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AAOx4 is shorthand for awake, alert, and oriented to person, place, time, and event. It is used to describe a doctor, nurse, any health care provider who has woken up and had their coffee. It is common knowledge that no health care provider is AAOx4 until about 4 hours into their day.[1][2]


  1. Crisis Brewing as Unit 61’s Coffee Machine Broken
  2. The Joint Commission Now Encourages Coffee At Nursing Stations, Mortality Rates Plummet

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