A method for turning and positioning a patient includes placing a sheet under a patient, the sheet comprising a first portion having a first handle and a second portion having a second handle. The first portion is placed under the patient and the second portion is a free portion. The method further includes providing a pulling force to the first and second handles, wherein the pulling force to the first handle and the second handle are in opposing directions across the patient. The pulling force to the first handle is greater than the pulling force to the second handle whereby the pulling force to the first handle causes movement of the patient in the direction of the pulling force and the pulling force to the second handle is a resistance force. The first handle and the second handle are longitudinally offset.