TISS76-Blood Products: Difference between revisions
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Legacy article | |||
TISS therapeutic variables: T20 - T25 | TISS therapeutic variables: T20 - T25 | ||
T23 & T24 are '''[[ | T23 & T24 are '''[[TISS76-mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points. | ||
*T20 - Pressurized blood transfusion | *T20 - Pressurized blood transfusion | ||
*T21 - Mast Trouser '''discontinued''' practice in ICU - '''1998-1999''' | *T21 - Mast Trouser '''discontinued''' practice in ICU - '''1998-1999''' | ||
*T22 - Platelet Infusion | *T22 - Platelet Infusion | ||
** | **See [[Platelets]] for how tally for how to [[Lab Collection Process | collect them in labs]]. | ||
**Platelets are scored separately from T23 & T24 below. | |||
***1 adult dose = approx 5 units count as ONE BAG for TISS | ***1 adult dose = approx 5 units count as ONE BAG for TISS | ||
***2 adult doses = approx 10 units, count as ONE BAG for TISS | ***2 adult doses = approx 10 units, count as ONE BAG for TISS | ||
****if 2 bags of 5 units each are hung, then count as TWO BAGS | ****if 2 bags of 5 units each are hung, then count as TWO BAGS | ||
****if 2 bags of 10 units each are hung, count as TWO BAGS | ****if 2 bags of 10 units each are hung, count as TWO BAGS | ||
*****NOTE: Hanging 1 bag with 10 units is not any more work than hanging 1 bag with 5 units in it. | |||
*T23 - Infusion of blood ≤5/24 hrs. | *T23 - Infusion of blood ≤5/24 hrs. | ||
*T24 - Infusion of blood ≥5/24 hrs. | *T24 - Infusion of blood ≥5/24 hrs. | ||
| Line 24: | Line 23: | ||
Do not include blood products given in the OR in your lab tally or TISS. Add up volume given and divide by the BASE amount that is indicated on the TISS form. | |||
*For the lab data collection of blood products, since the amount in a bag now varies in terms of volume, please record totals as follows:EXAMPLE: FFP 350 + 150+175 =675 Divide by 350 (base amt.) = 1.9. Amount given ROUND OFF to = 2u. | |||
**We are looking at the number of bags hung not the exact volumes infused. If a person gets only half a bag of blood or only 2 mls for that matter, the cost is associated with hanging the product regardless of whether the volume is totally infused or not. | |||
***This total includes Pentaspan (not a blood product but a volume expander) since we are looking at workload. | |||
****If '''[http://en.wikipedia.org/wiki/Voluven Voluven]''' is given as a volume expander add this number to the '''[http://en.wikipedia.org/wiki/Pentaspan Pentaspan]''' on TISS form. (NOTE:pentaspan no longer used since 2011? or so) (In the Lab data section it is counted separately). | |||
*****Does not include platelets. Platelets have own slot. | |||
''Example:'' | |||
*1u FFP=350 mls | |||
*1u PC,HSA 5%, Pentaspan = 250 mls | |||
*1u HSA 25% = 100 mls | |||
*1u Voluven = 250 mls | |||
*Also see: | *Also see: | ||
**[[ | **[[TISS76-Neurological]] | ||
**[[ | **[[TISS76-Cardiovascular]] | ||
**[[ | **[[TISS76-Respiratory]] | ||
**[[ | **[[TISS76-Gastrointestinal]] | ||
**[[ | **[[TISS76-Genitourinary]] | ||
**[[ | **[[TISS76-Fluid Lytes bloodsample]] | ||
**[[ | **[[TISS76-Meds IVs]] | ||
**[[ | **[[TISS76-General Care]] | ||
**[[ | **[[TISS76-Procedures Interventions]] | ||
**[[ | **[[! TISS76 Collection Guide]] | ||
**[[TISS76-Points]] | **[[TISS76-Points]] | ||
**[[File:TISS76-FORM for ICU citywide2.pdf]] | **[[File:TISS76-FORM for ICU citywide2.pdf]] | ||
| Line 58: | Line 56: | ||
[[Category:TISS76-Elements]] | [[Category:TISS76 Legacy-Elements]] | ||
[[Category:TISS76 Legacy]] | |||
Latest revision as of 20:17, 1 October 2018
Legacy article
TISS therapeutic variables: T20 - T25
T23 & T24 are mutually exclusive. Select only ONE item per day that will give you the most points.
- T20 - Pressurized blood transfusion
- T21 - Mast Trouser discontinued practice in ICU - 1998-1999
- T22 - Platelet Infusion
- See Platelets for how tally for how to collect them in labs.
- Platelets are scored separately from T23 & T24 below.
- 1 adult dose = approx 5 units count as ONE BAG for TISS
- 2 adult doses = approx 10 units, count as ONE BAG for TISS
- if 2 bags of 5 units each are hung, then count as TWO BAGS
- if 2 bags of 10 units each are hung, count as TWO BAGS
- NOTE: Hanging 1 bag with 10 units is not any more work than hanging 1 bag with 5 units in it.
- T23 - Infusion of blood ≤5/24 hrs.
- T24 - Infusion of blood ≥5/24 hrs.
- T25 - IV replacement of excess fluid loss (>6L/24 hrs).
Do not include blood products given in the OR in your lab tally or TISS. Add up volume given and divide by the BASE amount that is indicated on the TISS form.
- For the lab data collection of blood products, since the amount in a bag now varies in terms of volume, please record totals as follows:EXAMPLE: FFP 350 + 150+175 =675 Divide by 350 (base amt.) = 1.9. Amount given ROUND OFF to = 2u.
- We are looking at the number of bags hung not the exact volumes infused. If a person gets only half a bag of blood or only 2 mls for that matter, the cost is associated with hanging the product regardless of whether the volume is totally infused or not.
- This total includes Pentaspan (not a blood product but a volume expander) since we are looking at workload.
- We are looking at the number of bags hung not the exact volumes infused. If a person gets only half a bag of blood or only 2 mls for that matter, the cost is associated with hanging the product regardless of whether the volume is totally infused or not.
Example:
- 1u FFP=350 mls
- 1u PC,HSA 5%, Pentaspan = 250 mls
- 1u HSA 25% = 100 mls
- 1u Voluven = 250 mls