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 '''[[TISS mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points.
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 '''(1 adult dose= 3units, 2 adult dose - 6 units)'''
 
**(scored separately from 23)& 24 below.--[[User:TOstryzniuk|TOstryzniuk]] 23:29, 29 January 2009 (CST)
*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
***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.
*T23 - Infusion of blood ≤5/24 hrs.
*T24 - Infusion of blood ≥5/24 hrs.
*T24 - Infusion of blood ≥5/24 hrs.
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**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.
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.
*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


***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.
*Also see:
***If [[Voluven]] is given as a volume expander add this number to the [[Pentaspan]]. (In the lab section it is counted separately).
**[[TISS76-Neurological]]
**Does not include platelets. Platelets have own slot.
**[[TISS76-Cardiovascular]]
** ''Example:''
**[[TISS76-Respiratory]]
*** 1u FFP=350 mls
**[[TISS76-Gastrointestinal]]
*** 1u PC,HSA 5%, Pentaspan = 250 mls
**[[TISS76-Genitourinary]]
*** 1u HSA 25% = 100 mls
**[[TISS76-Fluid Lytes bloodsample]]
*** 1u Voluven = 500 mls
**[[TISS76-Meds IVs]]
**[[TISS76-General Care]]
**[[TISS76-Procedures Interventions]]
**[[! TISS76 Collection Guide]]
**[[TISS76-Points]]
**[[File:TISS76-FORM for ICU citywide2.pdf]]


*Also see:
**[[TISS Neurological]]
**[[TISS Cardiovascular]]
**[[TISS Respiratory]]
**[[TISS Gastrointestinal]]
**[[TISS Genitourinary]]
**[[TISS Fluid Lytes bloodsample]]
**[[TISS Meds IVs]]
**[[TISS General Care]]
**[[TISS Procedures Interventions]]
**[[TISS Collection Guide]]
**[http://ltc.umanitoba.ca/wikis/ccmdb/images/7/7b/TISS_FORM_for_ICU_citywide2.pdf ICU TISS form]




{{Discussion}}
==VOLUVEN tallying on TISS==
**what is meant by:
"if Voluven is given as a volume expander add this number to the Pentaspan on the TISS. (In the lab section it is counted separately)."  Wouldn't you be adding it to the number of blood products hung, not to the Pentaspan? [[User:Ttenbergen|Ttenbergen]] 15:21, 16 October 2008 (CDT)


*TISS 23 & 24 Blood Products
**The TISS  items 23 & 24 (blood products) & Lab data collection of blood products section states that we want to know the number of bags since we are looking at work load, not product used. It also says to calcualte the total amount of product and round up. The two seem inconsistent.[[User:Ttenbergen|Ttenbergen]] 09:04, 21 May 2008 (CDT)
*** It is possible that Julie uses this information for other reasons (not nursing workload)--[[User:LKolesar|LKolesar]] 11:06, 22 May 2008 (CDT)






[[Category:TISS]]
[[Category:TISS76 Legacy-Elements]]
[[Category:Questions TISS]]
[[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.
        • If Voluven is given as a volume expander add this number to the 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


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