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 decision
making. They are not the standard of care for each patient. No guideline
can anticipate every situation, and the (clinician) should deviate from the
guidelines when clinical judgment so indicates.”1
Adapted from “Clinical pathway for intoxicated patients,” Brown University. Retrieved from the World Wide Web at
http://brown.edu/Administration/Emergency_Medicine/emr/pages/etoh.htm July 29, 2007.
Copyright 2007 Rand L. Kannenberg
All rights reserved.
1
“Clinical pathway for intoxicated patients.”