Positioning the patient takes time and preparation. Four members of staff are required to turn the patient and one person to secure the head and endotracheal tube. The turn itself is a two-stage procedure via the lateral position. The arm on which the patient is to be rolled is tucked under the hip with the other arm laid across the chest. Pillows are placed under the abdomen and chest prior to rotation to the lateral position. If stable, turn may be completed to prone. Pillows are placed under the shoulders and pelvis. The head of the bed is raised and one arm is extended at the patient's side while the other is flexed with the head facing the opposite way.

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