a question about A&Ox3 and POE

hey, hey!

just finished the first week of my nurse residency program and have a couple of little questions that popped into my head this morning.

1) can a patient be alert, BUT NOT oriented to person, place, & time? if so, how would you document it?
2) can a confused and disoriented patient still refuse meds even though he's not in his right mind? i witnessed him mutter "i don't want it, i don't want it"...and meds were still given via his feeding tube.
3) if the son of the patient has Power of Attorney, can he give the go to administer meds over the phone? rather than in-person at the hospital?

thanks all.

Peace and Love.
Quote from Kiddo87hey, hey!just finished the first week of my nurse residency program and have a couple of little questions that popped into my head this morning.1) can a patient be alert, BUT NOT oriented to person, place, & time? if so, how would you document it?2) can a confused and disoriented patient still refuse meds even though he's not in his right mind? i witnessed him mutter "i don't want it, i don't want it"...and meds were still given via his feeding tube.3) if the son of the patient has Power of Attorney, can he give the go to administer meds over the phone? rather than in-person at the hospital? thanks all. Peace and Love.

Quote from KelRN2153. If the patient is in the hospital, consent for medical care has already been obtained upon admission. It is not necessary to obtain consent every time you administer medications.

No - general consent for treatment covers most things other than specific invasive procedures.

Quote from Kiddo871) can a patient be alert, BUT NOT oriented to person, place, & time? if so, how would you document it?

Yeah...documentation is one of the trickiest parts of nursing. But if all else fails, just plain english works great. I would have written it just like you did, Kiddo87. "Alert, but disoriented to person, place, time" works just fine.