Problem & Purpose: Hospital-acquired pressure injuries (HAPIs) lead to longer hospital stays and reduced reimbursement, negatively impacting both patients and healthcare systems. In the 24-bed Cardiac Surgery Intensive Care Unit (CSICU) at a tertiary hospital, the incidence of HAPIs has increased. The CSICU ranked second in HAPI cases among all units, reporting five cases in November 2023, compared to zero or one case in other units. This quality improvement (QI) project aims to reduce HAPIs in critically ill, ventilated adult patients in the CSICU by implementing a unit-based turn team. Methods: The turn team consists of patient care technicians (PCTs) and registered nurses (RNs) on the unit, impacting 139 patients, 75 nurses, and five stakeholders. The project was implemented over 15 weeks. Prior to implementation, a multidisciplinary team was formed to plan the workflow changes. The team, composed of one PCT and one RN, turns each patient every two hours, with the schedule created by the off-going charge RN. RNs document the turns in the electronic health record (EHR). To enhance the turn team's effectiveness, staff education and training were provided, with compliance monitored through audits and assessments of assignment forms. Results: Results from the 15 weeks are displayed using run charts showed 139 patients were eligible for the turn team, with 63% (n=87) being repeat patients. The turn team was assigned 52% of the time (n=210) and was utilized 60% of the time (n=110). No HAPIs occurred among patients enrolled in the turn team. Nurse education data shows that 68% (n=75) of nurses and 66% (n=9) of PCTs received in-person training, while the remaining staff received a PowerPoint presentation. Conclusion: Findings indicate zero HAPIs during the 15 weeks of implementation. Patient acuity remained a barrier to consistent turn team utilization due to high patient demands and emergencies. Key words: “Turn team”, “HAPI”, “decrease HAPI”.