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

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

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

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 17-1

Logrolling a Patient

Goal:The patient’s spine remains in proper alignment,

thereby reducing the risk for injury. Comments

1. Review the medical record and nursing plan of care for
   activity orders and conditions that may influence the
   patient’s ability to move or to be positioned. Assess for
   tubes, IV lines, incisions, or equipment that may alter the
   positioning procedure. Identify any movement limitations.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient.


4. Close curtains around bed and close the door to the room,
   if possible. Explain the purpose of the logrolling technique
   and what you are going to do, even if the patient is not
   conscious. Answer any questions.


5. Place the bed at an appropriate and comfortable working
   height, usually elbow height of the caregiver (VISN 8
   Patient Safety Center, 2009).


6. Position at least one caregiver on one side of the bed and
   the two other caregivers on the opposite side of the bed. If
   a cervical collar is not in place, position one caregiver at
   the top of the bed, at the patient’s head. Place the bed in
   flat position. Lower the side rails. Place a small pillow
   between the patient’s knees.


7. If a friction-reducing sheet is not in place under the patient,
   take the time to place one at this time, to facilitate future
   movement of the patient.


8. If the patient can move the arms, ask the patient to cross
   the arms on the chest. Roll or fanfold the friction-reducing
   sheet close to the patient’s sides and grasp it. In unison,
   gently slide the patient to the side of the bed opposite to
   that which the patient will be turned.


9. Make sure the friction-reducing sheet under the patient is
   straight and wrinkle free.


10. If necessary, reposition personnel to ensure two stand on
    the side of the bed to which the patient is turning. The
    third helper stands on the other side. Grasp the friction-
    reducing sheet at hip and shoulder level.

ExcellentSatisfactoryNeeds Practice