TISS76-Cardiovascular: Difference between revisions

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Legacy article

TISS therapeutic variables: T9 to T16

'''T15''' & '''T16''' are '''[[~~TISS~~ mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points.

'''T15''' & '''T16''' are '''[[TISS76-mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points.

*T9 - ECG monitoring

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**Permanent pacer not included.

*T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days. Also see: [[~~TISS~~ 48 hour rule]]

*T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days. Also see: [[TISS76-48 hour rule]]

*T18 - Cardioversion/Defibrillation - While in ICU only

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*T19 - IABP

**NOTE: Community hospitals (Oaks, Grace, Concordia, Victoria). If a patient goes from your center to STB or HSC for an angiogram/plasty, has an IABP inserted in the angio department and is either admitted for HSC or STB ICU/CCU or goes directly to the OR from there, please do not put on your TISS item # 19 -IABP.Discharge to should be coded using the codes for HSC or STB for OR , CCU , SICU or MICU.

*NOTE: Community hospitals (Oaks, Grace, Concordia, Victoria). If a patient goes from your center to STB or HSC for an angiogram/plasty, has an IABP inserted in the angio department and is either admitted for HSC or STB ICU/CCU or goes directly to the OR from there, please do not put on your TISS item # 19 -IABP.Discharge to should be coded using the codes for HSC or STB for OR , CCU , SICU or MICU.

*Also see:

**[[~~TISS~~ Neurological]]

**[[TISS76-Neurological]]

**[[~~TISS~~ Blood Products]]

**[[TISS76-Blood Products]]

**[[~~TISS~~ Respiratory]]

**[[TISS76-Respiratory]]

**[[~~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]]

**[[~~TISS~~ Points]]

**[[TISS76-Points]]

**[~~http~~:~~//ltc.umanitoba.ca/wikis/ccmdb/images/7/7b/TISS_FORM_for_ICU_citywide2~~.pdf ~~ICU TISS form~~]

**[[File:TISS76-FORM for ICU citywide2.pdf]]

==discussion==

~~The above instructions for hourly vital signs are as follows:~~

~~"Must include hourly BP (blood pressure) every hour for 6 consecutively hours in ICU to get points."--TOstryzniuk 16:42, 2 February 2009 (CST)~~

*The way the instructions are written for the hourly vital signs is not correct. TISS does not just apply to the first 24 hours of admission, any day may require hourly vital signs. We need to re-word this.

*Hourly vital signs essentially means that a pt is not that stable and requires frequent vital signs. If a pt comes in at 2100 hrs for example, they may require hourly vitals but by the above definition will not get tiss points for hourly vitals simply because there are only 3 hours in that day on the first day of tiss.

*For all the other items on the form, an intervention can be used only briefly in order to count it. Why is 6 hours of all vital signs needed for the hourly vital signs? A pt may be very unstable for only 2 hours requiring frequent vital signs and then go back to vital signs every 2 hours following this, then they do not get any tiss points for this either. Would like your feedback on this question.--[[User:LKolesar|LKolesar]] 13:11, 2012 February 21 (CST)

[[Category: ~~TISS~~ Elements]]

[[Category:TISS76 Legacy-Elements]]

[[Category:TISS76 Legacy]]

@@ Line 1: / Line 1: @@
+ Legacy article
 TISS therapeutic variables: T9 to T16
-'''T15''' & '''T16''' are '''[[TISS mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points.
+'''T15''' & '''T16''' are '''[[TISS76-mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points.
 *T9 - ECG monitoring
@@ Line 14: / Line 16: @@
 **Permanent pacer not included.
-*T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days.  Also see: [[TISS 48 hour rule]]
+*T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days.  Also see: [[TISS76-48 hour rule]]
 *T18 - Cardioversion/Defibrillation - While in ICU only
@@ Line 20: / Line 22: @@
 *T19 - IABP
-**NOTE: Community hospitals (Oaks, Grace, Concordia, Victoria).  If a patient goes from your center to STB or HSC for an angiogram/plasty, has an IABP inserted in the angio department and is either admitted for HSC or STB ICU/CCU or goes directly to the OR from there, please do not put on your TISS item # 19 -IABP.Discharge to should be coded using the codes for HSC or STB for OR , CCU , SICU or MICU.
+*NOTE: Community hospitals (Oaks, Grace, Concordia, Victoria).  If a patient goes from your center to STB or HSC for an angiogram/plasty, has an IABP inserted in the angio department and is either admitted for HSC or STB ICU/CCU or goes directly to the OR from there, please do not put on your TISS item # 19 -IABP.Discharge to should be coded using the codes for HSC or STB for OR , CCU , SICU or MICU.
 *Also see:
-**[[TISS Neurological]]
+**[[TISS76-Neurological]]
-**[[TISS Blood Products]]
+**[[TISS76-Blood Products]]
-**[[TISS Respiratory]]
+**[[TISS76-Respiratory]]
-**[[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]]
-**[[TISS Points]]
+**[[TISS76-Points]]
-**[http://ltc.umanitoba.ca/wikis/ccmdb/images/7/7b/TISS_FORM_for_ICU_citywide2.pdf ICU TISS form]
+**[[File:TISS76-FORM for ICU citywide2.pdf]]
 ==discussion==
-The above instructions for hourly vital signs are as follows:
-"Must include hourly BP (blood pressure) every hour for 6 consecutively hours in ICU to get points."--TOstryzniuk 16:42, 2 February 2009 (CST)
-*The way the instructions are written for the hourly vital signs is not correct.  TISS does not just apply to the first 24 hours of admission, any day may require hourly vital signs.  We need to re-word this.
 *Hourly vital signs essentially means that a pt is not that stable and requires frequent vital signs.  If a pt comes in at 2100 hrs for example, they may require hourly vitals but by the above definition will not get tiss points for hourly vitals simply because there are only 3 hours in that day on the first day of tiss.
 *For all the other items on the form, an intervention can be used only briefly in order to count it.  Why is 6 hours of all vital signs needed for the hourly vital signs?  A pt may be very unstable for only 2 hours requiring frequent vital signs and then go back to vital signs every 2 hours following this, then they do not get any tiss points for this either.  Would like your feedback on this question.--[[User:LKolesar|LKolesar]] 13:11, 2012 February 21 (CST)
-[[Category: TISS Elements]]
+[[Category:TISS76 Legacy-Elements]]
+[[Category:TISS76 Legacy]]