Do you know where you are?

  1. 18
    To assess orientation in the PACU, once my patients are awake enough to have a prayer of knowing the answers, I ask all of them (except young pedi) some version of the "pop quiz":

    1. Can you tell me where you are?
    2. Can you tell me what day of the week it is?
    3. Do you know what surgery you had today (or, if they are more awake, name of surgeon)?
    4. Something else like who is the president of the United States, what is your birthday, who is in the Superbowl, etc.

    When I was on orientation, we had a patient who had undergone a craniotomy, so after cranial nerve assessment, assessing orientation was my next priority. The patient was an adorable little old lady who, unbeknownst to us, was very feisty. I leaned over so she could hear me and said, "I'm going to ask you a few questions that I ask all of my patients. Do you know where you are?" She nodded. "Can you tell me where you are?" I asked. She opened her eyes a tiny slit and declared (in a voice that clearly indicated that I had lost my mind), "I'm RIGHT HERE." Guess she told me...
    Last edit by wannabecnl on Apr 9, '13 : Reason: fixed punctuation
    Blue Felt Fedora, sapphire18, tnmarie, and 15 others like this.

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  2. 17 Comments...

  3. 20
    My mom had several strokes. After one, the PT was trying to walk with my mom and said "Katherine, you're leaning to the left.". Mom's response: "that's my politics."
    Last edit by schooldistrictnurse on Apr 10, '13 : Reason: Added quotation marks
    Altra, sapphire18, tnmarie, and 17 others like this.
  4. 12
    I work on a neuro/stroke floor. I learned really quickly that asking who is the president can lead to some very inappropriate answers. I shy away from that one now.
  5. 0
    Ba ha ha! Good one!
  6. 0
    Hahaha! That is funny!
  7. 4
    Ed4nurses has cd's I listen to. During his assessment, or first time meeting his patients for his shift, he introduces himself and tells them his name and two more things about himself (like his favorite color is blue and he loves baseball). Then he asks patients to repeat his name, blue and baseball everytime he comes into the room. Pretty soon, the patient sees it as a game and everytime he goes into the room the patient says, "Hi David, blue, baseball". No need to ask questions because the patient is alert and orientated. I thought it was a good idea and thought I would share.
    tnmarie, CharlieChase, wannabecnl, and 1 other like this.
  8. 0
    Quote from elprup
    Ed4nurses has cd's I listen to. During his assessment, or first time meeting his patients for his shift, he introduces himself and tells them his name and two more things about himself (like his favorite color is blue and he loves baseball). Then he asks patients to repeat his name, blue and baseball everytime he comes into the room. Pretty soon, the patient sees it as a game and everytime he goes into the room the patient says, "Hi David, blue, baseball". No need to ask questions because the patient is alert and orientated. I thought it was a good idea and thought I would share.
    I love this! Great idea.
  9. 2
    Quote from msjellybean
    I work on a neuro/stroke floor. I learned really quickly that asking who is the president can lead to some very inappropriate answers. I shy away from that one now.
    Oh man, I get some absolutely stunning answers to this in the ED.
    wannabecnl and nrsang97 like this.
  10. 13
    I work night shift and half the time I can't appropriately answer "What day is it/what's the date?"
    ktwlpn, sapphire18, Savvy20RN, and 10 others like this.
  11. 2
    Quote from KnitWitch
    I work night shift and half the time I can't appropriately answer "What day is it/what's the date?"
    If my phone weren't in my pocket I would never put the correct date on the board in patient rooms. Never.
    tnmarie and 1feistymama like this.


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