How to Transfer a Patient from a Wheelchair to a Commode

Working with patients who are bound to wheelchairs often presents unique challenges, and that's especially true in the tight quarters of a bathroom. Many wheelchair-bound patients are able to care for their own needs in the bathroom, but some require an additional hand when trying to move to or from a commode. Fortunately for these patients, transferring them from a chair to a commode can be achieved smoothly and safely with an experienced aide.

Step One

Position the wheelchair perpendicular to the commode.

Step Two

Lock the brakes. This is extremely important, because otherwise when you begin to help the patient stand up, the chair could roll away and the patient could fall and suffer serious injury.

Step Three

Position the patient's feet flat on the floor, moving the foot rests of the wheelchair out of the way or removing them altogether if necessary. Position your feet on either side of the patient's feet to help keep them steady and in place.

Step Four

Bend down to the patient's level, bending with your knees, not your back.

Step Five

Ask the patient to put his arms around you as if giving you a hug. Do not have him put his arms around your neck, however, or you might injure your neck.

Step Six

Put your arms around the patient, with your arms positioned beneath his armpits.

Step Seven

Tell the patient you will count to three, and on three you will help him stand up. Count to three and on three, stand up yourself, pulling your patient up to a standing position.

Step Eight

Pivot yourself and the patient so that he stands directly in front of the commode.

Step Nine

Pull down the patient's pants and underclothing.

Step Ten

Tell the patient you will now help him sit down on the commode. Bend with your knees until he is seated on the commode, then release your grip on him. Make sure he is seated comfortably and in an upright position.

Tip

Some bathrooms are simply not wheelchair accessible. If there is not enough room for a wheelchair, look for another bathroom. If the bathroom in the patient's home is not big enough for a wheelchair, you may need to set up a portable commode in a bedroom or other private location.

Warning

Do not leave the patient alone on the commode if he is not able to sit steady because he may fall. If you do leave the patient alone, make sure he has a way to summon you when he's finished or if he needs help with anything.