iRubric: Passive ROM rubric

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Passive ROM

ROM ONE hip, knee and ankle (ask which side)

Do a passive range of motion on a person or dummy and follow the directions for each ROM. Active ROM for the trunk. May work with a partner or by yourself. Your choice is to record and send it to Mrs. O'Hara or present it live.

Rubric Code: F24CXX2

By danaohara

Ready to use

Public Rubric

Subject: Nursing

Type: Assessment

Grade Levels: 9-12, Undergraduate

Passive ROM
	Poor 1 pts	Fair 2 pts	Good 3 pts	Comment (N/A)
Beginning Procedure/Ending Procedure Wash hands read dr order gather supplies knock Introduce self Identify patient explain procedure lock bed provide privacy Ask water, TV magazine open up privacy curtain give call bell to resident wash hands	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment All completed correctly without assist of instructor
Hip-flexion and extension bring bed to working level support extremities and move hip and 3X knee towards the torso and back to mattress Ask if they are OK, any pain? Repeat 3X	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment
Ankle- dorsiflexsion/plantar flexsi support ankle by placing one hand under heel move residents foot back, middle and front repeat 3X ask if they are OK, any pain? once complete bring bed to lowest level for safety	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment Keep fingers on pulse while counting respirations.
Wrist-flexion, extension, hyperextension Support the wrist and complete flexion, extension, and hyperextension. Ask if they are OK, any pain? Repeat 3X	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment
Shoulder- rotation Patient should be sitting or standing. Support the elbow and upper arm and rotate the shoulder outward and inward. Ask if they are OK, any pain? Repeat 3X	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment All completed correctly without assist of instructor
Elbow-flexion and extension Support under the elbow and wrist do flexion and extension of the elbow. Ask if they are OK, any pain? Repeat 3X	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment All completed correctly without assist of instructor
Arms-abduction and adduction of the arms Patient should be sitting or standing. Support the elbow and upper arm and do abduction and adduction of the arm. Ask if they are OK, any pain? Repeat 3X	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment All completed correctly without assist of instructor
Elbow-pronation and supination Support the patient's elbow and wrist and perform pronation and supination of the elbow. Ask if they are OK, any pain? Repeat 3X	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment All completed correctly without assist of instructor
Trunk-lateral flexion Have the patient do active ROM lateral flexion of the trunk for left and right side 3X. Ask if they are OK, any pain?	Poor Unable to complete OR Unable to complete without assistance (<50% ) from instructor	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Good Performed at or 75% of the combined skill and care measures that will need to be practice to be proficient.	Comment All completed correctly without assist of instructor

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