TISS76-Points: Difference between revisions

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  Legacy article
*Each of the most common ICU nursing activities is weighted from 1 to 4 point. More points indicate that greater nursing management is required.
*Each of the most common ICU nursing activities is weighted from 1 to 4 point. More points indicate that greater nursing management is required.


*A high daily TISS score indicates an increase in nursing workload.
*A high daily TISS76 score indicates an increase in nursing workload.
**35 TISS76 points per day is being used to correspond to the work of one nurse per shift
 
==TISS76 (includes customization for WRHA Critical Care) Point Table==
{| class="wikitable" border=1 <hiddentext> set to 0 for no borders</hiddentext>
|-
| width="38" height="23"  valign="bottom" | Tiss No
| width="282" valign="bottom" | Label
|style="font-weight:bold" width="35" align="center" valign="bottom" | Points
| width="116"  valign="bottom" | &nbsp;
 
|-
|style="color:#0000FF" height="13"  valign="bottom" | T1
|style="color:#0000FF" valign="bottom" | Label row-Neurological
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13" valign="bottom" | T2
| valign="bottom" | Hourly neuro checks
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13" valign="bottom" | T3
| valign="bottom" | Intracranial pressure monitoring
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13" valign="bottom" | T4
| valign="bottom" | Mannitol infusion for cerebral edema
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13" valign="bottom" | T5
| valign="bottom" | RX of seizures, metabolic encehphalopathy (1st 48 hrs)
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13" valign="bottom" | T6
| valign="bottom" | Hypo/hyperthermic blanket
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T7
| valign="bottom" | Patient restraint (to prevent harm)
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
|style="color:#0000FF" height="13"  valign="bottom" | T8
|style="color:#0000FF" valign="bottom" | Label row_Cardiovascular
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T9
| valign="bottom" | ECG monitoring
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T10
| valign="bottom" | Hourly vital signs
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T11
| valign="bottom" | Peripheral arterial line
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T12
| valign="bottom" | Pulmonary arterial line
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T13
| valign="bottom" | Measurement CVP (any method)
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T14
| valign="bottom" | Measurement of Cardiac output
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T15
| valign="bottom" | Temporary pacemaker-standby
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T16
| valign="bottom" | Temporary pacemaker-active
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T17
| valign="bottom" | Post cardiac or respiratory arrest (1st 48 hrs)
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T18
| valign="bottom" | Cardioversion/Defibrillation for arrhythmias
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T19
| valign="bottom" | ([[IABP]]) Intraaortic ballon pump
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T20
| valign="bottom" | Pressurized blood transfusion
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|- style="color:#FF0000"
| height="13"  valign="bottom" | T21
| valign="bottom" | Mast trousers
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | LEGACY-NOT USED
 
|-
| height="13"  valign="bottom" | T22
| valign="bottom" | Platelet Infusion
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T23
| valign="bottom" | Infusion of blood products (<=5/24 hrs) not including platelets
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T24
| valign="bottom" | Infusion of blood products (>=5/24 hrs) not including platelets
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T25
| valign="bottom" | IV replacement of excess fluids (>6L/24hrs
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|- style="color:#0000FF"
| height="13"  valign="bottom" | T26
| valign="bottom" | Label row-Respiratory
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
|style="color:#FF0000" height="13"  valign="bottom" | T27
| valign="bottom" | &nbsp;
|style="color:#FF0000" align="center" valign="bottom" | 4
|style="color:#FF0000"  valign="bottom" | LEGACY-NOT USED
 
|-
|style="color:#FF0000" height="13"  valign="bottom" | T28
| valign="bottom" | &nbsp;
|style="color:#FF0000" align="center" valign="bottom" | 4
|style="color:#FF0000"  valign="bottom" | LEGACY-NOT USED
 
|-
| height="13"  valign="bottom" | T29
| valign="bottom" | A/C, SIMV, PSV with muscle relaxant/sedation
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T30
| valign="bottom" | A/C, SIMV, PSV without muscle relaxant/sedation
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T31
| valign="bottom" | Spontaneous CPAP or BIPAP - NON VENTILATED
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T32
| valign="bottom" | Spontaneous respiration via ET tube
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T33
| valign="bottom" | Intubation-nasal or tracheal performed in ICU
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T34
| valign="bottom" | Fresh tracheostomy -1st 48 hours
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T35
| valign="bottom" | Tracheostomy care over 48 hours
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T36
| valign="bottom" | Chest physiotherapy
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T37
| valign="bottom" | Incentive spirometry/IPPB/inhalation therapy (e.g. ventolin)
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T38
| valign="bottom" | tracheal suctioning of NON intubated patient
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T39
| valign="bottom" | Oxygen by mask or nasal prongs
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T40
| valign="bottom" | Chest tube(s)
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
|style="color:#0000FF" height="13"  valign="bottom" | T41
|style="color:#0000FF" valign="bottom" | Label row-Gastrointesinal
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T42
| valign="bottom" | Tube feedings
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T43
| valign="bottom" | Central IV hyperalimentation
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T44
| valign="bottom" | Peripheral IV hyperalimentation
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T45
| valign="bottom" | Oral/MG replacement of fluids above maintenance
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T46
| valign="bottom" | Balloon tamponade of varices (blakemore)
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T47
| valign="bottom" | Gastric lavage for active bleeding
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T48
| valign="bottom" | Kayexalate/colonic enema
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
|style="color:#0000FF" height="13"  valign="bottom" | T49
|style="color:#0000FF" valign="bottom" | Label row -Genitourinary
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T50
| valign="bottom" | Urnary-Foley catheter
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T51
| valign="bottom" | Dipstick Urine testing (S&K)
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T52
| valign="bottom" | Peritoneal dialysis
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T53
| valign="bottom" | Hemodialysis-stable patient
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T54
| valign="bottom" | Hemodialysis-unstable patient
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T55
| valign="bottom" | CVVHD
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
|style="color:#0000FF" height="13"  valign="bottom" | T56
|style="color:#0000FF" valign="bottom" | Label row -Metabolic/Fluids/Electrolytes/Blood work
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T57
| valign="bottom" | Intake and output
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T58
| valign="bottom" | Blood samples-TOTAL <=12/24 hrs
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T59
| valign="bottom" | Blood samples-TOTAL 13 or more /24 hrs
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T60
| valign="bottom" | &nbsp;
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T61
| valign="bottom" | Treatment of metabolic acidosis or alkalsosis
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T62
| valign="bottom" | Active diuesis (e.g. Lasix, diamox etc.)
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
|style="color:#0000FF" height="13"  valign="bottom" | T63
|style="color:#0000FF" valign="bottom" | Label row - Med's/IV's
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T64
| valign="bottom" | Peripheral venous catheter: 1 (not central lines)
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T65
| valign="bottom" | Peripheral venous catheter: 2 or more (not central lines)
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T66
| valign="bottom" | Pump regulated IV infusion (initial onset)
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T67
| valign="bottom" | Vasoactive drug infusion: 1 drug
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T68
| valign="bottom" | Vasoactive drug infusion: 2 or more drugs
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T69
| valign="bottom" | Continuous antiarrhythic infusion(s)
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T70
| valign="bottom" | Intravenous Petressin infusion
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T71
| valign="bottom" | Postassium infusion via central line
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T72
| valign="bottom" | Anticoagulation: acute (first 24 hrs)
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T73
| valign="bottom" | Anticoagulation: chronic (over 24 hrs)
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T74
| valign="bottom" | Acute digitalization (first 48 hrs)
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T75
| valign="bottom" | Parenteral chemotherapy
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T76
| valign="bottom" | IV anitbiotics/antifungals: 1 or 2
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T77
| valign="bottom" | IV anitbiotics/antifungals: 3 or more
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T78
| valign="bottom" | Unscheduled Bolus meds (stats, PRNs)
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T79
| valign="bottom" | Scheduled IV meds (including IV antibiotic doses)
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
|style="color:#0000FF" height="13"  valign="bottom" | T80
|style="color:#0000FF" valign="bottom" | Label row - General
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T81
| valign="bottom" | Dressing changes: routine
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T82
| valign="bottom" | Dressing changes: multiple
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T83
| valign="bottom" | Extensive wound care, irrigation, packing
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T84
| valign="bottom" | Decubitus care (not preventative)
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T85
| valign="bottom" | Ostomy drainage
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T86
| valign="bottom" | Drainage tubes/Hemovacs/any type of tube (not foley)
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T87
| valign="bottom" | Orthopedic traction: standard
|style="font-weight:bold" align="center" valign="bottom" | 1
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T88
| valign="bottom" | Orthopedic traction: complex
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T89
| valign="bottom" | Isolation of patient
|style="font-weight:bold" align="center" valign="bottom" | 2
|  valign="bottom" | &nbsp;
 
|-
|style="color:#0000FF" height="13"  valign="bottom" | T90
|style="color:#0000FF" valign="bottom" | Label row - Procedures
|style="font-weight:bold" align="center" valign="bottom" | &nbsp;
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T91
| valign="bottom" | Diagnositic procedure (outside of ICU e.g. CT, angio, MRI etc)
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T92
| valign="bottom" | Bronchoscopy
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T93
| valign="bottom" | Cardiocentesis
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T94
| valign="bottom" | Endoscopy
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;
 
|-
| height="13"  valign="bottom" | T95
| valign="bottom" | Thoracentesis
|style="font-weight:bold" align="center" valign="bottom" | 3
|  valign="bottom" | &nbsp;


{{Discussion}}
|-
| height="13"  valign="bottom" | T96
| valign="bottom" | Operative procedure (day of surgery only)
|style="font-weight:bold" align="center" valign="bottom" | 4
|  valign="bottom" | &nbsp;


*table of point assigned per element would be good to have here.  --[[User:TOstryzniuk|TOstryzniuk]] 17:49, 2 February 2009 (CST)
|}


{{stub}}
[[Category:TISS76 Legacy]]
[[Category: TISS]]
[[Category:TISS76 Legacy]]
[[Category:Questions TISS]]
*I would like to have the specific TISS score per TISS item on the WIKI.  I have had requests for this information from staff as well as educators who would find it helpful to use this information when assigning students to specific patients.  Please let me know where I can access this information or put it on the wiki please.  Thanks!  --[[User:LKolesar|LKolesar]] 09:27, 1 June 2009 (CDT)

Latest revision as of 18:51, 2 March 2017

 Legacy article
  • Each of the most common ICU nursing activities is weighted from 1 to 4 point. More points indicate that greater nursing management is required.
  • A high daily TISS76 score indicates an increase in nursing workload.
    • 35 TISS76 points per day is being used to correspond to the work of one nurse per shift

TISS76 (includes customization for WRHA Critical Care) Point Table

Tiss No Label Points  
T1 Label row-Neurological    
T2 Hourly neuro checks 2  
T3 Intracranial pressure monitoring 4  
T4 Mannitol infusion for cerebral edema 4  
T5 RX of seizures, metabolic encehphalopathy (1st 48 hrs) 3  
T6 Hypo/hyperthermic blanket 2  
T7 Patient restraint (to prevent harm) 1  
T8 Label row_Cardiovascular    
T9 ECG monitoring 1  
T10 Hourly vital signs 1  
T11 Peripheral arterial line 3  
T12 Pulmonary arterial line 4  
T13 Measurement CVP (any method) 2  
T14 Measurement of Cardiac output 3  
T15 Temporary pacemaker-standby 3  
T16 Temporary pacemaker-active 4  
T17 Post cardiac or respiratory arrest (1st 48 hrs) 4  
T18 Cardioversion/Defibrillation for arrhythmias 3  
T19 (IABP) Intraaortic ballon pump 4  
T20 Pressurized blood transfusion 4  
T21 Mast trousers 4 LEGACY-NOT USED
T22 Platelet Infusion 4  
T23 Infusion of blood products (<=5/24 hrs) not including platelets 2  
T24 Infusion of blood products (>=5/24 hrs) not including platelets 3  
T25 IV replacement of excess fluids (>6L/24hrs 2  
T26 Label row-Respiratory    
T27   4 LEGACY-NOT USED
T28   4 LEGACY-NOT USED
T29 A/C, SIMV, PSV with muscle relaxant/sedation 4  
T30 A/C, SIMV, PSV without muscle relaxant/sedation 4  
T31 Spontaneous CPAP or BIPAP - NON VENTILATED 3  
T32 Spontaneous respiration via ET tube 2  
T33 Intubation-nasal or tracheal performed in ICU 3  
T34 Fresh tracheostomy -1st 48 hours 2  
T35 Tracheostomy care over 48 hours 1  
T36 Chest physiotherapy 1  
T37 Incentive spirometry/IPPB/inhalation therapy (e.g. ventolin) 1  
T38 tracheal suctioning of NON intubated patient 3  
T39 Oxygen by mask or nasal prongs 1  
T40 Chest tube(s) 3  
T41 Label row-Gastrointesinal    
T42 Tube feedings 2  
T43 Central IV hyperalimentation 3  
T44 Peripheral IV hyperalimentation 1  
T45 Oral/MG replacement of fluids above maintenance 2  
T46 Balloon tamponade of varices (blakemore) 4  
T47 Gastric lavage for active bleeding 4  
T48 Kayexalate/colonic enema 2  
T49 Label row -Genitourinary    
T50 Urnary-Foley catheter 1  
T51 Dipstick Urine testing (S&K) 1  
T52 Peritoneal dialysis 4  
T53 Hemodialysis-stable patient 2  
T54 Hemodialysis-unstable patient 4  
T55 CVVHD 4  
T56 Label row -Metabolic/Fluids/Electrolytes/Blood work    
T57 Intake and output 1  
T58 Blood samples-TOTAL <=12/24 hrs 1  
T59 Blood samples-TOTAL 13 or more /24 hrs 3  
T60      
T61 Treatment of metabolic acidosis or alkalsosis 3  
T62 Active diuesis (e.g. Lasix, diamox etc.) 3  
T63 Label row - Med's/IV's    
T64 Peripheral venous catheter: 1 (not central lines) 1  
T65 Peripheral venous catheter: 2 or more (not central lines) 2  
T66 Pump regulated IV infusion (initial onset) 2  
T67 Vasoactive drug infusion: 1 drug 3  
T68 Vasoactive drug infusion: 2 or more drugs 4  
T69 Continuous antiarrhythic infusion(s) 3  
T70 Intravenous Petressin infusion 2  
T71 Postassium infusion via central line 3  
T72 Anticoagulation: acute (first 24 hrs) 3  
T73 Anticoagulation: chronic (over 24 hrs) 1  
T74 Acute digitalization (first 48 hrs) 3  
T75 Parenteral chemotherapy 2  
T76 IV anitbiotics/antifungals: 1 or 2 1  
T77 IV anitbiotics/antifungals: 3 or more 3  
T78 Unscheduled Bolus meds (stats, PRNs) 3  
T79 Scheduled IV meds (including IV antibiotic doses) 1  
T80 Label row - General    
T81 Dressing changes: routine 1  
T82 Dressing changes: multiple 2  
T83 Extensive wound care, irrigation, packing 1  
T84 Decubitus care (not preventative) 1  
T85 Ostomy drainage 1  
T86 Drainage tubes/Hemovacs/any type of tube (not foley) 1  
T87 Orthopedic traction: standard 1  
T88 Orthopedic traction: complex 3  
T89 Isolation of patient 2  
T90 Label row - Procedures    
T91 Diagnositic procedure (outside of ICU e.g. CT, angio, MRI etc) 4  
T92 Bronchoscopy 4  
T93 Cardiocentesis 3  
T94 Endoscopy 4  
T95 Thoracentesis 3  
T96 Operative procedure (day of surgery only) 4  
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