Oriented X4

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What does the x4 mean?

Specializes in Cardio/Tele.

Person, place, time and situation. Some facilities only do 3X and some 4X...situation is the extra one.

Specializes in L&D, PACU.

Patient is aware of:

1. What their name is

2. Where they are

3. What time it is

4. What just happened/is happening

We just usually use x3

It's a good question... for some people, A&O x 3 would indicate a completely normal orientation, while for some A&O x 3 means they aren't oriented to event. Sometimes have to rely on context or, ideally, stop and clarify.

Specializes in Maternity.

in NY it is x3 person place and time

Specializes in Anesthesia.

You see EMTs/Paramedics use the A&O x 4 the most it is very helpful right after accidents...ie. Do you remember what just happened? A lot of people will remember everything else but will have a temporary loss of memory at the time of accident.

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