alert and oriented x4

== English == === Alternative forms === AOx4 === Adjective === alert and oriented x4 (medicine) The fourth notation in the Alert & Oriented (A&O) assessment to determine a person's level of consciousness; used to designate that a person is fully alert; they know who they are, where they are, what time it is, but what is happening to them. Hypernym: alert and oriented Coordinate terms: alert and oriented x1, alert and oriented x2, alert and oriented x3 === Usage notes === The x in this phrase is pronounced "times". === Further reading === 2025. Heerema, Esther. "What 'Alert and Oriented' Means in Emergency and Dementia Care" verywellhealth.com.