Scribd
Upload
2K views

Log Rolling

Nursing staff are responsible for properly positioning patients in bed to prevent injury and immobility issues. Nurses should instruct nursing assistive personnel on each patient's specific needs and limitations for movement and positioning. The log rolling procedure involves repositioning a patient by rolling them onto their side and involves several steps like washing hands, explaining the procedure to the patient, using proper body mechanics, and assessing the patient's comfort and safety after positioning. Documentation of the procedure is important.

Uploaded by

Kelsey Macaraig
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
2K views

Log Rolling

Nursing staff are responsible for properly positioning patients in bed to prevent injury and immobility issues. Nurses should instruct nursing assistive personnel on each patient's specific needs and limitations for movement and positioning. The log rolling procedure involves repositioning a patient by rolling them onto their side and involves several steps like washing hands, explaining the procedure to the patient, using proper body mechanics, and assessing the patient's comfort and safety after positioning. Documentation of the procedure is important.

Uploaded by

Kelsey Macaraig
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

LOG ROLLING

NURSING INDICATIONS:
The skill of moving and positioning patients in bed can be delegated to nursing assistive
personnel (NAP). The nurse is responsible for assessing the patient's level of comfort and for
any hazards of immobility. Instruct NAP about:
 Any moving and positioning imitations unique to patient.
 Individual needs for body alignment (e.g., patient with spinal cord injury).
 Scheduled times to reposition patient through the shift.
 When to request assistance (e.g., if the patient has a spinal cord injury, when the patient
is unable to assist the nurse, has a lot of equipment, or is confused).

EQUIPMENTS:
 Pillows
 Drawsheet
 Trochanter roll
 Hand rolls
 Side rails
 Appropriate safe patient-handling assistive device (e.g., friction-reducing device)

LOG ROLLING
PROCEDURE RATIONALE
1. Check the doctor’s order for Placing patient in an inappropriate position
repositioning. causes injury.
2. Wash hands. Reduces transfer of microorganisms
3. Obtain assistance (2-3 people Ensure safe patient handling.
preferred).
4. Identify the client, provide privacy, Ensures correct client and helps to relieve
and explain procedure anxiety and allows patient to participate more
actively.
5. Don gloves Reduces transfer of microorganisms.
6. Perform a baseline assessment of Ensures patient’s mobility, coordination, and
client’s neurologic status, including strength. Determines need for additional help.
mental status, movement, and Ensures patient and nurse’s safety.
sensation.
7. Raise the bed to working height and Reduces any interference during patient
lock the wheels positioning.
8. Remove pillows and uncover the To provide privacy.
client, making sure the client is not
exposed.
9. Lower the side rail on the side you Prepares client for positioning.
and your assistants are on. You
should be facing the client.
10. If the client does not have a lift sheet Used to grip and pull in order to move the
under him, obtain one and put it in patient.
place.
11. To move the client toward one side of Distribute weight equally among nurses.
the bed, have one person grasp the
lift sheet and the other person grasp
the client’s lower legs and feet
12. Have the client place his arms over Prevents injury to arms.
his chest
13. . On the count of three, gently move To provide coordination, to move all the body
the client toward you. parts at the same time and to prevent tension
or twisting of the spinal column.
14. Have one person move the opposite Distribute weight equally among nurses.
side of the bed and lower the side rail.

15. Place the pillow or bath blanket under Prevents tension on the spinal column and
the client’s head, between the knees. adduction of the hips.

16. Obtain feedback from the client about Determine the success of positioning.
his comfort level
17. Cover the client and place the call To ensure patient safety and allows patients
bell within reach. in healthcare setting to alert staff remotely of
their need for help.
18. Raise both side rails. For patient’s safety
19. Return the bed to its lowest position.
20. Ensure client safety and comfort, Minimize risk of immobility complications.
keep items within reach.
21. Remove and dispose gloves. Reduces transfer of microorganisms
22. Wash hands Reduces transfer of microorganisms
23. Chart: Document date, time, resulting Evaluate patient’s response to positioning.
position, any signs of pressure areas,
use of supportive devices, ability of
the client to assist in moving and
turning, client’s tolerance and
response, any unusual occurrences.

You might also like