TISS76-General Care: Difference between revisions

Revision as of 11:30, 9 April 2009

TISS therapeutic variables T81 to t89

T81 & T82 are are mutually exclusive. Select only ONE item per day that will give you the most points.

T87 & T88 are mutually exclusive. Select only ONE item per day that will give you the most points.

T81 Dressing Routine
- Simple dressings-routine practice per 24 hr. period. Arterial line, Swan ganz,trach care, NG dressing change. Each site or a specific site has 1 or 2 dressing changes per 24 hr period at the most.

T82 Dressing Multiple
- Any dressings that are above & beyond what I considered routine in your ICU. E.g. numerous bedsores, excessive bleeding from any site for post-ops or medical patients, traumas or post-ops with an open abdomen. DEATH-morgue prep (if done by bedside nurse. Each dressing site, or a particular site requiring 3 or more dressings per 24 hr. period.

T83 Extensive wound care - Burns 30% 3rd degree or bleeding required packing more than once per shift.

T85 Ostomy drainage
T86 Drainage tube(s) Hemovac/ any type of tube.
- EXCEPT THE FOLLOWING which are found elsewhere on the TISS form:
  - foley is T50. Go to:TISS Genitourinary
  - Chest tube is T40. Go to TISS Respiratory
  - Ostomy is T85 (see above)

Do other centers find that routine dressing changes are being marked for everyday that a pt is in ICU? It is hard to quality check because every little dressing change is not always charted. I have been leaving it if it marked. Any comments?--MWaschuk 09:48, 3 December 2008 (CST)
- What do other collectors do for this item?TOstryzniuk 10:19, 9 April 2009 (CDT)

- - We mark routine dressing changes for almost every patient as they have IV's, art lines etc. that need to be changed daily, the rare person would not have this marked for example someone on the transfer list (cardio pt) awaiting a bed.NMiller
Also see:

@@ Line 33: / Line 33: @@
 **What do other collectors do for this item?[[User:TOstryzniuk|TOstryzniuk]] 10:19, 9 April 2009 (CDT)
+***We mark routine dressing changes for almost every patient as they have IV's, art lines etc. that need to be changed daily, the rare person would not have this marked for example someone on the transfer list (cardio pt) awaiting a bed.[[User:NMiller|NMiller]]
 *Also see:
 **[[TISS Neurological]]