Elimination and Toileting - Online Inservice

This online inservice course may be taken by an individual certified nurse assistant, in a complete online format. Review the course online from any computer or tablet with an internet connection, answer our interactive review questions at the end of each chapter, then complete the final exam. With a successful completion of the exam of 80% or better, students will complete an evaluation of the course and then be able to print a certificate of completion.

Looking to present this inservice to your entire facility in person? View the Traditional Inservice version of this course for complete printable course curriculum handouts, final test/exam handout, final exam key for the presenter, sign in sheets to track attendance, printable certificates of completion, as well as printable skill competency checklists to verify competence in all skills related to the in-service.
This course will provide participants with a review of the basic safety considerations and nursing care guidelines that help protect patients, residents and clients from complications related to elimination and toileting. This comprehensive review can be utilized for nursing assistive personnel throughout all healthcare settings, as the safety considerations for elimination and toileting do not change according to level of acuity. Within this course, the participant will review the basics of elimination and toileting, common problems of the elderly or ill that may contribute to complications with elimination and toileting, potential consequences and complications of impaired elimination and toileting, skin care for incontinent patients, residents or clients, elimination and toileting supportive devices, improving communication to prevent complications related to elimination and toileting, completing incident reporting in a timely and thorough manner, bladder and bowel retraining, and how to safely transfer patient, resident or client onto and off of the toilet.

Questions? Check out our FAQs page and How Online IV Certification Works!


Upon completion of this course, the participant will be able to:

  1. Discuss the basics of elimination and toileting.
  2. Identify common problems of the elderly or ill related to elimination and toileting.
  3. Discuss potential consequences and complications of impaired elimination and toileting.
  4. Describe proper skin care for incontinent patients, residents or clients.
  5. Explain how elimination and toileting devices can help prevent potential complications.
  6.  Demonstrate safe and effective urinary catheter care.
  7. Demonstrate safe and effective ostomy care.
  8. Demonstrate how to safely transfer a client to bedside commode using a transfer belt.
  9. Demonstrate how to assist a patient, resident or client with using a bedpan,
  10. Demonstrate how to measure and record urinary output.
  11. Explain how improving communication can prevent elimination and toileting problems.


Chapter 1: Basics of Elimination and Toileting

  • Review of Basic Anatomy and Body Functions
  • Common Toileting Considerations for Healthcare Providers

Chapter 2: Common Problems of the Elderly or Ill related to Elimination and Toileting

  • Considerations for Normal Changes of Aging
  • Confusion, Dementia and Delirium
  • Constipation
  • Impaired Mobility
  • Incontinence
  • Medications and Treatments
  • Urinary Tract and Bladder Infections, also known as Cystitis

Chapter 3: Elimination and Toileting Devices

  • Bedpan
  • Urinal
  • Bedside Commode
  • Elevated Toilet Seat
  • Disposable Incontinence Briefs
  • Linen Bed Protectors or Disposable Chux 
  • Urinary Catheters
  • Ostomies and Ostomy Collection Devices
  • Fecal Management System

Chapter 4: Skin Care

  • Incontinence and Skin Care
  • Barrier Creams 
  • Hourly Rounding

Chapter 5: Nursing Assistant Care Skills

  • Perineal Care
  • Urinary Catheter Care
  • Ostomy Care
  • Transferring onto and off of a Bedside Commode
  • Assisting Client to Use a Bedpan
  • Assisting Client to Use a Urinal
  • Measuring and Recording Urinary Output

Chapter 6: Improving Communication to Prevent Elimination and Toileting Problems

  • Following the Resident Care Plan
  • Informing Client, Visitors and Staff of Safety Precautions Related to Elimination and Toileting 

Chapter 7: Skill Check-Off Lists

Chapter 8: References

Price: $10.00

Contact Hours: 2.5

Course Author

Damion Keith Jenkins

 Damion Jenkins, RN, MSN is the founder and CEO of a nursing education and consultation company - The Nurse Speak, LLC., where he specializes in the delivery of individualized tutoring, mentoring and consultation services for students, new graduate nurses, and healthcare facilities. Damion is also an adjunct nursing professor, an experienced travel nurse, and an active nurse blogger. 

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Course Accreditation

Provider approved by the California Department of Public Health, Nurse Aide Certification (NAC) #: 7046.  This document must be retained by the certified nurse assistant for a period of four years after the course completion. Provider approved by the Florida and Wyoming Boards of Nursing-Certified Nursing Assistants, CE Broker Provider #: 50-13256.

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