TISS76-Respiratory: Difference between revisions

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Revision as of 15:58, 22 September 2010

Respiratory

TISS therapeutic variables: T26 to T40

T29 to T32 are mutually exclusive. Select only ONE item per day that will give you the most points.

T26, T27, T28 - (see... Legacy Data for more information).

Points in this group are in descending order, i.e 29 gives the most.

T26 - header row label so not on form
T27 - blank
T28 - blank

T29 A/C, SIMV, PSV with intermittent or continuous muscle relaxant/sedation
T30 A/C, SIMV, PSV without muscle relaxant/sedation
T31 Spontaneous CPAP or BIPAP - UPDATE: JUNE 15.10: NONIVASIVE (non ETtubed)CPAP/BIPAP should only be included for this item.--TOstryzniuk 20:11, 15 June 2010 (CDT)
- Legacy: TISS, CPAP had included both invasive (ETtubed) and noninvasive (non ETtube) mechanical ventilation. BIPAP is noninvasive (no ETtube) mechanical ventilation.

- - - Mechanical Ventilation Terminology
    - CPAP/BIPAP Definition

T32 Spontaneous Resp per E-T tube or Trach

T33 Intubation - nasal or tracheal (perform in the ICU)

T34 Fresh tracheostomy (first 48 hours). Also see: TISS 48 hour rule.
T35 Tracheostomy care (over 48 hours). Also see: TISS 48 hour rule.

T36 Chest Physio - check only if done by ICU nurse or assisting Physio staff. Active in the processing.
T37 Incentive spirometry Inhalation therapy **Don’t forget Ventolin per mask.
T38 Tracheal suctioning of non-intubated patients
T39 Oxygen by mask or nasal prongs
T40 Chest tubes

Also see:

@@ Line 12: / Line 12: @@
 *T28 -'' blank''
-*T29  '''A/C, SIMV, PSV''' '''''with''''' '''muscle relaxant/sedation'''
+*T29  '''A/C, SIMV, PSV''' '''''with''''' ''' intermittent or continuous muscle relaxant/sedation'''
-*T30  '''A/C, SIMV, PSV''' '''''without''''' '''muscle relaxant/sedation'''
+*T30  '''A/C, SIMV, PSV''' '''''without''''' ''' muscle relaxant/sedation'''
 *T31  '''Spontaneous CPAP or BIPAP''' - UPDATE: JUNE 15.10: '''NONIVASIVE (non ETtubed)CPAP/BIPAP''' should only be included for this item.--[[User:TOstryzniuk|TOstryzniuk]] 20:11, 15 June 2010 (CDT)
 **Legacy:  TISS, CPAP had included both '''invasive''' (ETtubed) and '''noninvasive''' (non ETtube) mechanical ventilation. BIPAP is '''noninvasive''' (no ETtube) mechanical ventilation.
@@ Line 32: / Line 32: @@
 *T39  '''Oxygen by mask or nasal prongs'''
 *T40  '''Chest tubes
-'''
 *Also see:
 **[[TISS Neurological]]
@@ Line 45: / Line 46: @@
 **[[TISS Collection Guide]]
 **[http://ltc.umanitoba.ca/wikis/ccmdb/images/7/7b/TISS_FORM_for_ICU_citywide2.pdf ICU TISS form]
-{{Discussion}}
-*  I just want to clarify what other facilities   consider "ventilation with sedation" is.  That is, do they have to be on a continuous infusion of versed or fentanyl to be considered sedated.  Or is PRN versed etc. count as well.  What if they only get a few doses in a 24 hr period?  Does that still count?
---[[User:MWaschuk|MWaschuk]] 16:41, 24 November 2008 (CST)
-** I mark sedation even when it is given only prn...it still keeps them adequately ventilated and from fighting the machine.  Every pt is  different in their sedation needs...so even if it is given only once in 24 hours, I will code it.  [[User:BDeVlaming|BDeVlaming]] 09:16, 26 November 2008 (CST)
-***I have been following what Betty is doing too.  It seems that there are very few instances when a pt does not receive some type of sedation while they are being ventilated.  It seems though that there are levels of sedation.  There are those who are on versed and fentanyl infusions and those who get the odd PRN yet both score the same points.  If other centres are giving points in this manner then at least we are all consistent.  Any comments?--[[User:MWaschuk|MWaschuk]] 09:56, 3 December 2008 (CST)
-***Betty is correct.[[User:TOstryzniuk|TOstryzniuk]] 12:19, 3 December 2008 (CST)
 [[Category: TISS Elements]]
-[[Category:Questions TISS]]

TISS76-Respiratory: Difference between revisions

Revision as of 15:58, 22 September 2010

Respiratory

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