log rolling

[liz1]

could anyone give me an accurate, step by step way of log rolling a spinal injured person. I was very embarrassed when a junior nurse advised me that the legs should be crossed over slightly before the move. Is this the correct way as I can't find this in any literature. Would appreciate your comments!

[letina]

If you google 'log rolling spinal injuries' there are quite a few articles which should help

[EricJRN, MSN, RN]

Don't be embarrassed. If you're referring to the care of the acute spinal injury/possible fracture, it would be inappropriate to cross the legs until the pt's cervical spine is "cleared" by the physician, as the goal is to move the body as a unit in alignment. I can't find any step-by-step procedures, but maybe someone will come along who can.

[madwife2002, BSN, RN]

I dont care who you are and how long you have been in nursing you cannot be expected to know every drug, procedure and protocol. I would make out a joke about log rolling or why not speak to the lifting and handling rep, say you want current updates for a teaching session. Ask her to come to the ward for demonstration purposes.

[mabel u.k]

Don't know about English trusts but you would be very lucky to get the Manual Handling traininers to visit the wards in Wales. The ones that I have met are not trauma and ortho trained so wouldnt know how to log roll.

You may want to speak to your resuscitaiton officers or try to get hold of a copy of either the ATLS or APLS manual where there are practical chapters on log rolling and spinal injuries which are very informative and which I have taught from on many occasions.

[madwife2002, BSN, RN]

Don't know about English trusts but you would be very lucky to get the Manual Handling traininers to visit the wards in Wales. The ones that I have met are not trauma and ortho trained so wouldnt know how to log roll.

You may want to speak to your resuscitaiton officers or try to get hold of a copy of either the ATLS or APLS manual where there are practical chapters on log rolling and spinal injuries which are very informative and which I have taught from on many occasions.

I did work in Haslar hospital which is part of Portsmouth hospital trusts, and I know that the PT who was the manual handler instructer for the hospital would help us out when ever we contacted her. I only left dec

[Luckygirl]

Hi

I dont know know how everyone else log rolls but the way i was always taught was three over and three under!! Someone takes the neck who is the communicater for the patient and the team leader for the roll, then in height order three ppl down the side of the patient, the top person has two hands over, the middel has one hand just above pts hips and one underneath the top leg -- so keeping alignment, the third person has both hands underneath the topleg. Hmm after reading this post im not sure if that is very clear!! may be slightly vodka tinted at the moment!! eeek