To use a bedside commode safely, position it next to the bed, confirm the bucket is in place, assist the person onto the seat, and follow a consistent hygiene routine when they're done. The steps below walk you through each part of the process so you can feel confident from day one.
In this article
Setting Up the Commode
Getting the setup right makes everything else easier. A few quick checks before each use can prevent accidents and make the experience more comfortable for the person you're caring for.
Positioning next to the bed
Place the commode on the person's stronger side so they can push up from their stronger arm and leg. The seat should be close enough that they only need to take one or two steps from the edge of the bed. If the commode has wheels, lock them before the person stands. Check all four legs are on level ground and give the frame a gentle push to confirm it's stable.
Preparing the bucket
Slide the bucket into place under the seat and check it's seated properly. Pour a small amount of water into the bucket before use, about 100 to 200 ml is enough. This simple step makes the bucket much easier to clean afterwards and helps reduce odour during use. Keep a lid nearby so you can cover the bucket immediately after removing it.
Helping Someone Use the Commode
The transfer is the most important part of the process. A calm, clear approach reduces anxiety for the person and lowers the risk of a fall.
Assisting the transfer from bed to commode
- Help the person sit up slowly at the edge of the bed. Give them a moment to find their balance before standing.
- Position yourself on their weaker side with one hand supporting their arm and the other at their lower back.
- Ask them to push up from the mattress and stand. Move together and don't rush.
- Once standing, guide them to pivot so their back is facing the commode seat.
- Help them lower themselves slowly onto the seat, making sure they feel secure before you let go.
- If their feet don't reach the floor comfortably, place a small non-slip mat or footstool under their feet.
If the person is at high risk of falls or has limited upper-body strength, a transfer or gait belt can give you much better control during the move.
During use: privacy and comfort
Dignity matters. Once the person is seated safely, step outside or draw a curtain to give them privacy. Leave a call bell or a way to signal you within easy reach of their hand. Check in gently rather than waiting in silence. A simple "just call me when you're ready" is enough to reassure them you're nearby without hovering.
Transferring back to bed
When they're ready, return promptly. Assist them to stand using the same technique as the transfer onto the commode: support from the weaker side, steady movement, no rushing. Guide them back to the edge of the bed, help them sit, and then support them as they lie down or settle into a comfortable position.
Cleaning Up After Use
A consistent cleaning routine keeps the commode hygienic and odour-free. It also protects both you and the person in your care from infection.
Hygiene for the person
Before assisting the person back to bed, put on a pair of disposable gloves. Help them clean their skin thoroughly using toilet paper, flushable wipes, or warm water and a soft cloth. Help them wash and dry their hands. This step is especially important for preventing urinary tract infections, which are more common in older adults.
Emptying and cleaning the bucket
- Put on fresh disposable gloves if needed.
- Remove the bucket from under the seat and cover it with its lid to carry it to the bathroom.
- Empty the contents into the toilet and flush.
- Rinse the bucket with clean water, then scrub with a toilet brush and a disinfectant cleaner. Rinse again thoroughly.
- Dry the outside of the bucket with paper towel, then return it to the commode frame.
- Wipe down the commode frame and seat with a disinfectant wipe or spray.
- Remove and dispose of your gloves, then wash your hands with soap and water.
Clean the commode after every use. For shared or frequently used commodes, a daily soak of the bucket in a diluted bleach solution (follow the product label) provides an extra level of hygiene. You can find more detailed maintenance guidance in our post on how to clean and maintain a bedside commode.
Key takeaways
- Always position the commode on the person's stronger side and lock the wheels before each transfer.
- Add a small amount of water to the bucket before use to make cleaning easier and reduce odour.
- Give the person privacy during use and keep a call bell within reach.
- Support from the weaker side during transfers and never rush the movement.
- Clean the bucket and wipe down the frame after every single use.
- Wash your hands thoroughly after every cleaning session.
A bedside commode is one of the most practical aids you can have at home when getting to the bathroom is difficult or unsafe at night. Used well, it removes one of the biggest fall risks in the home and lets the person you're caring for keep their dignity and independence without relying on help every time nature calls.
If you're not sure which commode is the right fit for your situation, our guide to choosing a bedside commode walks you through the key features to look for. You can also browse the full range at Mobility Shop Direct's bedside commodes collection.