Cebu Doctors’ University

College of Nursing
Mandaue City, Cebu

NCM 107:
RLE MODULE 2F

Procedure Guide
Perilite Exposure and Hit Sitz Bath

Group 3-D:
Ms. Bihag, Frances Allyssa
Mr. Co, Ronald
Ms. Maglasang, Janine
Mr. Perales, John Harvey
Ms. Rodrigo, Kisha Bethe​l
 Care of Mother, Child, and Adolescent (Well-Client)
Related Learning Experience, Skills Laboratory

Perilite Exposure and Hit Sitz Bath

Perilite Exposure​ - It is the application of dry heat to the perineal area to provide comfort,
increase blood circulation and hasten wound healing.

Hot Sitz Bath​ - Application of moist heat to the perineal area to provide comfort, increase
blood circulation and hasten wound healing.

Objectives:​ After 4.5 hours of various classroom and laboratory activities, the Level II students
will be able to:

1. define the following term:

a. Hot sitz bath f. Radiation

b. Perilite Exposure g. Convection
c. Heat Application h. Conduction
d. Dry heat application i. Episiotomy
e. Moist heat application j. Perineorraphy

1. state the importance of hot sitz bath and perilite exposure

1. discuss the following:

1. process of heat transfer

2. physiological responses to heat
3. variables that influence the effectiveness of heat
4. guidelines in performing hot sitz bath and perilite exposure
5. therapeutic effects of administering hot sitz bath and perilite exposure

1. identify the following:

1. advantages and disadvantages of moist heat and dry heat application

2. indications and contraindication of hot sitz bath and perilite exposure
1. explain the principle involved in hot sitz bath and perilite exposure.
2. enumerate the nursing responsibilities before, during, and after hot sitz bath and perilite
exposure.

1. demonstrate the beginning skills in hot sitz bath and perilite exposure.
1. document client responses and outcomes before, during, and after hot sitz bath and
perilite exposure.

Criteria for Mastery:

1. 75% score on the Quiz.

2. Submission of Procedure Guide with rationales.
3. Individual Return Demonstration
Enrichment Activity

Read from following references enumerated below and prepare your notes before the scheduled
class.

Silbert-Flagg, J.S., & Pillitteri, A. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family (8​ ed.). Philadelphia: Wolters Kluwer
th​

Berman, A., Snyder, S., & Frandsen, G. (2018). Kozier and Erb's Fundamentals of Nursing .
Philippines : Pearson Education South Asia PTE. LTD.

Hockenberry, M., Wilson, D., & Rodgers, C. (2017). Essentials of Pediatric Nursing. Canada: Elsevier.

Potter, P., Perry, A., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). Singapore:
Elsevier.

Wolters Kluwer Health. (2009). Lippincott's Nursing Procedures (5th ed.). Philadelphia: Lippincott
Williams & Wilkins.

VanPutte, C., Regan, J., & Russo, A. (2017). Seeley’s Essentials of Anatomy and Physiology (10​ th

ed.). New York: McGraw-Hill

Lippincott Williams & Wilkins. (2008). Straight A’s in Maternal-Neonatal Nursing (2​ ed.).
nd​

Philadelphia: Lippincott Williams & Wilkins.

Weber, J. & Kelly, J. (2017). Health Assessment in Nursing (6​ ed.). Philadelphia: Lippincott Williams
th​

& Wilkins.
Materials Needed for Perilite Exposure
● Perlite Lamp
● Blanket
● Perineal Flushing Set
Procedure Guide: Perilite Exposure (Rodrigo, ​Kisha & ​Maglasang​, Janine​)
Procedure
1. Review physician’s order.
2. Prepare equipment and check for safety
factors i.e. frayed cords, bulb in place.
3. Explain the procedure to the patient and its
purpose.
4. Bring the materials to the patient’s room.
5. Do medical handwashing and render perineal
flushing. Dry the perineum thoroughly and
remove the bedpan. (If a patient is
ambulatory, encourage self-perineal care).
6. Place the patient in a dorsal recumbent
position. Cover with a blanket.
7. Place the heat lamp under the blanket about
18-24 inches from the perineum to avoid
burning the patient.
8. Check for any discomfort, burning reaction or
other untoward reaction.
9. Instruct the patient not to change position nor
touch lamp during the entire procedure.
10. Remove the lamp after 15 minutes or as
ordered by the physician. Check the perineal
area for untoward reactions.
11. Assist the patient in a position of comfort.
12. Do after care. Return equipment to the proper
storage area.
13. Do proper documentation including the
patient’s reaction, length of procedure,
condition and appearance of wound,
medications applied (if indicated).
Revised June 2019
Rationale
It is to make sure that the procedure
you are doing is instructed by the
physician.
This is to save time and energy and
checking the equipments to make
sure there aren’t any damages or
dysfunctions
This is to inform the patient about the
procedure
This is to start your procedure
This is to prevent the spread of
microorganism and prevent cross
contamination.
This is to help patient be comfortable
and it is to secure patient’s privacy by
covering with a blanket
This helps the area to increase
circulation and speed up wound
healing by having the desired and
proper amounts of dry heat.
This is to make sure that the patient
is comfortable and there are no other
uncomfortable reactions felt during
the procedure.
This is to avoid any burns and let the
patient remain during the procedure
this is to prevent any overexposure to
the heat lamp because it will cause
discomfort towards the patient
this is to let the patient be
comfortable after the given procedure
this is to keep your environment
clean and make sure that the
equipments are kept and well placed
after the procedure
This is to keep track and have proof
that you already have done the
procedure and the physician to be
informed.
Materials for Hot Sitz Bath
● Sitz bath chair - Rubber Ring
● Bath Blanket - Towel
Procedure Guide: Hot Sitz Bath ​(Bihag, ​Allyssa & ​Co​, Ronald & ​Perales​, John Harvey)
PROCEDURE
1. Check the physician’s order for hot sitz bath.
2. Explain purpose and procedure to the
patient.
3. Encourage the patient to void or use the
bathroom before starting the procedure.
4. Do medical handwashing.
5. Bring the materials to the bathroom.
6. Check patient’s vital signs.
7. Check with your elbow to determine that
temperature of water is between 100°F to
105°F or 38°C to 41°C.
8. Fill sitz bath chair about 1/3 full with warm
water.
9. Place inflatable ring on the chair and
bathmat on the floor.
10. Assist the patient to undress.
11. Assist the patient into the sitz bath chair.
Support the back with rolled towels. Put
towel or bath blanket around the shoulders
for warmth.
12. Remain with the patient during a sitz bath or
check frequently. Procedure takes 20
minutes.
13. Assess patient for any untoward reactions. If
patient feels dizzy, faint or weak, stop the
procedure immediately.
14. When sitz bath is completed, assist patient
with drying and dressing.
15. Discard soiled linen; clean the sitz bath chair
and record procedure on patient’s chart.
Charting should include medication/ solution
used, length of time applied, type of heat
application, condition and appearance of
wound and comfort of the patient.
RATIONALE
Checking the physician’s order is
important to know if it is indicated for
the patient.
Explaining the whole procedure and
the purpose to the client will give them
assurance.
Encouraging patient to void will give
them comfortability while doing the
whole procedure.
Doing medical handwashing will help
us prevent the spread of the
microorganisms.
Bringing the materials to the bathroom
will help us save time and energy.
If the patient has any unusual readings
they may be contraindicated for the
bath.
This is done to ensure that the patient
will not be burned by the excessive
heat.
Warm water is used to decrease the
patient’s discomfort.
This is to prevent the area from
becoming too messy and/or slippery.
Assisting the patient will make it easier
for them to undress.
This is done to reduce the patient’s
discomfort during the procedure
The patient should not be left
unattended
If there is any problem we should fix it
wherever possible
Assisting patient is always the nurses
duty especially after completing the
whole procedure because other
patients will always need help.
All procedures must be properly
documented so that the doctor has a
clear idea of the patient’s condition