TISS76-Cardiovascular: Difference between revisions

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~~=== TISS Cardiovascular ===~~

Legacy article

TISS therapeutic variables: T9 to ~~T25~~

TISS therapeutic variables: T9 to T16

* 9 - ECG monitoring

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

* 10 - Hourly Vital signs -~~Minimum~~ 6 ~~hrs~~ consecutively ~~in the first 24 hrs~~ in ICU to get points

* 11 - Peripheral arterial line

*T9 - ECG monitoring

* 12 - Pulmonary arterial line

*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)

* 13 - Measurement of CVP (any method)

*T11 - Peripheral arterial line

* 14 - Measurement of Cardiac Output

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

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

*T13 - Measurement of CVP (any method)

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

*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.

* 17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days

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

* 18 - Cardioversion/Defibrillation - While in ICU only

*T18 - Cardioversion/Defibrillation - While in ICU only

* 19 - IABP

*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]]

**[[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: ~~TISS~~]]

[[Category:TISS76 Legacy-Elements]]

[[Category:TISS76 Legacy]]

@@ Line 1: / Line 1: @@
-=== TISS Cardiovascular ===
+ Legacy article
-TISS therapeutic variables: T9 to T25
+TISS therapeutic variables: T9 to T16
-* 9 - ECG monitoring
+'''T15''' & '''T16''' are '''[[TISS76-mutually exclusive items | mutually exclusive]]'''. Select only ONE item per day that will give you the most points.
-* 10 - Hourly Vital signs -Minimum 6 hrs consecutively in the first 24 hrs in ICU to get points
-* 11 - Peripheral arterial line
+*T9 - ECG monitoring
-* 12 - Pulmonary arterial line
+*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)
-* 13 - Measurement of CVP (any method)
+*T11 - Peripheral arterial line
-* 14 - Measurement of Cardiac Output
+*T12 - Pulmonary arterial line ([http://en.wikipedia.org/wiki/Pulmonary_artery_catheter Swan Ganz Catheter])
-* 15 - Temporary Pacemaker-'''Standby''' (includes external) - wires hooked up but pace not turned on.
+*T13 - Measurement of CVP (any method)
-* 16 - Temporary Pacemaker-'''Active''' (includes external) -  turned on but may not be pacing all the time.
+*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.
-* 17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days
+*T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days.  Also see: [[TISS76-48 hour rule]]
-* 18 - Cardioversion/Defibrillation - While in ICU only
+*T18 - Cardioversion/Defibrillation - While in ICU only
-* 19 - IABP
+*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]]
+**[[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: TISS]]
+[[Category:TISS76 Legacy-Elements]]
+[[Category:TISS76 Legacy]]