Logrolling

• A common patient care procedure performed by many health care workers.

  Logrolling
• The purpose of logrolling is to maintain alignment of the spine while turning and moving the patient who has had spinal surgery or suspected or documented spinal injury.
• Achieving consistency in logrolling practice across patient care settings is particularly challenging, but necessary for patient safety and satisfaction.
• A multidisciplinary group of health care providers developed regional policies and procedures for logrolling, logrolling with cervical spine (C- spine) precautions, and collar care. The process used for establishing best practice, staff education, and implementation is described.
• Transport of patients on a rigid backboard in the supine position theoretically minimizes spinal movement and facilitates emergency medical services (EMS) transport of patients who sustained trauma where spinal cord injuries are possible.
• The preferred method for removal of a patient from a rigid backboard


  Log roll
• A technique to move patient in bed. It is turning the patient as a single unit while maintaining straight body alignment at all times

  Logrolling
• A technique to move patient in bed. It is turning the patient as a single unit while maintaining straight body alignment at all times

  Logrolling
• Logrolling is often used for patients with?

  Injuries or surgery to the spine and for those who must avoid twisting.
• Logrolling turn is used when changing?


  Linens for an occupied bed.
• Logrolling turn is used when changing?


  Linens for an occupied bed.
• It can be done either with or without a?

  lift sheet
• It can be done either with or without a?

  lift sheet
• If a lift sheet is used, two or three people are needed to accomplish the move, depending on the patient size.
• It takes at least three people to logroll a patient safely without a lift sheet.
• Equipment for logrolling? 


  Pillows

  • Turning sheet

  – Draw sheet

  – Lift sheet
• Assess patient’s body alignment and comfort level while he or she is lying down to provide baseline data for later comparisons and to determine ways to improve position and alignment.
• Assess for risk factors that contribute to complications of immobility. (e.g. age, impaired immobility, level of consciousness, impaired sensation and impaired circulation). Increase risk factors require more frequent repositioning.
• Assess patient’s physical ability to help with moving and positioning. (age,disease process, strength, coordination, and range of motion (ROM). This enables nurse to use patient’s mobility, coordination and strength; determines additional help; ensures patient’s and nurse’s safety
• Assess patient’s physical ability to help with moving and positioning. (age,disease process, strength, coordination, and range of motion (ROM). This enables nurse to use patient’s mobility, coordination and strength; determines additional help; ensures patient’s and nurse’s safety
• Assess for presence of tubes, incisions, and equipment (e.g. traction) because these may alter positioning procedure and affect patient’s ability to independently change positions
• Assess condition of patient’s skin. This provides baseline to determine effects of positioning.
• Planning: Collect appropriate equipment. Get extra help is needed. Having appropriate number of people to position patient prevents patient and nurse injury.
• Planning: Be certain wheels of bed are locked to prepare area for the procedure and to prevent injury.
• Planning: Raise bed to working height to raise work towards

  the nurse’s center of gravity.
• Planning: Remove all pillows and devices used for positioning to reduce any interference during positioning.
• Planning: Remove all pillows and devices used for positioning to reduce any interference during positioning.
• Rationale of: Perform hand hygiene and put on personal protective equipment (PPE), if indicated. 


  Hand hygiene is the most effective way to help prevent the spread of organisms. PPE is required based on transmission precautions.
• The term hand hygiene applies to either the use of antiseptic hand rubs, including alcohol-based products; hand washing with soap and water; or surgical hand antisepsis.
• The term hand hygiene applies to either the use of antiseptic hand rubs, including alcohol-based products; hand washing with soap and water; or surgical hand antisepsis.
• Rationale of: Introduce self to patient.


  This is essential to foster therapeutic nurse-patient relationships based on mutual trust and respect.
• Rationale of: Introduce self to patient.


  This is essential to foster therapeutic nurse-patient relationships based on mutual trust and respect.
• Rationale of: Verify the patient using at least two identifiers (i.e. name

  and birth date or name and

  identification number).

  Identifying the patient ensures the right patient receives the right intervention/procedure and helps prevent errors.
• Compare identifiers with information on the patient’s medical record/client’s identification band.
• Rationale of: Explain the procedure to the client and encourage to participate as appropriate

  Discussion and explanation encourage patient’s understanding, participation and reduces apprehension.
• Rationale of: Close the room door and/or curtains around the

  bed if possible. 


  This ensures the patient’s privacy.
• Rationale of: Cross patient’s arms to chest


  Discussion and explanation encourage patient’s understanding, participation and reduces apprehension.
• If Logrolling with lift sheet (three nurses) Rationale of: Position two nurses of other staff members on side of the bed to which patient will be turned. Position third nurse or staff member on other side of the bed . If needed, four nurses are used; fourth nurse stands on same side as third nurse.


  This ensures the patient’s privacy.
• If Logrolling with lift sheet (three nurses) Rationale of: Position two nurses of other staff members on side of the bed to which patient will be turned. Position third nurse or staff member on other side of the bed . If needed, four nurses are used; fourth nurse stands on same side as third nurse.


  This ensures the patient’s privacy.
• Rationale of: Fanfold or roll draw sheet alongside of patient 


  Provides strong handles to grip the draw sheet or pull sheet without slipping