12/20/13

Assisting With the Use of a Bedside Commode

Goal: The patient is able to void with assistance.

1. Review the patient’s chart for any limitations in physical activity.

2. Bring the commode and other necessary equipment to the bedside. Obtain assistance for patient transfer from another staff member, if necessary.

3. Perform hand hygiene and put on PPE, if indicated.

4. Identify the patient.

5. Close the curtains around the bed and close the door to the room, if possible. Discuss procedure with the patient and assess the patient’s ability to assist with the procedure, as well as personal hygiene preferences.

6. Place the commode close to, and parallel with, the bed. Raise or remove the seat cover.

7. Assist the patient to a standing position and then help the patient pivot to the commode. While bracing one commode leg with your foot, ask the patient to place his or her hands one at a time on the armrests. Assist the patient to lower himself/herself slowly onto the commode seat.

8. Cover the patient with a blanket. Place call bell and toilet tissue within easy reach. Leave patient if it is safe to do so.

Assisting Patient Off Commode:
9. Perform hand hygiene. Put on gloves and additional PPE, as indicated.

10. Assist the patient to a standing position. If patient needs assistance with hygiene, wrap toilet tissue around your hand several times, and wipe patient clean, using one stroke from the pubic area toward the anal area. Discard tissue in an appropriate receptacle, according to facility policy, and continue with additional tissue until patient is clean.

11. Do not place toilet tissue in the commode if a specimen is required or if output is being recorded. Replace or lower the seat cover.

12. Remove your gloves. Return the patient to the bed or chair. If the patient returns to the bed, raise side rails, as appropriate. Ensure that the patient is covered and call bell is readily within reach.

13. Offer patient supplies to wash and dry his or her hands, assisting as necessary.

14. Put on clean gloves. Empty and clean the commode, measuring urine in graduated container, as necessary.

15. Remove gloves and additional PPE, if used. Perform hand hygiene.

0 comments:

Post a Comment