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NATCEP

Chapter 30

Procedure Checklists

Performing Range-of-Motion Exercises

TM

VII DEO
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Date:

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Quality of Life
Knocked before entering the persons room.
Addressed the person by name.
Introduced yourself by name and title.
Explained the procedure before starting and during the procedure.
Protected the persons rights during the procedure.
Handled the person gently during the procedure.

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Pre-Procedure
1. Followed Delegation Guidelines: Range-of-Motion Exercises.
Saw Promoting Safety and Comfort: Range-of-Motion Exercises.
2. Practiced hand hygiene.
3. Identified the person. Checked the ID (identification) bracelet
against the assignment sheet. Used 2 identifiers. Also called the
person by name.
4. Obtained a bath blanket.
5. Provided for privacy.
6. Raised the bed for body mechanics. Bed rails were up if used.

Procedure
7. Lowered the bed rail near you if up.
8. Positioned the person supine.
9. Covered the person with a bath blanket. Fan-folded top linens to
the foot of the bed.
10. Exercised the neck if allowed by your agency and if the nurse
instructed you to do so.
a. Placed your hands over the persons ears to support the head.
Supported the jaw with your fingers.
b. Flexionbrought the head forward. The chin touched the chest.
c. Extensionstraightened the head.
d. Hyperextensionbrought the head backward until the
chin pointed up.
e. Rotationturned the head from side to side.
f. Lateral flexionmoved the head to the right and to the left.
g. Repeated flexion, extension, hyperextension, rotation, and
lateral flexion 5 timesor the number of times stated
on the care plan.
11. Exercised the shoulder.
a. Grasped the wrist with 1 hand. Grasped the elbow
with the other hand.
b. Flexionraised the arm straight in front and over the head.
c. Extensionbrought the arm down to the side.
d. Hyperextensionmoved the arm behind the body.
(Did this if the person was sitting in a straight-backed chair
or was standing.)
e. Abductionmoved the straight arm away from the
side of the body.
f. Adductionmoved the straight arm to the side of the body.
g. Internal rotationbent the elbow. Placed it at the same level
as the shoulder. Moved the forearm and hand so the
fingers pointed down.
h. External rotationmoved the forearm and hand so
the fingers pointed up.
i. Repeated flexion, extension, hyperextension, abduction,
adduction, and internal and external rotation 5 timesor the
number of times stated on the care plan.

Date of Satisfactory Completion

Instructors Initials
Copyright 2017, Elsevier Inc. All rights reserved.

Procedure Checklists

Chapter 30

Procedurecontd

12. Exercised the elbow.

a. Grasped the persons wrist with 1 hand. Grasped the elbow
with your other hand.
b. Flexionbent the arm so the same-side shoulder was touched.
c. Extensionstraightened the arm.
d. Repeated flexion and extension 5 timesor the number of
times stated on the care plan.
13. Exercised the forearm.
a. Continued to support the wrist and elbow.
b. Pronationturned the hand so the palm was down.
c. Supinationturned the hand so the palm was up.
d. Repeated pronation and supination 5 timesor the number
of times stated on the care plan.
14. Exercised the wrist.
a. Held the wrist with both of your hands.
b. Flexionbent the hand down.
c. Extensionstraightened the hand.
d. Hyperextensionbent the hand back.
e. Radial flexionturned the hand toward the thumb.
f. Ulnar flexionturned the hand toward the little finger.
g. Repeated flexion, extension, hyperextension, and radial and
ulnar flexion 5 timesor the number of times stated
on the care plan.
15. Exercised the thumb.
a. Held the persons hand with 1 hand. Held the thumb with
your other hand.
b. Abductionmoved the thumb out from the inner part of
the index finger.
c. Adductionmoved the thumb back next to the index finger.
d. Oppositiontouched each finger with the thumb.
e. Flexionbent the thumb into the hand.
f. Extensionmoved the thumb out to the side of the fingers.
g. Repeated abduction, adduction, opposition, flexion, and
extension 5 timesor the number of times stated on
the care plan.
16. Exercised the fingers.
a. Abductionspread the fingers and the thumb apart.
b. Adductionbrought the fingers and thumb together.
c. Flexionmade a fist.
d. Extensionstraightened the fingers so the fingers, hand,
and arm were straight.
e. Repeated abduction, adduction, flexion, and extension
5 timesor the number of times stated on the care plan.
17. Exercised the hip.
a. Supported the leg. Placed 1 hand under the knee. Placed
your other hand under the ankle.
b. Flexionraised the leg.
c. Extensionstraightened the leg.
d. Hyperextensionmoved the leg behind the body. (Did this
if the person was standing.)
e. Abductionmoved the leg away from the body.
f. Adductionmoved the leg toward the other leg.
g. Internal rotationturned the leg inward.
h. External rotationturned the leg outward.
i. Repeated flexion, extension, hyperextension, abduction,
adduction, and internal and external rotation 5 timesor the
number of times stated on the care plan.

Date of Satisfactory Completion

Copyright 2017, Elsevier Inc. All rights reserved.

Comments

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Chapter 30

Procedure Checklists

Procedurecontd

18. Exercised the knee.

a. Supported the knee. Placed 1 hand under the knee. Placed
your other hand under the ankle.
b. Flexionbent the knee.
c. Extensionstraightened the knee.
d. Repeated flexion and extension of the knee 5 timesor the
number of times stated on the care plan.
19. Exercised the ankle.
a. Supported the foot and ankle. Placed 1 hand under the foot.
Placed your other hand under the ankle.
b. Dorsiflexionpulled the foot forward. Pushed down on the
heel at the same time.
c. Plantar flexionturned the foot down. Or pointed the toes.
d. Repeated dorsiflexion and plantar flexion 5 timesor the
number of times stated on the care plan.
20. Exercised the foot.
a. Continued to support the foot and ankle.
b. Pronationturned the outside of the foot up and
the inside down.
c. Supinationturned the inside of the foot up and the
outside down.
d. Repeated pronation and supination 5 timesor the
number of times stated on the care plan.
21. Exercised the toes.
a. Flexioncurled the toes.
b. Extensionstraightened the toes.
c. Abductionspread the toes apart.
d. Adductionpulled the toes together.
e. Repeated flexion, extension, abduction, and adduction
5 timesor the number of times stated on the care plan.
22. Covered the leg. Raised the bed rail if used.
23. Went to the other side. Lowered the bed rail near you if up.
24. Repeated exercises.
a. Exercised the shoulder.
1) Grasped the wrist with 1 hand. Grasped the elbow with
the other hand.
2) Flexionraised the arm straight in front and over the head.
3) Extensionbrought the arm down to the side.
4) Hyperextensionmoved the arm behind the body.
(Did this if the person was sitting in a straight-backed
chair or was standing.)
5) Abductionmoved the straight arm away from the
side of the body.
6) AdductionMoved the straight arm to the side of the body.
7) Internal rotationbent the elbow. Placed it at the same
level as the shoulder. Moved the forearm down
toward the body.
8) External rotationmoved the forearm toward the head.
9) Repeated flexion, extension, hyperextension, abduction,
adduction, and internal and external rotation 5 timesor
the number of times stated on the care plan.
b. Exercised the elbow.
1) Grasped the persons wrist with 1 hand. Grasped the
elbow with your other hand.
2) Flexionbent the arm so the same-side shoulder
was touched.
3) Extensionstraightened the arm.
4) Repeated flexion and extension 5 timesor the number of
times stated on the care plan.

Date of Satisfactory Completion

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Instructors Initials
Copyright 2017, Elsevier Inc. All rights reserved.

Procedure Checklists

Chapter 30

Procedurecontd

c. Exercised the forearm.

1) Continued to support the wrist and elbow.
2) Pronationturned the hand so the palm was down.
3) Supinationturned the hand so the palm was up.
4) Repeated pronation and supination 5 timesor the
number of times stated on the care plan.
d. Exercised the wrist.
1) Held the wrist with both of your hands.
2) Flexionbent the hand down.
3) Extensionstraightened the hand.
4) Hyperextensionbent the hand back.
5) Radial flexionturned the hand toward the thumb.
6) Ulnar flexionturned the hand toward the little finger.
7) Repeated flexion, extension, hyperextension, and radial
and ulnar flexion 5 timesor the number of times
stated on the care plan.
e. Exercised the thumb.
1) Held the persons hand with 1 hand. Held the thumb
with your other hand.
2) Abductionmoved the thumb out from the inner part of
the index finger.
3) Adductionmoved the thumb back next to the index finger.
4) Oppositiontouched each finger with the thumb.
5) Flexionbent the thumb into the hand.
6) Extensionmoved the thumb out to the side of the fingers.
7) Repeated abduction, adduction, opposition, flexion, and
extension 5 timesor the number of times stated on
the care plan.
f. Exercised the fingers.
1) Abductionspread the fingers and the thumb apart.
2) Adductionbrought the fingers and the thumb together.
3) Flexionmade a fist.
4) Extensionstraightened the fingers so the fingers, hand,
and arm were straight.
5) Repeated abduction, adduction, flexion, and extension
5 timesor the number of times stated on the care plan.
g. Exercised the hip.
1) Supported the leg. Placed 1 hand under the knee. Placed
your other hand under the ankle.
2) Flexionraised the leg.
3) Extensionstraightened the leg.
4) Hyperextensionmoved the leg behind the body.
(Did this if the person was standing.)
5) Abductionmoved the leg away from the body.
6) Adductionmoved the leg toward the other leg.
7) Internal rotationturned the leg inward.
8) External rotationturned the leg outward.
9) Repeated flexion, extension, hyperextension, abduction,
adduction, and internal and external rotation 5 timesor
the number of times stated on the care plan.
h. Exercised the knee.
1) Supported the knee. Placed 1 hand under the knee.
Placed your other hand under the ankle.
2) Flexionbent the knee.
3) Extensionstraightened the knee.
4) Repeated flexion and extension of the knee 5 timesor the
number of times stated on the care plan.

Date of Satisfactory Completion

Copyright 2017, Elsevier Inc. All rights reserved.

Comments

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Procedurecontd

i. Exercised the ankle.

1) Supported the foot and ankle. Placed 1 hand under the foot.
Placed your other hand under the ankle.
2) Dorsiflexionpulled the foot forward. Pushed down on
the heel at the same time.
3) Plantar flexionturned the foot down. Or pointed the toes.
4) Repeated dorsiflexion and plantar flexion 5 timesor the
number of times stated on the care plan.
j. Exercised the foot.
1) Continued to support the foot and ankle.
2) Pronationturned the outside of the foot up and the
inside down.
3) Supinationturned the inside of the foot up and the
outside down.
4) Repeated pronation and supination 5 timesor the
number of times stated on the care plan.
k. Exercised the toes.
1) Flexioncurled the toes.
2) Extensionstraightened the toes.
3) Abductionspread the toes apart.
4) Adductionpulled the toes together.
5) Repeated flexion, extension, abduction, and adduction
5 timesor the number of times stated on the care plan.

Comments

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Post-Procedure
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.

Provided for comfort.

Covered the person with the top linens. Removed the bath blanket.
Placed the call light and other needed items within reach.
Lowered the bed to a safe and comfortable level for the person.
Followed the care plan.
Raised or lowered bed rails. Followed the care plan.
Folded and returned the bath blanket to its proper place.
Unscreened the person.
Completed a safety check of the room.
Practiced hand hygiene.
Reported and recorded your observations.

Date of Satisfactory Completion

Instructors Initials
Copyright 2017, Elsevier Inc. All rights reserved.