Question:

What are the principles obsevered in turning patients?

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please answer as soon as possible.

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  1. Right turns on red are allowed only in some states whereas other states prohibit such a practice, therefore you should consult the Motor Vehicle handbook of the state in which the patient is driving lest they get pulled over and a summons is issued.


  2. Turning is a preventative measure.

    Turn every 2 hours (minimum) for pts who are bedridden and cannot do so for themselves.

    Observe pressure points during turning for signs of pressure sores, document same, and relay on handover report.

    Tools like the Braden Scale are useful in deciding whether patients need to be turned more frequently.

    Turning (to prevent skin breakdown) on a schedule, especially in the ICU setting, is sometimes more important than patient comfort.  By this I mean turning during the middle of the night can wake up a patient and be annoying, but in the long run, can be literally lifesaving.

    Before turning, make sure you know whether the patient's C-T-L, &S- spines are cleared, and if they're not, use the appropriate number of trained people to do the turn (e.g. one at the head maintaining spinal alignment, etc.)

    Observe proper back mechanics while turning -- always use help on adults over ~ 50 lbs.

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