Officer 1 positioned at the patient’s head, positions their arms in anticipation of the full rotation that will occur.  Officer 1 positions at a 45º angle to the patient,  with arms placed so that the elbow to the side the patient will be rolled onto is in line with the patient’s inner shoulder to roll. Manual In-Line Stabilisation is achieved  Officer 1 placing their distal hand under the patient’s head and their proximal hand on top of the patient’s head.

Officer 2 kneels at the patient’s mid-torso, on the other side to which the patient is to be rolled, and extends the patient’s arms down the patients torso.   Officer 2 places their upper hand under the patient’s shoulder and the lower hand under the patient’s abdominal region level with lower ribs.

Officer 3 kneels on the same side as Officer 2 at the        patient’s thigh, slides their upper hand under the patient’s pelvic region, and lower hand under patient’s upper leg.  Bandaging the legs together may assist with the log roll.  Officer 3 also places a rolled up towel against the patient’s leg just below the knees for the lower legs to roll onto during the log roll to prevent pelvic drooping.

Officer’s 4 & 5 kneel on the side to which the patient is to be rolled and place a blanket over the posterior of the patient for padding on the LSB to improve comfort^6-9  & to assist later LSB removal.

 Officer 4 kneels at the patient’s mid torso grasping the     patient’s opposite side shoulders and opposite lower chest.   Officer 5 kneels at the patient’s thigh grasping the patient’s opposite pelvis and opposite mid femur. 

A LSB is rested on the knees of Officer 4 & 5 so that the side of the LSB furthest from the patient is elevated at an angle of 45º. The LSB’s shoulder marking is aligned with the patient’s shoulders.

The patient is carefully log rolled until the patient’s back is placed on the LSB. Officer 2 at the patient’s torso is in charge and sets the pace as Officer 2 bears most of the patient’s weight. 

Officer 1 at the patient’s head watches the patient’s torso turn and maintains the current position of the head, rotating it exactly with the  patient’s torso.  Only after the patient is completely log rolled onto the their back is the patient’s head then slowly re-aligned to the neutral in-line position unless contra-indicated.

Officer’s 2 & 4 both assist with rotation of the patient’s torso. Officer’s 3 & 5 both assist with rotation of the patient’s pelvis, ensuring the patient’s pelvis rotates in-line with the patient’s torso. The patient’s lower legs are rolled onto the towel to prevent the patient’s pelvis drooping.

Whilst rotating the patient, Officer’s 4 & 5  steadily shuffle backwards until the LSB and patient are flat on the ground. 

Keeping the patient in the neutral in-line position, gently adjust the patient’s position sideways until centred on the LSB.