The EHOB ATR+ XL is a turning and repositioning system designed to stay under the patient for the full continuum of care. The repositioning sheet offers ergonomic features intended to reduce strain on the caregivers back, neck and wrists during patient turning and repositioning. In addition, an optional low-friction fitted sheet can be used to further reduce the effort to reposition a patient of size. The wedges are used to ensure proper sacral offloading for pressure injury prevention. The wedges are also used in combination with the repositioning sheet to maintain patient positioning.