Commode, Use of 

Purpose: 

To assist the resident with elimination needs while ensuring dignity and privacy. To collect a urine or stool specimen if needed. 

Equipment: 

• Commode with pail 

• Tissue 

• Provon (cleanser) 

• Washcloth and towel 

• Slippers/gripper socks 

Procedure: 

1. Preparation: 

• Ensure the commode is clean and in proper working order. 

• Place the commode next to the resident’s bed. Open the cover and insert the container under the toilet seat. 

• Do not leave a confused resident alone. 

2. Transferring Resident: 

• Explain to the resident that you will assist with transferring them onto the bedside commode, as per their care plan and CNA Care Card. 

• Assist the resident to sit on the side of the bed. 

• Put slippers or gripper socks on the resident before transferring them onto the bedside commode. 

3. Using the Commode: 

• Place toilet tissue and the call light within the resident’s reach. 

• Ask the resident to signal when finished. 

• Stay nearby if the resident is confused or requires close supervision. 

4. Post-Use Assistance: 

• When the resident signals, return to the room and assist as necessary to clean and wipe, ensuring the anal area is clean. 

• Assist the resident in transferring back to bed. 

• Close the cover on the commode. 

5. Cleaning and Observation: 

• Remove the container from under the commode. Cover it and take it to the soiled utility room to clean. 

• Check the feces or urine for any abnormal appearance. 

• Measure the output if the resident is on intake and output monitoring. 

• Collect a specimen if required. 

6. Disposal and Cleaning: 

• Empty the container into the toilet and flush. 

• Follow facility procedures for cleaning the container. 

• Return the clean bedpan to the bedside table and place the commode in its proper location. 

7. Resident Comfort: 

• Assist the resident with handwashing. 

• Make the resident comfortable, lower the head of the bed as necessary, and replace the call signal within reach. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Document the use of the commode, including the resident’s response and any observations of abnormal output, in their medical record. 

• Note any difficulties encountered during the procedure. 

• Regularly review and update techniques for using commodes according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on proper commode use procedures to ensure resident safety and comfort. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.