muscles
+- [ ] 5 - Facial muscles contorted and grimacing
+
+## Total Score
+
+**Total COMFORT Score:** ______ / 40
+
+## Score Interpretation
+
+- **8-16**: Over-sedated
+- **17-26**: Optimal sedation range
+- **27-40**: Under-sedated
+
+## Clinical Action
+
+### Current Sedation
+| Medication | Dose | Rate |
+|------------|------|------|
+| | | |
+| | | |
+
+### Action Taken Based on Score
+- [ ] No change needed
+- [ ] Increase sedation
+- [ ] Decrease sedation
+- [ ] Notify physician
+- [ ] Other: ____________
+
+### Comments
+
+
+
+## Signature
+
+| Role | Name | Signature | Date/Time |
+|------|------|-----------|-----------|
+| RN/RT | | | |
+
+---
+
+*Form FRM-SED-001 Rev 1.0*
+
+**Reference:** Ambuel B, Hamlett KW, Marx CM, Blumer JL. Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatr Psychol. 1992.