Delirium is a common acute disorder that is costly and can be fatal if not recognized early. Healthcare professionals are often not comfortable assessing for delirium or do not have adequate knowledge for delirium prevention. Delirium assessment tools if used by knowledgeable healthcare professionals can help to prevent delirium. Currently Saint Alphonsus in Ontario, Oregon does not have a standardized delirium assessment tool for the nursing staff to use on patients. The objective of the delirium protocol implementation was to increase nursing understanding and comfort with assessing for delirium.