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Discussion

A&Ox4...?

Perhaps a stupid question, but I am seeing this charted and other nurses mentioning it in report...but what the heck does A&Ox4 mean? I know what A&Ox3 is, but what is that 4th variable that they are referring to? Never heard of it until I started working as an RN....:banghead:

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    1= self

    2= self, person

    3= self, person, place

    4= self, person, place...some nurses assess the patient's awareness of time/other nurses assess the patient's awareness of the situation

    The order is based on a hierarchy of neurological function/dysfunction.

    Asking the right questions and assessment of the patient's condition and other dysfunctions is important. For example, you can't expect verbalized answers from a stroke patient that is aphasic, otherwise you might misinterpret the answers as A/O x 1. You have to use other tools or assessment methods at your disposal.

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    • Author

    Makes sense, thank you! I'm just wondering why I wasn't taught this in school...:confused:

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    • Experts

    AOx4 = Alert and oriented to (1) person, (2) place, (3) time, and (4) situation.

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    TheCommuter said:
    AOx4 = Alert and oriented to (1) person, (2) place, (3) time, and (4) situation.

    Do different places have different standards? Our charting checkboxes have self, person, place, time.

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    • Author

    Our checkboxes include:

    * oriented to person

    * oriented to place

    * oriented to time

    * oriented x3

    * disoriented to person

    * disoriented to place

    * disoriented to time

    * disoriented x3

    * unable to assess at this time

    (too many options, I think, because obviously if they are only oriented to person they are disoriented to place and time...-_-)

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