Question

The nurse is assisting with a bath for a resident in long term care who is bed bound. Which technique is used to turn the patient and wash their backside?

Answer 1

The log rolling maneuver is the technique used to turn a bed-bound patient and wash their backside, which involves explaining the procedure to the patient, preparing supplies, ensuring stability with pillows, coordinating team movements, and maintaining the patient's spine alignment.

Step-by-step explanation:

The technique used to turn a bed-bound patient and wash their backside is known as a log rolling maneuver. This involves a coordinated multi-step process to safely move the patient.

Log Rolling Technique

1. Explain the procedure to the patient to ensure they are aware of the movements to come.
2. Gather necessary bathing supplies and place them within reach.
3. Ensure patient’s opposite side is supported with pillows for stability.
4. The nurse and any assistants should stand on the side of the bed to which the patient will be turned.
5. Cross the patient’s arms across their chest and bend the leg that will be on top during the turn slightly at the knee.
6. With the nurse closer to the patient's back, provide support under the patient’s shoulder and hip.
7. On the count of three, gently lift and roll the patient towards the team, ensuring the spine remains as aligned as possible throughout the motion.
8. Once the patient is on their side, perform the washing of the backside, replacing any soiled linens, and ensuring comfort and dignity are maintained.
9. Return the patient to their initial position using the same technique in reverse.

It is essential that this procedure is done carefully to prevent injury as well as to maintain the comfort and dignity of the patient.