*1. Knock before entering the room. Identify and greet resident. Explain procedure.
*2. Raises bed height. Provides for resident safety.
3. Positions resident supine (bed flat).
4. Correctly support joints at all times by placing one hand under the resident's elbow and the other hand under the resident's wrist.
5. Gently raises the resident's straightened arm up and over the resident's head to ear level. (flexion)
6. Gently brings the resident's arm back down to the side of the resident's body. (extension)l
7. Gently moves the resident's entire arm away from the side of the resident's body to shoulder level. (abduction)
8. Gently returns resident's arm to the side of the resident's body. (adduction)
9. Gently bend the elbow and move the forearm down towards the body (elbow should be at the same level as the shoulder) (Internal rotation)
10. Gently move the forearm toward the head (external rotation)
11. Gently complete flexion, extension, abduction, adduction, internal and external rotation of the shoulder at least five times.
12. Do not force any joint beyond the point of free movement
13. Repeat steps for exercising the opposite shoulder. (May verbalize this step.)
14. Candidate must ask at least once during the ROM exercise if there is/was any discomfort/pain.
15. Leaves resident in a position of comfort and safety.
*16. Places call light within easy reach of the resident.
*17. Performs hand hygiene and reports and records.
18. Maintains respectful, courteous interpersonal interactions at all times.