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

(Chris Devlin) #1

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

SKILL 17-1

Logrolling a Patient (Continued)


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  1. Have everyone face the patient. On a predetermined signal,
    turn the patient by holding the friction-reducing sheet taut
    to support the body. The caregiver at the patient’s head
    should firmly hold the patient’s head on either side, directly
    above the ears. Turn the patient as a unit in one smooth
    motion toward the side of the bed with the two nurses. The
    patient’s head, shoulders, spine, hips, and knees should turn
    simultaneously.
    12.Once the patient has been turned, use pillows to support
    the patient’s neck, back, buttocks, and legs in straight
    alignment in a side-lying position.Raise the side rails,
    as appropriate.
    13.Stand at the foot of the bed and assess the spinal column.
    It should be straight, without any twisting or bending.
    Place the bed in the lowest position. Ensure that the call
    bell and telephone are within reach. Replace covers. Lower
    bed height.

  2. Reassess the patient’s neurologic status and comfort level.

  3. Remove PPE, if used. Perform hand hygiene.


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