Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

203

Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 9-13

Applying a Continuous Passive Motion Device

Goal:The patient experiences increased joint mobility. Comments

1. Review the medical record and nursing plan of care for the
   appropriate degrees of flexion and extension, the cycle
   rate, and the length of time the CPM is to be used.


2. Obtain equipment. Apply the soft goods to the CPM device.


3. Perform hand hygiene. Put on PPE, as indicated.


4. Identify the patient. Explain the procedure to the patient.


5. Close curtains around bed and close the door to the room,
   if possible. Place the bed at an appropriate and comfortable
   working height, usually elbow height of the caregiver (VISN
   8 Patient Safety Center, 2009).


6. Using the tape measure, determine the distance between
   the gluteal crease and the popliteal space.


7. Measure the leg from the knee to 14 inches beyond the
   bottom of the foot.


8. Position the patient in the middle of the bed. The affected
   extremity should be in a slightly abducted position.


9. Support the affected extremity and elevate it, placing it in
   the padded CPM device.
   10.Make sure the knee is at the hinged joint of the CPM
   device.
   11.Adjust the footplate to maintain the patient’s foot in a
   neutral position. Assess the patient’s position to make
   sure the leg is not internally or externally rotated.


10. Apply the restraining straps under the CPM device and
    around the leg. Check that two fingers fit between the
    strap and the leg.


11. Explain the use of the STOP/GO button to the patient. Set
    the controls to the prescribed levels of flexion and extension
    and cycles per minute. Turn on the power to the CPM.


12. Set the device to ON and start the therapy by pressing the
    GO button. Observe the patient and the device during the
    first cycle. Determine the angle of flexion when the device
    reaches its greatest height using the goniometer. Compare
    with prescribed degree.

Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

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