the Purple wrist tag serves as an operational tag to identify patients living with cognitive impairment. The journey started as means of preventing cognitively impaired inpatients from elopement while they receive care in the 1000 bedded hospital. The purple tag also aims to reduce risk of restraint use incident delirium by putting patients on the purple care bundle. The nurses are also taught that patients wearing the purple tags are at high fall risk, which is helpful for their daily routine fall assessments while be more cautious with their safety. The tag had successfully reduced elopement to 0 since its implementation. Incident delirium had reduced by 30% while inpatient fall rates had reduced over the years while patients in delirium are screened for and picked up early. This presentation discusses screening method to identify elderly with cognitive impairment, implement checking mental status as the 6th vital sign, hospital wide education on dementia for the nursing and care staff. Hospital wide nursing education also involve screening for and identifying delirium using the modified 4AT as the screening tool for delirium. The nurses screen for delirium in the hospital and those screened positive will be informed to the team Dr. The team had also developed a delirium work up set in the electronic medical records such that junior doctors can order the work up with ease.