CSC                       ™                          Clinical Sobriety Checklist                              (Every blank...
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Clinical Sobriety Checklist by Rand L. Kannenberg

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Clinical Sobriety Checklist by Rand L. Kannenberg

  1. 1. CSC ™ Clinical Sobriety Checklist (Every blank in all three boxes must be checked.) (AA) _____awake _____alert (Ox4) _____oriented to person _____oriented to place _____oriented to time _____oriented to events (Walking/Talking) _____exhibits stable gait without ataxia (i.e., is coordinated and balance is steady when standing or moving) _____conversive without slurred speech (i.e., communicates and word pronunciation is clear when speaking)“These guidelines are intended to be tools to facilitate clinical decisionmaking. They are not the standard of care for each patient. No guidelinecan anticipate every situation, and the (clinician) should deviate from theguidelines when clinical judgment so indicates.”1Adapted from “Clinical pathway for intoxicated patients,” Brown University. Retrieved from the World Wide Web athttp://brown.edu/Administration/Emergency_Medicine/emr/pages/etoh.htm July 29, 2007.Copyright 2007 Rand L. KannenbergAll rights reserved.1 “Clinical pathway for intoxicated patients.”

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