HOT SITZ BATH

Name: Sancho Mikhael C. Jueco Grade:__________________

Year and Section:BSN - 2C Date: February 28,2022
DEFINITION: A prolonged immersion of buttocks and lower trunk in water with an initial temperature of 98◦F to 110◦F,
gradually increased to temperature of 110◦F-120◦F (43.5◦C-48.7◦C) or as hot as the patient can tolerate.

PURPOSE: 1. To relieve muscle spasm

2. To soften exudates
3. To hasten the suppuration process
4. To hasten healing
5. To reduce congestion and provide comfort in the perineal area
MATERIALS:
• Sitz tub half filled with water 110F-120F
• Empty pitcher (may be small)
• Pitcher with hot water
• Bath thermometer
• Fresh camisa/patient’s clean clothes
• Bath towael
• 2-3 Blankets
• 1 Bath robe and slippers (from bedside)
• newspaper

Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
1. Check physician’s order for sitz bath patient. To validate that if
it is appropriate for
the client.

2. Prepare the materials needed and bring materials at bedside. This can save time
when doing the
procedure.
3. Introduce self and check patient’s identity To let the patient
feel comfortable
and to validate that
it is the right
patient.
4. Explain procedure to patient. To ensure that the
client understands
the purpose of the
procedure.
5. Make patient void before procedure. To make the
patient feel
comfortable while
doing the
procedure.
6. Place bathmat on floor beside tub. You may use newspaper if To prevent water
bathmat is not available. from splashing the
floor which can
lead to any
accidents.
7. Fill in tub one-fourth full of water – temperature 98◦F to 100◦F. It is necessary to
pour or fill in
enough water to
cover the perineal
area. Warm water
should be avoided
if there is already a
lot of congestion.
8. Remove patient’s bath robe and place on back of chair. To prevent bath
robe from getting
wet.
9. Wrap patient with bath blanket and pin at back. To keep the client
warm and also to
provide privacy
10. Remove patient’s gown. To prevent the
gown from getting
wet.
11. Ask and help patient to sit squarely on tub. To avoid any
accidents
12. Prevent blanket (about patient) from getting wet by arranging it To prevent client
over shoulders and tucking it at feet and sides of tub. Adjust hot water from being burned
bag about patient’s feet. Bring second blanket up to knees. by the hot water
13. Increase temperature of water gradually to 110◦F-120◦F or as hot as Hot water is most
patient can tolerate by holding your hand between patient’s body and likely used to
stream of water being poured. eliminate
microorganisms.
14. Let patient stay in tub for the prescribed period of time. Having enough
time in the tub
with hot water can
assure that
microorganism are
elimated.
15. Assist patient out of tub then dry him thoroughly with bath towel. To provide safety
when getting out of
the tub and to keep
the client warm.
16. Assist patient while he puts on his gown and bath robe. To make the client
feel convenient
when putting his
gown and bath
robe.
17. Take patient back to bed and keep him warm. To ensure the
client’s safety and
comfort.
18. Make patient comfortable and give him something to drink. Place To ensure the
buzzer or intercom within patient’s reach. client’s safety and
comfort.
19. Do after care: To make sure that
● Bring all materials except sitz tub to utility room. Cleanse you’re done doing
thoroughly and return to their proper places. Return chair to its the hot sitz bath
place. with the client.
● Wash tub with soap and running water for non-communicable
cases.
20. Do documentation: To validate that
● Type of treatment you’re done doing
● Length of time of application the procedure and
● Type of heat application for references for
● Comfort of patient other nurses.
● Signature of nurse.
ATTITUDE OF THE STUDENT:
21. Accept constructive suggestions and criticisms. To help increase
knowledge about
this procedure.
22. Assumes accountability. To know that the
student is
 accountable for
their actions.

Scoring:
1x ____________ = __________
2x ____________ = __________
3x ____________ = __________
4x ____________ = __________
5x ____________ = __________
Total divided by no. of items = __________

Comments:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
________________________

Student’s Signature over Printed Name

Clinical Instructor’s Signature and Date over Printed name