If the patient's Rass score is -5, what do you do next? Continue to Step 2 Delirium Assessment CAM-ICU. Stop Here. You cannot move on to Step 2 at this time because the patient cannot participate. You will do your CAM-ICU during sedation vacation/daily wake up. At this time, you will document the RASS and develop a plan of care. Document RASS score as it is and continue with the Delirium assessment. Stop here and try again tomorrow since he is in an unarousable state and you can't do the CAM-ICU on patients with a RASS score of -4 or -5