TISS General Info: Difference between revisions
Ttenbergen (talk | contribs) m hi flow vs BIPAP - re-arranged questions and put this in the right place |
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*New Question: Should hi flow be included in tiss item #21 (bipap)? If this modality is more support than bipap perhaps it should be included? Maybe ask Dr. Garland in task group??--[[User:LKolesar|LKolesar]] 08:55, 2016 May 11 (CDT) {{Discuss@task}} | *New Question: Should hi flow be included in tiss item #21 (bipap)? If this modality is more support than bipap perhaps it should be included? Maybe ask Dr. Garland in task group??--[[User:LKolesar|LKolesar]] 08:55, 2016 May 11 (CDT) {{Discuss@task}} | ||
===TISS item #24=== Are there guidelines re if assisting physiotherapist or points if done by physio alone? I am finding all pts have documentation that they have been encouraged to DB & C but does this really count??[[User:Mlaporte|Mlaporte]] 13:30, 2013 January 9 (EST) | ===TISS item #24=== | ||
Are there guidelines re if assisting physiotherapist or points if done by physio alone? I am finding all pts have documentation that they have been encouraged to DB & C but does this really count??[[User:Mlaporte|Mlaporte]] 13:30, 2013 January 9 (EST) | |||
#*if someone else is doing the work other than the RN, then it is not a workload for the nurse so it should not be marked. If only physio doing the work, no points. If RN is assisting physio, which is likely, then points. The key here is NURSES workload. Verbally encouraging DB+C is really not a major burden of workload for a bedside nurse but actively coaching and working with a patient while doing the process is. Telling a patient to do it is not the same workload as actually helping a patient while they are trying to do it. I can see by having DB & C included here, nurse sees it and marks it because she may have told patient once. Not sure how we can have staff diffentiate between degree of work for this one. | #*if someone else is doing the work other than the RN, then it is not a workload for the nurse so it should not be marked. If only physio doing the work, no points. If RN is assisting physio, which is likely, then points. The key here is NURSES workload. Verbally encouraging DB+C is really not a major burden of workload for a bedside nurse but actively coaching and working with a patient while doing the process is. Telling a patient to do it is not the same workload as actually helping a patient while they are trying to do it. I can see by having DB & C included here, nurse sees it and marks it because she may have told patient once. Not sure how we can have staff diffentiate between degree of work for this one. | ||
#**I do not think we need to second guess the staff on every pt. If they mark it then we need to trust that they did do it. The tiss sheet states "mark if the activity occurred any time during that calender day"--[[User:LKolesar|LKolesar]] 13:00, 2013 January 10 (EST).-[[User:TOstryzniuk|Trish Ostryzniuk]] 14:05, 2013 January 10 (EST) | #**I do not think we need to second guess the staff on every pt. If they mark it then we need to trust that they did do it. The tiss sheet states "mark if the activity occurred any time during that calender day"--[[User:LKolesar|LKolesar]] 13:00, 2013 January 10 (EST).-[[User:TOstryzniuk|Trish Ostryzniuk]] 14:05, 2013 January 10 (EST) | ||
===For #39 Emergency Surgery=== | ===For #39 Emergency Surgery=== | ||
Do not include angiograms. It is only for E1 Surgery which is indicated on the OR sheet. (This is now printed right on the tiss form)--[[User:LKolesar|LKolesar]] 15:59, 2013 April 16 (EDT) | Do not include angiograms. It is only for E1 Surgery which is indicated on the OR sheet. (This is now printed right on the tiss form)--[[User:LKolesar|LKolesar]] 15:59, 2013 April 16 (EDT) | ||