OSCE (December 2013)
Medical Surgical Nursing – level I
Range-of-Motion Exercises check list (upper limbs)
Student's name:--------------------- Examiner’s name: -----------
-Group:------------ Level: ----------- Date:---------
Steps Scores
Step’s Student remarks
score ’s score
1- Hand washing
- Before procedure. 1
- After procedure. 1
2- Explain the procedure and purpose to the patient. 1
3- Assessment
• Review medical history & determine specific 1
limitations to joint mobility.
• Assess patient's level of consciousness and physical
1
ability & determine the type of range-of-motion
exercises.
• Assess for redness, tenderness, pain, swelling, or
deformities around joints ( which indicates joint 1
problem that contraindicates ROM exercise)
4-Keep the patient's privacy
- Close the door or pull curtains around the bed. 1
- Uncover only the limb to be exercised. 1
5- Positioning the patient in good body alignment (while in 1
supine or standing positions).
-Position patient on back with head as flat as
possible
- Stand with a normal anatomical position
7- Keep good body mechanics. 1
8-Perform exercise slowly and gently. 2
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OSCE (December 2013)
Medical Surgical Nursing – level I
9-Exercise the joints systematically.
2
A- Shoulder joint; - Mention the type of joint
- Perform the movements of joint 1
8
B- Elbow joint; - Mention the type of joint
- Perform the movements of joint 1
2
C- Forearm joint; - Mention the type of joint
- Perform the movements of joint 1
2
D- Wrist joint; - Mention the type of joint
- Perform the movements of joint 1
5
E- Metacarple phalengeal joint; -Mention the type of joint
- Perform the movements of joint 1
4
F- Finger joint; - Mention the type of joint
- Perform the movements of joint 1
2
G- Thumb joint; - Mention the type of joint
- Perform the movements of joint 3
3
10-Provide support by holding areas. Proximal and distal to
the joint. 2
11- Moves each joint through as full a range as possible
without causing pain. 2
12- Complete extent or movement of which a joint is
normally capable. 2
13- Give the patient a period of rest at the end of each
motion. 2
14- Repeat each exercise from 3-5 times.
15- Record the ROM in nursing care record 1
- Record the type of ROM 1
- Record if any limitation, pain , stiffness of
joints
16-Report any abnormalities if present.
1
Total score 60
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OSCE (December 2013)
Medical Surgical Nursing – level I
Comment:----------------------------------------------------
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Instructor’s signature: -------------------------
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