Restorative CareQuestion 122 of 200

Standard repositioning frequency for a bedbound resident at risk for pressure injury is:

a.Every 8 hours during shift change
b.Every 4 hours, only during waking hours
c.At least every 2 hours, or more often if indicated by the care plan
d.Only when the resident requests it

Explanation

The federal and CA standard of care is repositioning at least every 2 hours for bedbound residents, with more frequent turning for higher-risk individuals (cachexia, vasopressors, prior pressure injury). Specialty surfaces do not eliminate the need to turn. Less frequent turning (a, b) allows ischemia and tissue death. Waiting for requests (d) fails residents who cannot communicate and constitutes neglect under 42 CFR §483.12. The CNA documents turning times and any skin findings. Title 22 CCR §72315 requires the nursing care plan to be followed.

Law Reference: 42 CFR §483.25(b); Title 22 CCR §72315

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