00:04
Welcome to log rolling a client, now you may
think log rolling that's quite a odd thing to
do to a client but this is actually a really
useful tactic that we're going to do to help
change a bed for example or to help move a
patient up in bed so let's take a look at
this. Now why do we even log roll? This method
is really important if someone has a spinal injury
for example or we need to keep that spine in
alignment when we move our patient in bed.
Now this is also really useful for a bed bound
client, you can imagine being in beds really
uncomfortable, sometimes the patient gets pretty
stiff so this is a nice fluid way to move the
patient as well in bed. Now we can also use this
for repositioning like I had mentioned earlier
to change bed linens when a patient's in there or
providing a bed bath. Now when you log roll it's
ideal that you want at least two of you sometimes
you may use three so use your discretion on this.
So first of all what are we going to need to log
roll our patient, now if your facility has a slide
sheet that's really great, all these are really
slick and it kind of helps move the patient around
but most commonly you're going to see a draw
sheet, it's going to look a lot like just a
plain old sheet and we can use this as well
and again don't forget it's much safer to
use another staff member when you log roll a
patient so try to get help. So before we start
don't forget your hand hygiene and make sure you
provide privacy for your patient and as always
we want to make sure we tell the patient what's
going to happen next and explain the procedure.
Now anytime you log roll, it's important that you
position the bed to a comfortable working height
now remember you may have a partner helping
you here so it needs to be comfortable for
not only you but also your partner so
make sure you get agreeable position.
Now that we've positioned the bed, now we want to
lower those side rails however, only if staff
are present on both sides of the bed this is
really important, anytime you lower a side rail
make sure staff is standing on each side of the
bed we don't want the patient rolling out here.
Now this is a good time to stand directly
next to the bed now before we start,
position your patient where you can reach
the client's shoulder and their hips. This is
really their trunk area and the heaviest part
and this is where we want to center ourselves.
Now we want to have our client fold their arms
across their chest, think of like a mummy so this
is going to be helpful so when they roll it's much
more comfortable and their arms don't get tangled
up during the log roll. Now we want to grasp the
far side of the client's body so you're going to
be rolling the patient towards you, so you want a
hand on the shoulder and even the thigh or the hip
and you're going to place those both at the same time
across the patient. Now we want to turn the client
towards us, again with your hand on the shoulder,
on their hips or thigh with one motion. Now here's
the key note, here is that you want to communicate
as healthcare providers so it should be one swift
motion with you pulling towards you, your nurse
on the other side is assisting the client towards
you as well. Now it's always useful to use a draw
sheet here so instead of grabbing onto the client
their shoulder and thigh or shoulder and hip and
moving, sometimes it's much easier to either use a
draw sheet or a slide sheet for example, you can
grasp on the sheet and use that to assist you.
Now once we've log rolled the client it's a great
idea to place pillows behind their trunk, this is
definitely going to ensure alignment and support and
it's just much more comfortable for the patient.
Now before we leave the room, again make
sure that clients in a comfortable position
and again don't forget those side rails make
sure those are up, put the bed in the lowest
position before you exit the room, perform that
hand hygiene and maybe make sure you document.
04:10
Hi guys, I'm going to show you how to log roll a
patient so I've got some assistance here Dean
and you may think okay what is log rolling?
This is actually used quite a bit in nursing
especially with someone who has a spinal injury
for example and what I'm talking about is when
we log roll a patient, the main objective is to
move the patient in one swift smooth movement
and it also helps keep their spine in alignment
also if someone's bed bound for example and we
need to make their bed or turn them over, this
is a great technique that's really comfortable
and much easier to manipulate and move your
client. Okay, so now let's go ahead and get
started, of course when we enter a room make sure
we perform our hand hygiene so we're log rolling a
patient and you have assistance which I definitely
recommend, log rolling is usually a two-person
piece to that so make sure you get help so once
we've performed our hand hygiene again you can
see some height differential between me and Dean
you want to make sure there's a good working height
for both parties then you want to make sure you
communicate on which side the patient's going to
roll so that's something you want to work out with
your team member before you get started. Okay
so now that we've got the bed to a comfortable
working height now since me and Dean are on both
sides of the patient, we can remove the side rails
and don't forget as a nursing student or a nurse,
never put down a side rail if someone's not
there but we're both here so let's do that now.
05:40
Okay so we've moved our side rails so now what
we're going to do is take the patient and we're
going to log roll them towards me so anytime you log
roll a patient again, you want to communicate,
explain to the patient what's going on, if they
can help you that's great, sometimes though the
patient cannot especially if it's a patient with
a spinal injury for example so before you log
roll one thing to keep in mind anytime you log
roll the patient, you want to use the heaviest
portion which is their trunk to help move them so
for example what I mean by that when I log roll
I'm going to place my hand over the shoulder and
the hip of the patient when I help turn them so
this is really the main portion of the patient's
body and we're going to do it all at once. So I can
use that with the help of dean also if you have
a draw sheet or a sheet underneath the patient,
Dean and myself can use that to also lift the
patient if the patient, if you need that with
your patient. Next, after you log roll, you
can help stuff a pillow for support. So now
we're going to demonstrate so make sure your linen is
loose because you're going to be moving your patient
right? So now what I'm going to do is with the help
of Dean, I'm going to take the shoulder then notice
I'm going to take my other hand behind the trunk and
again notice me as someone who's not very tall,
now as a person we don't want to stoop over
but make sure that maybe you squat a little bit
and making sure you're keeping good body
mechanics. So now I'm going to reach over,
I've got my shoulder, my excuse me, my
hand behind the shoulder and behind the hip
and with one movement we're going to log roll the
patient so notice here that the patient's spine
stayed in alignment and now dean can put a pillow
underneath the patient for support of that back.
07:29
Great! Thank you dean, so a lot of the times
you may also turn a patient this way as well
if you're trying to offload them from their
back or change linens or just reposition the
patient all together. So make sure that the
patient's comfortable and their body's aligned
and then of course before you leave
make sure the side rails are up,
that the bed is in the lowest position and you
perform hand hygiene before exiting the room.