LOGROLLING A CLIENT
PROCEDURE
1. Position yourself and the client appropriately before performing the move. Stand on the same side
of the bed, and assume a broad stance, with one foot ahead of another.
RATIONALE: broad stance enhances the balance and stability of the nurse. Doing so ensures that they will
not be injured or become trapped under the body when the body is turned
2. Place the client’s arm across the chest.
RATIONALE: It prevents unnecessary movement that can cause injury to the client.
3. Lean your trunk, and flex your hips, knees and ankles.
RATIONALE: Flexing the knees ensures the use of large muscle group on the legs when moving and it
lowers the center of gravity. It enhances the balance and stability of the nurse.
4. Place your arms under the client.
RATIONALE: To grip the cloth. The cloth prevents friction on the clients skin thus preventing skin rash.
Each nurse has major weight are of the patient centered between the arms.
5. Pull the client to the side of the bed. One nurse counts. “One, two, three, go.” Then, at the same
time, all staff members pull the client to the side of the bed by shifting their weight to their back
feet.
RATIONALE: Moving the client in unison maintains the client’s body alignment.
6. Elevate the side rail on this side of the bed.
RATIONALE: To prevent the client from falling.
7. Move to the other side of the bed, and place supportive devices for the client when turned.
RATIONALE: To prevent misalignment on the spine, a supportive device must be put on the clients head
before rolling.
8. Place a pillow where it will support the client’s head after the turn.
RATIONALE: The pillow prevents lateral flexion of the neck and ensures alignment of the cervical spine.
9. Place one or two pillows between the client’s leg to support the upper leg when the client is turned.
RATIONALE: This pillow prevents adduction of the upper leg and keeps the legs parallel and aligned.
10. Roll and position the client in proper alignment. All nurses flex their hips, knees, and ankles, and
assume broad stance, each with one foot forward.
RATIONALE: Broad stance enhances the balance and stability of the nurse.
11. All nurses reach over the client, place hands into position.
RATIONALE: hold on the cloth from the farther side.
12. One nurse counts. “One, two, three, and go.” Then, at the same time, all the nurses roll the client
into lateral position.
RATIONALE: The movement should be synchronous to prevent misalignment of the spine.
13. Support the client’s head, back, and upper and lower extremities with pillows.
RATIONALE: To make sure that there will be no misalignment on the client’s spine that can cause injury.
14. Raise the side rails and place the call bell within the client’s reach.
RATIONALE: Placing the call bell within patients reach is helpful whenever the client is uncomfortable or
needs assistance.
15. Document all relevant data.
RATIONALE: It is needed to establish baseline data for comparison with future data and to check for
progress.
▪ Time, position from which the client was moved
▪ Position to which client was moved
▪ Any signs of pressure areas
▪ Use of support devices
