Chest Physio (TISS Item): Difference between revisions
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Created page with "{{TISS Item | TISS28 Row Number = 24 | TISS28 Description = Chest Physio (pummeling &/or vibes &/or DB+C) | TISS28 Points = 1 | TISS28 Item Number = 19 | TISS28 Comment = Row..." |
Ttenbergen (talk | contribs) sounds to me like this is still done differently by different people |
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| TISS28 Category = Respiratory Support | | TISS28 Category = Respiratory Support | ||
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=== Do not code if nurses were not involved === | |||
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. | |||
#**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) | |||
{{discussion}} sounds to me like this is still done differently by different people. Ttenbergen 12:58, 2017 July 27 (CDT) | |||
Revision as of 11:58, 2017 July 27
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This procedure is a part of CCI Collection via CCI Picklist.
| TISS Item | |
| Item Description | Chest Physio (TISS Item) |
| TISS28 Category: | Respiratory Support |
| TISS28 Item | 19 |
| TISS28 Description | Chest Physio (pummeling &/or vibes &/or DB+C) |
| TISS28 Points | 1 |
| TISS28 Start Date | |
| TISS28 End Date | |
| TISS28 Comment: | Row 24-27 If more than one is marked, point=1 only |
| CCI Picklist | |
| CCI Picklist code: | |
| CCI Collection Mode: | CCI collect each day |
| CCI Picklist Start Date | Needs to be either CCI TISS Start, or later if TISS start date is later (which it should never be?) |
Collecting "CCI collect each day" items
- "CCI collect each day" items are entered each time they happen
- Px Date
- if an Acquired Procedure, enter the Px Date for each day that they happen
- if an Admit Procedure leave the date blank
- Px Count
- enter 1 regardless of how many times a day the procedure happened
- this is usually the collection mode for TISS28 items, see TISS28 Collection Guide, and for some items that have replaced TISS items
Px Date for patients who move
See Px Date#Moves}}
Do not code if nurses were not involved
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??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.
- 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"--LKolesar 13:00, 2013 January 10 (EST).-Trish Ostryzniuk 14:05, 2013 January 10 (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.
Template:Discussion sounds to me like this is still done differently by different people. Ttenbergen 12:58, 2017 July 27 (CDT)