DOSS: Nursing observational scale scored over an entire shift. Do not ask the patient questions specifically for this test; score based on routine care observations.
Rate observations over the past shift
1. Dozes off during conversation or activities
2. Is easily distracted by stimuli from the environment
3. Maintains attention to conversation or action
4. Does not finish question or answer
5. Gives answers that do not fit the question
6. Reacts slowly to instructions
7. Thinks he/she is somewhere else
8. Knows which part of the day it is
9. Remembers recent events
10. Is picking, pulling, or restless
11. Is easily or suddenly emotional (crying/angry)
12. Sees/hears things that are not there
13. Is sluggish or drowsy
Guidelines & Evidence
Verified
Last Review: 2026
Last Comprehensive Review: 2026