To ensure that patients who are high risk for pressure ulcers are turned every 2 hours, place a sign above bed to remind staff to turn patient on the even hours. The sign would have a clock with the even hours and also a stick figure of which side to turn the patient. Also, to ensure staff safety, have PCA's or RN's be assigned to go through the floor and turn ALL patients on the even hours to a) increase teamwork and b) decrease staff injuries.