A bedside commode is a portable toileting device designed for individuals who have difficulty safely reaching a traditional bathroom due to limited mobility, injury recovery, or chronic illness. This device looks like a sturdy chair with a toilet seat and a removable collection bucket, providing a convenient and nearby toileting option. Its primary purpose is to reduce the physical distance and energy expenditure required, which significantly lowers the risk of falls, particularly at night. The commode allows users to maintain a familiar, seated posture compared to a bedpan, promoting greater privacy and comfort.
Safe Setup and Placement
Proper preparation of the commode and its surroundings ensures user stability and prevents accidents during the transfer process. Adjust the leg height by pushing the button to slide the internal leg pieces to the desired notch. Correct height is achieved when the user’s feet are flat on the floor and their knees are bent at approximately a 90-degree angle while seated, allowing for easier standing and sitting.
Confirm that all four legs are set to the exact same length to prevent wobbling or tipping when weight is applied. If the commode has wheels, the brakes or locking mechanisms must be fully engaged before every use to immobilize the device. Position the commode close to the bed, preferably parallel to it, on a level, non-slippery surface with ample clearance for movement.
Before use, the collection bucket must be securely seated beneath the toilet seat opening to contain all waste. The area around the commode must be free of clutter, such as electrical cords or loose rugs, which pose a tripping hazard. Place essential supplies like toilet paper and wipes within easy reach of the seated user.
The Transfer and Usage Process
The process of safely moving onto the commode begins with the user sitting up on the edge of the bed with both feet firmly planted on the floor. If a gait belt is used, secure it around the user’s waist to provide the caregiver with a firm grasp point. The user should lean their torso forward over their knees, shifting their center of gravity in preparation for standing.
As the user begins to push up to a standing position, they should use the armrests of the commode or the edge of the bed for support, avoiding pulling on a caregiver. Once standing, perform a slow, controlled pivot turn toward the commode, taking small steps. The back of the legs should touch the commode frame, confirming the chair is directly behind them before attempting to sit.
The user must reach back for the armrests with both hands before lowering down to maintain balance and control the descent. Lower slowly and deliberately onto the center of the seat, ensuring they are not sitting too far back or to one side, which risks tipping the device. After use, reverse the controlled movements: lean forward, push up from the armrests, stand, and pivot back toward the bed or chair.
Moving deliberately and slowly throughout this process is important, as hurried movements are the primary cause of instability and falls. If a caregiver is assisting, clear communication about each step helps the user feel secure and allows them to participate in the transfer. For hygiene, wiping should be completed while seated. Female users must wipe from front to back to mitigate the risk of urinary tract infections.
Cleaning and Maintenance
Maintaining a hygienic commode requires prompt attention to the collection bucket and regular sanitization of the frame. Immediately after each use, remove the bucket by lifting the seat and pulling it straight up by its handle. Empty the contents into a household toilet, then immediately rinse the bucket with warm water to remove residual waste.
For thorough disinfection, apply a mild household disinfectant or a diluted bleach solution (one-third cup of bleach per gallon of water) to the bucket interior. It is best practice to avoid using strong, abrasive chemical cleaners, such as toilet bowl cleaner, as these can damage the plastic and create surface imperfections where bacteria collect. The bucket must be thoroughly rinsed with clean water to remove all chemical residue, preventing skin irritation if splashed during the next use.
The seat, lid, and armrests should be wiped down frequently, ideally daily, using a disinfectant wipe or solution. Allow all parts, especially the bucket, to air dry completely before reassembly to prevent the growth of microorganisms. To manage odors, place a small amount of water in the bucket to dilute urine, or use a commercial commode liner with an absorbent pad for easier disposal.