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change position to supported side-lying introduction sometimes patients will not be able to move on their own patients that have had a serious accident or illness that has left them paralyzed or unable to move such as a stroke will need to be turned every two hours to prevent bedsores CNAs must know how to change a patients position if the patient is unable to move on their own your testing facility may not have side rails on the bed because CNAs can work in a variety of settings including patients homes and assisted living facilities where side rails will not be available the CNA must be familiar with how to reposition a patient safely without the use of side rails privacy is important in every skill but it is very important when performing skills where the patient will be uncovered or undressed you will be using a privacy blanket to protect the patients privacy and keep them warm while you perform this skill when collecting pillows for this skill take care not to hold them against