CLRT/Prone pillow use skin impact?

[loriaz]

I have been working in the ICU for many years we have had an increase in the number of ARDS patients in the US. We start out using the CLRT funtion on beds to rotate patients for lung reasons. However, we are still required to turn patients with a pillow to offload pressure in coccyx area. What is the practice in your hospitals. The CLRT function can only be set for 30 mins hold at a time. Are you turning and removing pillows every 30mins? DO you use pillows to turn them when using this function? Do you worry about the impact of skin when patients lungs are compromised? If this CLRT doesn't help we will use the rotoprone bed which is horrible for skin. Do you have certain protocols for the ARDS patients related to turning and skin impact?