TISS76-Respiratory: Difference between revisions

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  Legacy article
===Respiratory===
===Respiratory===
TISS therapeutic variables: '''T26 to T40'''
TISS therapeutic variables: '''T26 to T40'''


T29 to T32 are '''[[TISS mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points.
T29 to T32 are '''[[TISS76-mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points.


T26, T27, T28 - (see... [[TISS - General Information#Legacy Data|Legacy Data]] for more information).
T26, T27, T28 - See: [[TISS76-Legacy]] for more information in regards to historical changes made.


*Points in this group are in descending order, i.e 29 gives the most.
*Points in this group are in descending order, i.e 29 gives the most.


*T26 - ''header row label so not on form''
*T26 - ''header row label so not on form''
*T27 -'' blank''
*T27 -'' blank'' on TISS form as of May 2000 however data in that row remains in ICU database. See: [[TISS76-Legacy]]
*T28 -'' blank''
*T28 -'' blank'' on TISS form (not data in database. See: [[TISS76-Legacy]]


*T29  '''A/C, SIMV, PSV''' '''''with''''' '''muscle relaxant/sedation'''
*T29  '''A/C, SIMV, PSV''' '''''with''''' ''' intermittent or continuous muscle relaxant/sedation.''' See: [[TISS76-Legacy]]
*T30  '''A/C, SIMV, PSV''' '''''without''''' '''muscle relaxant/sedation'''
*T30  '''A/C, SIMV, PSV''' '''''without''''' ''' muscle relaxant/sedation. ''' See: [[TISS76-Legacy]]
*T31  '''Spontaneous CPAP or BIPAP''' - UPDATE: JUNE 15.10: '''NONIVASIVE (non ETtubed)'''should only be included for this item.--[[User:TOstryzniuk|TOstryzniuk]] 20:11, 15 June 2010 (CDT)
*T31  '''Spontaneous CPAP or BIPAP'''  
**Legacy:  TISS, CPAP had included both'''invasive''' (ETtubed) and '''noninvasive''' (non ETtube) mechanical ventilation. BIPAP is '''noninvasive''' (no ETtube) mechanical ventilation.
**UPDATE: JUNE 15.10: '''NONIVASIVE (non ETtubed)CPAP/BIPAP''' should only be included for this item.-[[User:TOstryzniuk|TOstryzniuk]] 20:11, 15 June 2010 (CDT)
 
**Legacy:  TISS, CPAP had included both '''invasive''' (ETtubed) and '''noninvasive''' (non ETtube) mechanical ventilation. BIPAP is '''noninvasive''' (no ETtube) mechanical ventilation.
****[http://www.anaesthetist.com/anaes/vent/Findex.htm Mechanical Ventilation Terminology]
****[http://www.buzzle.com/articles/cpap-vs-bipap-difference-between-cpap-and-bipap.html CPAP/BIPAP Definition]


*T32  '''Spontaneous Resp per E-T tube or Trach'''
*T32  '''Spontaneous Resp per E-T tube or Trach'''
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*T33 ''' Intubation - nasal or tracheal (perform in the ICU)'''
*T33 ''' Intubation - nasal or tracheal (perform in the ICU)'''


*T34  '''Fresh tracheostomy''' ('''first 48 hours'''). Also see: [[TISS 48 hour rule]].
*T34  '''Fresh tracheostomy''' ('''first 48 hours'''). Also see: [[TISS76-48 hour rule]].
*T35 - '''Tracheostomy care''' ('''over 48 hours'''). Also see: [[TISS 48 hour rule]].
*T35 '''Tracheostomy care''' ('''over 48 hours'''). Also see: [[TISS76-48 hour rule]].


*T36 '''Chest Physio''' - check only if done by ICU nurse or assisting Physio staff. Active in the processing.
*T36 '''Chest Physio''' - check only if done by ICU nurse or assisting Physio staff. Active in the processing.
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*T39  '''Oxygen by mask or nasal prongs'''
*T39  '''Oxygen by mask or nasal prongs'''
*T40  '''Chest tubes
*T40  '''Chest tubes
'''
 
 
*Also see:
*Also see:
**[[TISS Neurological]]
**[[TISS76-Neurological]]
**[[TISS Cardiovascular]]
**[[TISS76-Cardiovascular]]
**[[TISS Blood Products]]
**[[TISS76-Blood Products]]
**[[TISS Gastrointestinal]]
**[[TISS76-Gastrointestinal]]
**[[TISS Genitourinary]]
**[[TISS76-Genitourinary]]
**[[TISS Fluid Lytes bloodsample]]
**[[TISS76-Fluid Lytes bloodsample]]
**[[TISS Meds IVs]]
**[[TISS76-Meds IVs]]
**[[TISS General Care]]
**[[TISS76-General Care]]
**[[TISS Procedures Interventions]]
**[[TISS76-Procedures Interventions]]
**[[TISS Collection Guide]]
**[[! TISS76 Collection Guide]]
**[http://ltc.umanitoba.ca/wikis/ccmdb/images/7/7b/TISS_FORM_for_ICU_citywide2.pdf ICU TISS form]
**[[TISS76-Points]]
{{Discussion}}
**[[File:TISS76-FORM for ICU citywide2.pdf]]
*  I just want to clarify what other facilities  consider "ventilation with sedation" is.  That is, do they have to be on a continuous infusion of versed or fentanyl to be considered sedated.  Or is PRN versed etc. count as well.  What if they only get a few doses in a 24 hr period?  Does that still count?
--[[User:MWaschuk|MWaschuk]] 16:41, 24 November 2008 (CST)
 
** I mark sedation even when it is given only prn...it still keeps them adequately ventilated and from fighting the machine.  Every pt is  different in their sedation needs...so even if it is given only once in 24 hours, I will code it.  [[User:BDeVlaming|BDeVlaming]] 09:16, 26 November 2008 (CST)


***I have been following what Betty is doing too.  It seems that there are very few instances when a pt does not receive some type of sedation while they are being ventilated.  It seems though that there are levels of sedation.  There are those who are on versed and fentanyl infusions and those who get the odd PRN yet both score the same points.  If other centres are giving points in this manner then at least we are all consistent.  Any comments?--[[User:MWaschuk|MWaschuk]] 09:56, 3 December 2008 (CST)
***Betty is correct.[[User:TOstryzniuk|TOstryzniuk]] 12:19, 3 December 2008 (CST)


[[Category: TISS Elements]]
[[Category:TISS76 Legacy-Elements]]
[[Category:Questions TISS]]
[[Category:TISS76 Legacy]]

Latest revision as of 17:14, 22 December 2021

 Legacy article

Respiratory

TISS therapeutic variables: T26 to T40

T29 to T32 are mutually exclusive. Select only ONE item per day that will give you the most points.

T26, T27, T28 - See: TISS76-Legacy for more information in regards to historical changes made.

  • Points in this group are in descending order, i.e 29 gives the most.
  • T26 - header row label so not on form
  • T27 - blank on TISS form as of May 2000 however data in that row remains in ICU database. See: TISS76-Legacy
  • T28 - blank on TISS form (not data in database. See: TISS76-Legacy
  • T29 A/C, SIMV, PSV with intermittent or continuous muscle relaxant/sedation. See: TISS76-Legacy
  • T30 A/C, SIMV, PSV without muscle relaxant/sedation. See: TISS76-Legacy
  • T31 Spontaneous CPAP or BIPAP
    • UPDATE: JUNE 15.10: NONIVASIVE (non ETtubed)CPAP/BIPAP should only be included for this item.-TOstryzniuk 20:11, 15 June 2010 (CDT)
    • Legacy: TISS, CPAP had included both invasive (ETtubed) and noninvasive (non ETtube) mechanical ventilation. BIPAP is noninvasive (no ETtube) mechanical ventilation.
  • T32 Spontaneous Resp per E-T tube or Trach
  • T33 Intubation - nasal or tracheal (perform in the ICU)
  • T36 Chest Physio - check only if done by ICU nurse or assisting Physio staff. Active in the processing.
  • T37 Incentive spirometry Inhalation therapy **Don’t forget Ventolin per mask.
  • T38 Tracheal suctioning of non-intubated patients
  • T39 Oxygen by mask or nasal prongs
  • T40 Chest tubes


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