TISS76-Cardiovascular: Difference between revisions

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TISS

Legacy article

TISS therapeutic variables: T9 to T16

[[Category: ~~TISS~~]]

'''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

*T10 - Hourly Vital signs -Must include hourly BP (blood pressure) every hour for 6 consecutively hours in ICU to get points.--[[User:TOstryzniuk|TOstryzniuk]] 16:42, 2 February 2009 (CST)

*T11 - Peripheral arterial line

*T12 - Pulmonary arterial line ([http://en.wikipedia.org/wiki/Pulmonary_artery_catheter Swan Ganz Catheter])

*T13 - Measurement of CVP (any method)

*T14 - Measurement of Cardiac Output

*'''T15''' - Temporary Pacemaker-'''Standby''' (includes external) - wires hooked up but pace not turned on.

*'''T16''' - Temporary Pacemaker-'''Active''' (includes external) - turned on but may not be pacing all the time.

** The testing for "capture" not counted as active pacing.

**Permanent pacer not included.

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

*T18 - Cardioversion/Defibrillation - While in ICU only

*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.

*Also see:

**[[TISS76-Neurological]]

**[[TISS76-Blood Products]]

**[[TISS76-Respiratory]]

**[[TISS76-Gastrointestinal]]

**[[TISS76-Genitourinary]]

**[[TISS76-Fluid Lytes bloodsample]]

**[[TISS76-Meds IVs]]

**[[TISS76-General Care]]

**[[TISS76-Procedures Interventions]]

**[[! TISS76 Collection Guide]]

**[[TISS76-Points]]

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

==discussion==

*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:TISS76 Legacy-Elements]]

[[Category:TISS76 Legacy]]

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-TISS
+ Legacy article
+TISS therapeutic variables: T9 to T16
-[[Category: TISS]]
+'''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
+*T10 - Hourly Vital signs -Must include hourly BP (blood pressure) every hour for 6 consecutively hours in ICU to get points.--[[User:TOstryzniuk|TOstryzniuk]] 16:42, 2 February 2009 (CST)
+*T11 - Peripheral arterial line
+*T12 - Pulmonary arterial line ([http://en.wikipedia.org/wiki/Pulmonary_artery_catheter Swan Ganz Catheter])
+*T13 - Measurement of CVP (any method)
+*T14 - Measurement of Cardiac Output
+*'''T15''' - Temporary Pacemaker-'''Standby''' (includes external) - wires hooked up but pace not turned on.
+*'''T16''' - Temporary Pacemaker-'''Active''' (includes external) -  turned on but may not be pacing all the time.
+** The testing for "capture" not counted as active pacing.
+**Permanent pacer not included.
+*T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days.  Also see: [[TISS76-48 hour rule]]
+*T18 - Cardioversion/Defibrillation - While in ICU only
+*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.
+*Also see:
+**[[TISS76-Neurological]]
+**[[TISS76-Blood Products]]
+**[[TISS76-Respiratory]]
+**[[TISS76-Gastrointestinal]]
+**[[TISS76-Genitourinary]]
+**[[TISS76-Fluid Lytes bloodsample]]
+**[[TISS76-Meds IVs]]
+**[[TISS76-General Care]]
+**[[TISS76-Procedures Interventions]]
+**[[! TISS76 Collection Guide]]
+**[[TISS76-Points]]
+**[[File:TISS76-FORM for ICU citywide2.pdf]]
+==discussion==
+*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:TISS76 Legacy-Elements]]
+[[Category:TISS76 Legacy]]