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Master
Included In This Lesson
Outline
Overview
- Purpose
- Patients in spinal precautions should be kept flat (0 degrees at the hips) at all times to prevent twisting, bending, or turning the spine
- C-spine precautions should be held during any movements or turning
- Log-Rolling is used to turn patients to the side while stabilizing their spine
- True log-rolling with c-spine precautions requires 3 people to turn and one person to wash or change linens, etc.
Nursing Points
General
- Supplies needed
- Cervical collar in place if needed
- 3-4 team members
- Draw sheet
Nursing Concepts
-
- Steps and Nursing Considerations for Log Rolling (without cervical-spine precautions)
- Perform hand hygiene
- Explain procedure to patient
- Have the patient cross their arms across their chest, if not contraindicated
- Prep – Staff member #1
- Stand next to patient’s shoulder
- Place one hand one patient’s shoulder on the opposite side
- Place other hand on patient’s upper thigh on the opposite side
- Prep – Staff member #2
- Stand next to patient’s hip
- Place one hand on the patient’s upper hip bone on the opposite side
- Place other hand behind patient’s knee on the opposite side
- **Arm should cross over Staff member #1’s arm
- Designate one person to be in charge – usually person #1.
- Person #1 counts to 3
- On 3 – both staff members lift/pull patient towards them together, maintaining alignment in spine
- Staff member #3 can then perform back/skin/perineal care or linen change
- When it’s time to lay the patient back, Staff Member #1 counts to 3 again, and both lower the patient back to flat together
- Repeat on opposite side if necessary to complete a linen change or other procedure
- Steps and Nursing Considerations for Log Rolling (without cervical-spine precautions)
- With Cervical Spine precautions
- Staff Member #1 holds C-spine and is in charge of counting/controlling the movements
- Staff Member #2 and #3 log roll as above
- Staff Member #4 does the patient care
Patient Education
- Importance of holding still and letting the staff members do all the work so that they don’t twist/turn at the spine
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