A unique support surface that provides a controllable inflation system, and a turning bladder structure for turning a patient quickly for the application of a nursing protocol. The support surface includes air cell arrays and turning bladders which are used to turn the patient in either direction under control of the medical practitioner. The air cell arrays can be arranged longitudinally or laterally. The multiple turning bladders are preferably formed with a unique butterfly shape that minimizes the amount of air required to inflate, which then results in high-speed turning of the patient.