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PT does ROM with the rehabbers during their classes, but none of the CNAs do it with the residents or patients where I work. I saw a nurse do it on a resident's arm once, and then a couple months later a different nurse asked me to do it on the same resident's arm. Aside from that I haven't seen or heard anything about it, although it was one of the major skills in my CNA classes. I also didn't see any of it going on in the place where I did my clinicals.
A favorite trick at my facility is to add PROM/AROM or Ambulation to almost every resident's NAR sheet. I work on a TCU, have 10-12 residents, and am lucky to get them changed and turned with a frequency that approaches acceptable.
It is ridiculous. My facility figures the $1500 fines they get every so often from the state for all the pressure sores and contractures is far less expensive than staffing at a safe level.
On the floor I'll be on, there's a dedicated PT, so I don't assume I'll be doing ROMs on my own, as part of my major duties. I'm sure it's possible that I could be asked to assist, but mostly, I feel like it's not really part of the job description (at least where I've applied and interviewed).
josebeltran88
73 Posts
During my clinicals, we had to do ROM on both legs and arms of residents. You do have to be very careful with the abduction and adduction, b/c most of the residents have contracted arm and leg muscles.