CNA Skill 15

SKILL 15: PERFORMS MODIFIED PASSIVE RANGE OF MOTION (PROM) FOR ONE SHOULDER

1. Introduce yourself and explain the procedure to the patient.
2. Provide for privacy.
3. Perform hand hygiene.
4. Advise patients to report pain during movement.
5. Place one of hands under the patient’s elbow with palm facing up.
6. Place the other hand under the patient’s wrist with palm facing up.
7. Watch the patient for objective signs of pain during movement.
8. Move their arms gently and stop if there is any resistance.
9. While keeping the patient’s arm straight, raise their arm up and over their head (i.e., flexion).
10. Bring the patient’s arm back down to their side (i.e., extension).
11. Complete flexion and extension movements of the shoulder according to the order in the restorative care plan.
12. Continue to support the elbow and wrist of the patient.
13. Keeping the patient’s arm straight, move their entire arm out away from the body (i.e., abduction).
14. Move their arms gently and stop if there is any resistance.
15. Return the patient’s arm to their side (adduction).
16. Ensure the bed is low and locked.
17. Place the call light or signaling device within reach of the patient.
18. Perform hand hygiene.