TISS Item List

This is a list of data elements collected as part of TISS28 according to TISS28 Collection Guide. These items will be moved to CCI picklist starting Dec 7.20. The pink TISS28 forms stopped at bedside for all units Dec 6.20

TISS Category	Row number	Item	Description	Points	Item Number	Comment	Start Date	End date
TISS Category	Row number	Item	Description	Points	Item Number	Comment	Start Date	End date
Basic Activities	1	No TISS Item (TISS Item)	No TISS items applicable for today	0	1	cross-check value only	1900-01-01	2900-12-31
Neurological Support	9	CAM positive (TISS Item)	CAM "+" any time today	0	9	added for Dr. Arora & Critical Care QI Team	1900-01-01	2900-12-31
Neurological Support	10	Intracranial pressure monitoring (TISS Item)	Intracranial pressure monitoring	4	10		1900-01-01	2900-12-31
Cardiovascular Support	11	CPR within past 24 hrs (TISS Item)	CPR within the past 24 hrs (must have had chest compressions)	3	11		1900-01-01	2900-12-31
Cardiovascular Support	13	Vasoactive drug IV continuous-single (TISS Item)	Vasoactive drug continuous IV infusion: Single or one at a time	3	13		1900-01-01	2900-12-31
Cardiovascular Support	14	Vasoactive drug IV continuous-multiple simultaneous (TISS Item)	Vasoactive drug continuous IV infusion: multiple simultaneous	4	14	Row 13-14: If both are marked, get the higher points	1900-01-01	2900-12-31
Cardiovascular Support	15	Pulmonary arterial line (TISS Item)	Pulmonary arterial line (Swan Ganz)	8	15		1900-01-01	2900-12-31
Cardiovascular Support	16	Peripheral arterial line (TISS Item)	Peripheral arterial line	5	16		1900-01-01	2900-12-31
Cardiovascular Support	17	Central venous catheter (TISS Item)	Central venous catheter - any (includes Cordis, PICC, vascath etc. SEE: #CL_means_Central_Line	2	17		1900-01-01	2900-12-31
Respiratory Support	18	Invasive Mechanical Ventilation (TISS Item)	Invasive Mechanical Ventilation via ETT or Trach (AC, SIMV, PSV)	5	18	Row 18-21: If more than one is marked, get one with the highest points.	1900-01-01	2900-12-31
Respiratory Support	20	Supp O2 through any device, delivered via nose, mouth, ETT or trach (TISS Item)	Supp O2 through any device, delivered via nose, mouth, ETT or trach	2	20	Row 18-21: If more than one is marked, get one with the highest points.	1900-01-01	2900-12-31
Respiratory Support	21	Non-invasive CPAP or BIPAP (TISS Item)	Non invasive CPAP or BIPAP (nasal or face mask)	5	21	Row 18-21: If more than one is marked, get one with the highest points.	1900-01-01	2900-12-31
Respiratory Support	22	ETT Present (TISS Item)	ETT present	1	22	Row 22-23: If both are marked, point=1 only	1900-01-01	2900-12-31
Respiratory Support	23	Trach Tube Present (TISS Item)	Tracheostomy tube present	1	23	Row 22-23 If both are marked, point=1 only	1900-01-01	2900-12-31
Respiratory Support	28	Planned extubation (TISS Item)	Planned extubation occurred today (intentional) (NOT trach)	0	28	For ICU QI Team	1900-01-01	2900-12-31
Respiratory Support	29	Unplanned extubation (TISS Item)	Unplanned extubation occurred today (unintentional) (NOT trach)	0	29	For ICU QI Team	1900-01-01	2900-12-31
Renal Support	32	Intermittent hemodialysis (TISS Item)	even if patient goes to dialysis unit	3	32	Row 32-34: If more than one is marked, points=3 only	1900-01-01	2900-12-31
Renal Support	33	CRRT (TISS Item)	CRRT	3	33	Row 32-34: If more than one is marked, points=3 only	1900-01-01	2900-12-31
Renal Support	34	Peritoneal dialysis (TISS Item)		3	34	Row 32-34: If more than one is marked, points=3 only	1900-01-01	2900-12-31
Metabolic Support	36	IV hyperalimentation (TISS Item)	TNA or TPN	3	36		1900-01-01	2900-12-31
Other	38	Patient is on isolation (TISS Item)	any type	0	38		1900-01-01	2900-12-31
Specific Interventions (in the ICU only)	40	Insertion of ETT (TISS Item)	Insertion of ETT Tube (intubation) in the ICU (excludes ETT changes)	3	40	Row 39-44: Single intervention: 3 points. Two or more interventions: 5 points	1900-01-01	2900-12-31

TISS items not currently collected

click expand to see TISS items not currently collected

TISS Category Row number Item Description Points Item Number Comment Start Date End date TISS Category Row number Item Description Points Item Number Comment Start Date End date Basic Activities 2 Hourly Vital Signs (TISS Item) Hourly vital Signs (BP, HR, RR) and intake & output (hourly means more than 2 consecutive hours) 5 1 1900-01-01 2020-10-01 Basic Activities 3 Lab Specimen Collection (TISS Item) Any lab specimen collection by RN 1 2 1900-01-01 2020-10-01 Basic Activities 4 Any medication any route (TISS Item) Any medication given by any route 2 3 1900-01-01 2020-10-01 Basic Activities 5 Two or more IV Meds (TISS Item) Two or more IV medications given any time (continuous or intermittent) 3 4 1900-01-01 2020-10-01 Basic Activities 6 Dressings 2 or less (TISS Item) Dressings 2 or less per day, takes 10 mins or less each 1 5 1900-01-01 2020-10-01 Basic Activities 7 Dressings 3 or more (TISS Item) Dressings 3 or more per day, OR takes more than 10 mins each 1 6 1900-01-01 2020-10-01 Basic Activities 8 Care of drainage tubes (TISS Item) Care of any drainage tubes (excluding NG or OG tubes) 3 7 1900-01-01 2020-10-01 Cardiovascular Support 12 More than 5 liters IV fluid per day (TISS Item) More than 5L per day of IV fluids given in the ICU only includes: crystalloids, albumin and artificial volume expanders 4 10 1900-01-01 2020-10-01 Respiratory Support 19 Spontaneous breathing via ETT without PEEP/CPAP, with or without supplemental O2 (TISS Item) Spontaneous breathing via ETT or Trach (no ventilator attached) 2 19 Row 18-21: If more than one is marked, get one with the highest points. 1900-01-01 2020-10-01 Respiratory Support 24 Chest Physio (TISS Item) Chest Physio (pummeling &/or vibes &/or DB+C) 1 19 Row 24-27 If more than one is marked, point=1 only 1900-01-01 2020-10-01 Respiratory Support 25 Incentive Spirometry (TISS Item) Incentive Spirometry 1 19 Row 24-27: If more than one is marked, point=1 only 1900-01-01 2020-10-01 Respiratory Support 26 Inhalation therapy (TISS Item) Inhalation Therapy (nebulizers, puffers) 1 19 Row 24-27: If more than one is marked, point=1 only 1900-01-01 2020-10-01 Respiratory Support 27 Intratracheal suctioning (TISS Item) Intratracheal Suctioning (via ETT, Trach, nasal trumpet, oral) 1 19 Row 24-27: If more than one is marked, point=1 only 1900-01-01 2020-10-01 Renal Support 30 Measurement of urinary output (TISS Item) Measurement of urinary output (with or without a Foley) 2 20 1900-01-01 2020-10-01 Renal Support 31 Substantial IV diuretics (TISS Item) continuous or intermittent-Total daily dose of: IV Lasix more than 30mg/day &/or IV Bumex more than 0.75mg/day 3 21 1900-01-01 2020-10-01 Metabolic Support 35 Treatment of metabolic acidosis or alkalosis (TISS Item) e.g. NaHCO3 or Diamox for pH 4 23 1900-01-01 2020-10-01 Metabolic Support 37 Tube feeds (TISS Item) bolus or continuous, (NG, J-tube, G-tube) 2 25 don't include free water as tube feed 1900-01-01 2020-10-01 Other 39 Emergency Surgery (TISS Item) Patient had EMERGENCY surgery in the last 24 hrs 3 26 Row 39-44: Single intervention: 3 points. Two or more interventions: 5 points 1900-01-01 2020-10-01 Specific Interventions (in the ICU only) 41 Cardioversion (TISS Item) Cardioversion only (not defibrillation) in the ICU 3 26 Row 39-44: Single intervention: 3 points. Two or more interventions: 5 points 1900-01-01 2020-10-01 Specific Interventions (in the ICU only) 42 Pacemaker insertion (TISS Item) Pacemaker insertion (only transvenous) in the ICU 3 26 Row 39-44: Single intervention: 3 points. Two or more interventions: 5 points 1900-01-01 2020-10-01 Specific Interventions (in the ICU only) 43 Endoscopy (TISS Item) Endoscopy (any type of scope) in the ICU 3 26 Row 39-44: Single intervention: 3 points. Two or more interventions: 5 points 1900-01-01 2020-10-01 Specific Interventions (in the ICU only) 44 Gastric Lavage (TISS Item) Gastric Lavage for upper GI bleed in the ICU 3 26 Row 39-44: Single intervention: 3 points. Two or more interventions: 5 points 1900-01-01 2020-10-01 Specific Interventions (outside the ICU) 45 RN Accompanied Trip (TISS Item) RN accompanied trips out of the ICU (any reason except ward transfers) 5 28 1900-01-01 2020-10-01 At 2300 Hours 46 Central Venous Catheter at 2300 (TISS Item) Central Venous Catheter (includes Cordis, PICC, Vascath, etc) 0 See TISS at 2300 Hours 1900-01-01 2020-10-01 At 2300 Hours 47 Tracheostomy tube at 2300hrs (TISS Item) Tracheostomy tube 0 See TISS at 2300 Hours 1900-01-01 2020-10-01 At 2300 Hours 48 Invasive mechanical ventilation at 2300 hrs (TISS Item) Invasive mechanical ventilation via ETT or trach (AC, SIMV, PSV) 0 See TISS at 2300 Hours 1900-01-01 2020-10-01 At 2300 Hours 49 BIPAP at 2300 (TISS Item) BIPAP (non-invasive - nasal or face mask) not CPAP 0 See TISS at 2300 Hours 1900-01-01 2020-10-01