The daily cognitive evaluations by the nursing staff were completed
during the morning initial patient assessment on a daily basis
throughout program implementation. The use of the O-Log by the
nursing staff provided a consistent guideline of questions to assess the
level of patient orientation. The cognitive evaluation consisted of place,
time and circumstance. Place was evaluated by asking the patient for
the name of the city and the hospital. Time was evaluated by asking
for the name of the month, the date, the year, the day of the week, and
the time of day. Circumstance was evaluated by asking the patient to
recall what event occurred, and to describe what injury occurred. The
cognitive evaluations were maintained on a daily basis by the nursing
staff from time of patient admission to day of hospital discharge.