Withdrawal Assessment Tool-1 (WAT-1)

What is the WAT?

The WAT is a scoring tool that helps to identify children who are having difficulty lowering their pain and sedation medicines.

Why is a WAT score done?

A WAT score is done to make sure that your child is comfortable while their pain and sedation medicines are being lowered. The WAT score looks for specific signs and symptoms that show us that your child may be uncomfortable, so the team can adjust the plan of care.

What are the signs and symptoms?

• Tremors (shakiness)

• Increased temperature

• Loose or watery stools

• Vomiting, retching, or gagging

• Uncoordinated or repetitive movements

• Startles when touched

• Increased muscle tone (muscle stiffness)

• Yawning or sneezing

• Sweating

• The time it takes for your child to calm if they are agitated.

How is the WAT score used?

A higher WAT score may mean that your child is more uncomfortable as we are lowering their pain and sedation medicines. The team will review the WAT score daily and as needed to make changes to the plan of care.

Please speak with your child’s healthcare team about any questions or concerns.

Reviewed March 2024 by Keara Bradley, CRNP, Michele Bythrow, CRNP, Maureen Scollon-McCarthy, CRNP