12/19/13

Assisting With a Sitz Bath

Goal: The patient states an increase in comfort.

1. Review the medical order for the application of a Sitz bath, including frequency, and length of time for the application.

2. Gather the necessary supplies and bring to the bedside stand or overbed table.

3. Perform hand hygiene and put on PPE, if indicated.

4. Identify the patient.

5. Close curtains around bed and close door to room if possible.

6. Put on gloves. Assemble equipment; at the bedside if using a bedside commode or in bathroom.

7. Raise lid of toilet or commode. Place bowl of sitz bath, with drainage ports to rear and infusion port in front, in the toilet. Fill bowl of sitz bath about halfway full with tepid to warm water (37 –46 C [98 –115 F]).

8. Clamp tubing on bag. Fill bag with same temperature water as mentioned above. Hang bag above patient’s shoulder height on the IV pole.

9. Assist patient to sit on toilet or commode and provide any extra draping if needed. Insert tubing into infusion port of sitz bath. Slowly unclamp tubing and allow sitz bath to fill.

10. Clamp tubing once sitz bath is full. Instruct patient to open clamp when water in bowl becomes cool. Ensure that call bell is within reach. Instruct patient to call if she feels light-headed or dizzy or has any problems. Instruct patient not to try standing without assistance.

11. Remove gloves and perform hand hygiene.

12. When patient is finished (in about 15–20 minutes, or prescribed time), put on clean gloves. Assist the patient to stand and gently pat perineal area dry. Remove gloves. Assist patient to bed or chair. Ensure that call bell is within reach.

13. Put on gloves. Empty and disinfect Sitz bath bowl according to agency policy.

14. Remove gloves and any additional PPE, if used. Perform hand hygiene.

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