When assisting a client to use the bedside commode, it is important to prioritize safety, dignity, and hygiene

According to the CDC, falls are a leading cause of injury among older adults, with many occurring during transfers and toileting [1]. Therefore, when assisting a client to use the bedside commode, it is important to follow proper procedures to prevent accidents and promote patient dignity [2, 3].

Quick Summary

Properly assisting a client with a bedside commode involves a comprehensive approach to safety, including preparing the environment, ensuring a secure transfer, providing privacy, and maintaining impeccable hygiene to prevent infection and discomfort. The caregiver must also prioritize the client's dignity and monitor their well-being throughout the process.

Key Points

• Prioritize Safety: Lock commode wheels, prepare the area, and use a gait belt during transfers to prevent falls [3].

• Maintain Dignity: Provide as much privacy as possible and communicate respectfully throughout the process [2, 3].

• Practice Excellent Hygiene: Always wear gloves, assist with proper wiping (front to back for females), and thoroughly clean the commode after each use [3].

• Observe for Changes: Note any changes in elimination and report concerns to a healthcare professional [3].

• Gather Supplies in Advance: Have all necessary items like gloves, wipes, and containers ready before starting to avoid leaving the client unattended [3].

• Communicate Clearly: Explain every step of the process to the client to ensure their cooperation and comfort [3].

Preparation is Paramount

Before assisting a client with a bedside commode, preparing the environment and gathering supplies are essential [3]. A clutter-free space helps minimize fall risks, and having all items ready prevents leaving the client unattended [3].

Gather Necessary Supplies

Supplies typically include gloves, toilet paper or wet wipes, a container, a waterproof pad, and cleaning items [3]. A gait belt may be needed for transfer assistance [3].

Ready the Commode

Ensure the commode is clean and stable [2, 3]. Lock wheels if present, check legs for security, and adjust the height so the client's feet can rest flat on the floor [3]. Position it on a stable surface near the bed or chair [3].

The Transfer: Safety First

The transfer process involves risks, particularly falls [1, 3]. Clear communication with the client is vital [3]. Assess the client's mobility and check for dizziness beforehand [3]. Ensure the client wears non-slip footwear [3].

Executing the Transfer Safely

Key steps involve checking commode locks, helping the client sit on the bed edge to steady themselves, using a gait belt if needed, and guiding a slow pivot to the commode [3]. Instruct the client to reach for the commode's armrests as they are lowered into a seated position [3].

Providing Privacy and Dignity

Maintaining a client's privacy and dignity during toileting is crucial [2, 3].

Maintain Respectful Boundaries

Once the client is seated, provide privacy by closing a curtain or partially closing a door while staying close enough for safety [3]. Ensure the call light and toilet paper are within reach [3].

Hygiene and Post-Procedure Care

Proper hygiene is critical to prevent infection and maintain comfort [2, 3].

After Elimination

Wear fresh gloves and assist with cleaning [3]. For female clients, wipe from front to back to prevent UTIs [3]. Dispose of soiled gloves and linens appropriately after the transfer back [3].

The Importance of Routine and Observation

Establishing a toileting schedule can help prevent accidents [2, 3]. Observing and reporting changes in elimination patterns is also a vital part of client care [3].

Troubleshooting Common Commode Issues

A table providing solutions for common issues like slippage, infection, falls, and odor associated with bedside commode use can be found on {Link: WTCS Pressbooks https://wtcs.pressbooks.pub/nurseassist/chapter/5-8-assistance-with-toileting/} [3]. Key solutions include locking wheels, using disinfectant, taking transfers slowly, and emptying/cleaning promptly [3].

Conclusion

Assisting a client with a bedside commode requires a focus on safety, dignity, and hygiene [2, 3]. Proper preparation, safe transfer techniques, respecting privacy, and diligent hygiene practices are fundamental [3]. Observation and communication further support the client's well-being [3]. The goal is to ensure the client feels secure, respected, and comfortable [3].

For more information on safe patient handling, refer to authoritative sources such as the Occupational Safety and Health Administration (OSHA).

Frequently Asked Questions

What is the very first step to take when assisting a client to use the bedside commode?

The first step is to assess the client's condition and gather supplies, ensuring the commode is locked and the area is clear [3]. This minimizes risk and prevents leaving them unattended [3].

How do you ensure a client's dignity and privacy when using a bedside commode?

Ensure dignity by communicating respectfully, providing privacy (e.g., pulling a curtain), and offering only necessary assistance [2, 3]. Never discuss toileting needs without permission [3].

What is the safest way to transfer a client from a bed to a bedside commode?

Ensure the commode is locked, help the client sit on the bed edge, use a gait belt if needed, and guide a slow pivot and lower onto the commode [3]. Clear communication is key [3].

Why is it important to wipe from front to back when assisting a female client with a bedside commode?

This prevents bacteria from the anal area spreading to the urethra, reducing the risk of a urinary tract infection (UTI) [3].

How often should the bedside commode be emptied and cleaned?

It should be emptied and cleaned after every use to prevent odors and infection spread [3]. Use a disinfectant solution for cleaning the container and seat [3].

Can I leave a client alone on the bedside commode?

Only if they are stable, reliable, and it is safe [3]. For many clients, especially those with mobility or cognitive issues, stay nearby or in sight [3].

What should I do if a client feels dizzy while transferring to the commode?

Help them sit back down on the bed immediately [3]. Wait for the dizziness to pass and reassess before trying the transfer again [3]. Never proceed if they feel unsteady [3].