CNA Skill 14

SKILL 14: PERFORMS MODIFIED PASSIVE RANGE OF MOTION (PROM) FOR ONE HIP AND ONE KNEE

1. Introduce yourself and explain the procedure to the patient.
2. Provide privacy.
3. Perform hand hygiene.
4. Advise patients to report pain during movement.
5. Abduction/Adduction for Hip: Keeping the patient’s leg straight, gently move their entire leg away from their body (i.e., abduction). Move their legs gently and stop if there is any resistance. Ask the patient if they are experiencing any pain during movement. Stop the ROM movement if the patient reports pain or displays objective signs of pain. Keeping the patient’s leg straight, move their entire leg toward their body (i.e., adduction). Complete abduction and adduction movements of the hip according to the order in their restorative care plan. Continue to correctly support joints by keeping one hand under the patient’s knee and the other hand under the patient’s ankle.
6. Flexion/Extension of Knee and Hip: Bend the patient’s knee and hip up toward the patient’s trunk (i.e., flexion of hip and knee at the same time). Move the patient’s leg gently and stop if there is any resistance. Ask the patient if they are experiencing any pain during movement. Stop the ROM movement if the patient reports pain or displays objective signs of pain. Straighten their knee and hip (i.e., extension of knee and hip at the same time). Complete flexion and extension movements of the knee and hip according to the order in the restorative care plan.
7. Ensure the bed is low and locked.
8. Place the call light or signaling device within reach of the patient.
9. Perform hand hygiene.