The facility where I work recently facilitated the CIWA and COWS scale and we're just not getting it.
Firstly, it seems subjective. Patients can easily fake nausea, light sensitivity, etc....They are smart and catch onto things quickly that can score them higher doses of Subutex, Valium, etc...
Secondly, how do two nurses re-score 20 patients every two hours? They are not always available (in therapy and such) but mainly because there is just not enough time with all the other duties we have to do.