Skill 16
Continuous Passive Motion Machine
The continuous passive motion (CPM) machine is designed to exercise various joints such as the hip, ankle, knee, shoulder, and wrist. The CPM machine is most commonly used after knee surgery. It is usually prescribed on the day of surgery or the first postoperative day, depending on the surgeon’s preference and patient’s condition. The purpose of the CPM machine is to mobilize the joint to prevent contractures, muscle atrophy, venous stasis, and thromboembolism. It helps alleviate pain, edema, stiffness, and dislocation and potentially can shorten a patient’s hospital stay.
Delegation Considerations
The skill of using the CPM machine cannot be delegated to nursing assistive personnel (NAP). The nurse directs the NAP by: