BUKIDNON STATE UNIVERSITY

COLLEGE OF NURSING
Fundamentals of Nursing Practice
Date Performed: Final Grade:
Clinical Instructor: Time and Motion:

LOGROLLING A CLIENT

Definition:

Objectives:

1.
2.
3.

Safety and Security Measures:

1.
2.
3.

Pre-procedural Preparations:
1. Wash hands
2. Introduce yourself to the client and identify the client’s identity. Explain what is going to do,
why it is necessary, and how the client can cooperate.
3. Gather the necessary equipment.
4. Provide Privacy
5. Observe proper body mechanics

Equipment:

RETURN DEMO
STEPS Able to Unable to
perform perform

1. Raise the bed to a comfortable working height. Ensure

that the wheels are locked and the side rails are up. Make
the bed flat as possible.
Rationale:
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
2. The nurse’s must position themselves and the client
appropriately before the move. [3]
Rationale:

3. Stand on the same side of the bed and assume a broad

stance with one foot ahead of the other, putting your
weight on this forwarded foot. [3]
Rationale:

4. Place the client’s arms across the chest. [3]

Rationale:

5. Incline your trunk, and flex your hips, knees, and ankles.[3]
Rationale:

6. One nurse will put his arms under the client’s shoulders
and buttocks. The other nurse will position his arms
under the client’s thighs and ankles. Another nurse will
hold the head, supporting the neck and vertebrae.
Rationale:

7. Tighten your gluteal, abdominal, leg and arm muscles. [3]

Rationale:

8. Pull the client to the side of the bed. One nurse counts,
“one, two, three, go.” Then at the same time, all nurses
pull the client to the side of the bed by shifting weight
from the forwarded foot to the back foot. [3]
Rationale:
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice

9. Elevate the side rail on this side of the bed. [3]

Rationale:

10. Move to the other side of the bed, and place supportive
devices for the client when turned. [3]
Rationale:

11. Place a pillow where it will support the client’s head after
the turn. [3]
Rationale:

12. Place one or two pillows between the client’s legs to

support the upper leg when the client is turned. [3]
Rationale:

13. Roll and position the client in proper alignment. All nurses
flex the hips, knees and ankles and assume a broad
stance with one foot forward. [3]
Rationale:

14. All nurses reach over the client.[3]

Rationale:
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice

15. One nurse counts, “one, two, three, go.” Then, at the
same time, all nurses roll the client to a lateral position.[3]
Rationale:

16. Place pillows to maintain the client’s lateral position[3]

Rationale:

VARIATIONS: Using a turn or Lift Sheet

17. Use a turn sheet to facilitate log rolling. First, stand with
another nurse on the same side of the bed. Assume a
broad stance with one foot forward, and grasp half of the
fan folded or rolled edge of the turn sheet. On a signal,
pull the client towards you.[3]
Rationale:

18. Before turning the client, place pillow supports for

the head and legs.[3]
Rationale:

19. Then go to the other side of the bed (farthest from the
client) and assume a stable stance. Reaching over the
client, grasp the far edges of the turn sheet, and roll the
client toward you. The second nurse (behind the client)
helps turn the client and provides pillow supports to
ensure good alignment in the lateral position.[3]
Rationale:

20. Make the client feel comfortable and ensure safety. [2]
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
Rationale:

21. Return the bed to its lowest position. [2]

Rationale:

22. Wash hands[2]

Rationale:

23. Document the procedure done.[2]

Rationale:

24. Ability to answer questions

25. Definition

26. Objectives

27. Safety and Security Measures

Total Score: ______/ 27

Percentage:

Equivalent Grade:

Name and Signature of Clinical Instructor: __________________________

REFERENCES:
__________________
[1] Lynn P. (2011). Taylor's Handbook of Clinical Nursing Skills. Philadelphia, United States: Wolters Kluwer Health/Lippincott Williams & Wilkins.

[2] Sorrentino, S, S., Remmert, L., Wilk, J, M., Newmaster, R. (2013). Mosby's Canadian Textbook for the Support Worker. Toronto, Canada: Elsevier Canada Inc.

[3] Kozier, B., Erb, G., Blais, K., &Wilkinson, J. (1997). Fundamentals of Nursing: Concepts, Process, and Practice. San Francisco, United States of America: Benjamin-

Cummings Publishing Company.