ADVENTIST MEDICAL CENTER COLLEGE

San Miguel, Iligan City

SCHOOL OF NURSING

FUNDAMENTALS OF NURSING PRACTICE

Related Learning Experience (Skills Lab)
Second Semester, AY 2021 – 2022

LOGROLLING A CLIENT RUBRIC

Name _____________________________________________________ Section _________ Date __________________ Score _______

Logrolling
Purpose: A technique used to turn a client a client whose body must at all times be kept in straight alignment (like a log), i.e., back surgery or spinal injury. Considerable care
must be taken to prevent additional injury.

CRITERIA AND PROCEDURE EXCELLENT VERY SATISFACTORY POOR SCORE

4 SATISFACTORY 2 1
3
I. ASSESSMENT Demonstrated Demonstrated four Demonstrated Demonstrated
Before moving or transferring a client, assess the following: all (5) of the assessment three of the one to two of
1. Client’s physical abilities to assist with the move (e.g., muscle strength, assessment activities assessment the assessment
presence of paralysis) activities activities activities
2. Client’s ability to understand instructions and willingness to participate.
3. Client’s degree of comfort or discomfort when moving. If needed,
administer analgesics or perform other pain relief measures prior to the
move.
4. Client’s weight
5. The availability of equipment and other personnel to assist you.

II. PLANNING EXCELLENT VERY SATISFACTORY POOR

1. Review the client’s record to determine if previous nurses have recorded Exhibited SATISFACTORY Exhibited two of Exhibited only
information about the client’s ability to move. complete (4) Exhibited three of the planning one or none of
2. Use proper assistive equipment, supportive devices, and additional personnel planning the planning activities the planning
whenever needed. activities activities activities
3. Ensure that the client understands instructions, and provide an interpreter as
needed.
4. Determine the number of personnel and type of equipment needed to safely
perform the positional and transfer change to prevent injury to yourself and
client.
III. IMPLEMENTATION EXCELLENT VERY SATISFACTORY POOR
Preparation Complete and SATISFACTORY Missed three to Missed five or
Determine: comprehensive Missed one to two four steps of more steps of
- Assistive devices (friction reducing device or drawsheet) and supportive implementatio steps of logrolling logrolling a client logrolling a
devices that will be required. n of logrolling a client client
- Encumbrances to movement such as an IV or an indwelling urinary a client
catheter.
- Medications the client is receiving, because certain medications may
hamper movement or alertness of the client.
- Assistance required from other personnel. At least 2-3 additional people are
needed to perform this skill safely

Rationale: Moving a client is not a one-person task. During any client

handling, if the caregiver is required to lift more than 35 lb of a client’s
weight, then the client should be considered to be fully dependent and
assistive devices should be used. This reduces risk of injury to caregiver.

Preliminaries
 Assemble all the necessary supplies and equipment.
 Perform hand hygiene and observe other appropriate infection
prevention procedures.
 Provide for client privacy by drawing the curtains around the bed or
closing the door to the room.
Rationale: This is a personal matter.
 Demonstrate courtesy, introduce yourself and verify the client’s
identity. Explain to the client what you are going to do, why it is
necessary, and how the client can cooperate or participate.
Rationale: To establish rapport and allay fear and anxiety.

Performance

 Position yourself and client appropriately before performing the

move. Other individuals stand on the opposite side of the bed.

- Adjust the head of the bed to a flat position or as low as the client can
tolerate.
Rationale: This provides a position of comfort for the client.

- Raise the bed to a height that will align to the waist- or hip-level or elbows
of the caregivers.
Rationale: Ensure personnel safety.

- Be sure the wheels of the bed are locked and raise the rail on the side of the
bed opposite you (if one-care method).
Rationale: To prevent the bed from moving against the direction of the
movement.

- Place the client’s arms across the chest.

Rationale: This ensures that the arms will not be injured or become trapped
under the body when the body is turned.

- At least three nurses are needed to logroll the client. One nurse will stand at
the head part of the client and act as the leader or in-charge of the team.
Ensure that there is a pillow between the legs. The nurse will hold the head
of the client to maintain stability. Two nurses will stand at the side of the
bed and support the far shoulder, hip, and knee and cross over their arms .
- The nurse in-charge counts: “one, two, three, go.” Then at the same time,
all staff nurses pull the client to the side of the bed to a lateral position by
shifting their weight to the back foot.
Rationale: The position of the hands supports the client at the heaviest
parts of the body, providing greater control in movement during the roll.
Moving the client in unison maintains the client’s body alignment.

- Smoothen the linen.

Rationale: To prevent wrinkles and prevent pressure injury.

- .Place supportive devices (pillows) at the back of client’s head, back,

upper, and lower extremities.
Rationale: To maintain proper alignment.
- Raise the side rails.

Rationale: To prevent falls.

 Ensure client comfort and linens free of wrinkles.

Aftercare and Documentation EXCELLENT VERY SATISFACTORY POOR

 Appreciate your client for his/her cooperation. Demonstrated SATISFACTORY Demonstrated six Demonstrated
 Perform hand hygiene. all (8) aftercare Demonstrated aftercare and five or less of
 Document and seven aftercare and documentation aftercare and
- Record time and change of position moved from and position moved to. documentation documentation activities documentation
- Any sign of pressure areas. activities activities activities
- Use of support devices.
 - Assistive devices used.
- Ability of client to assist in moving and turning
- Response of client to moving such as anxiety, discomfort, or dizziness.

IV. QUALITY OF PERFORMANCE EXCELLENT VERY SATISFACTORY POOR

- Spontaneity (spontaneous in communication) Demonstrated SATISFACTORY Demonstrated Demonstrated
- Articulation: diction and grammar all (5) qualities Demonstrated four three qualities of two or less
- Mastery of the subject matter of performance qualities of performance qualities of
- Application of the principles of body mechanics performance performance
- Video: well-edited, good transitions, appropriate graphics, good shots, and
audible audio
V. CONFIDENCE EXCELLENT VERY SATISFACTORY POOR
Performed SATISFACTORY Performed entire Not able to
entire Performed entire procedure with perform entire
procedure with procedure with minimal procedure with
great moderate confidence confidence
confidence confidence
VI. TIMING (AT LEAST 20 MINUTES) EXCELLENT VERY SATISFACTORY
Performed SATISFACTORY Performed entire POOR
entire Performed entire procedure with 10 Performed the
procedure procedure with 5 minutes excess on entire procedure
within the minutes excess on the allotted time with 15 minutes
allotted time the allotted time or more excess
of the allotted
time.
TOTAL

Perfect Score: 28 points

Range of Scores:
26 – 28 --------------------------------------- Excellent
23 – 25--------------------------------------- Very Satisfactory
20 – 22 --------------------------------------- Satisfactory
19 and below ------------------------------- Poor

Assessed by:
___________________________________
Name and Signature of RLE Instructor
/rsp
5/16/21