During logrolling with a suspected hip fracture, which procedures are required?

During logrolling with a suspected hip fracture, which procedures are required?

• A. Use at least two people; do not roll resident on the injured side; place abduction splint or pillows between legs; roll in a single movement with head, spine, and legs aligned.
• B. Roll the resident onto the injured side first.
• C. Roll in multiple smaller movements.
• D. Ignore alignment during rolling.

Answer: (A)

Maintaining spinal alignment and proper hip positioning while logrolling is essential when a hip fracture is suspected. Move the resident as a single unit with at least two staff to control the motion and protect the spine and injured hip. Do not roll toward the injured side, as that can displace the fracture and increase pain. Place an abduction splint or pillows between the legs to keep the hips abducted and prevent adduction and internal rotation. Roll in one smooth movement with the head, spine, and legs aligned to avoid twisting the body. Shifting in multiple small moves or ignoring alignment can worsen injury and discomfort.

Maintaining spinal alignment and proper hip positioning while logrolling is essential when a hip fracture is suspected. Move the resident as a single unit with at least two staff to control the motion and protect the spine and injured hip. Do not roll toward the injured side, as that can displace the fracture and increase pain. Place an abduction splint or pillows between the legs to keep the hips abducted and prevent adduction and internal rotation. Roll in one smooth movement with the head, spine, and legs aligned to avoid twisting the body. Shifting in multiple small moves or ignoring alignment can worsen injury and discomfort.