TISS76-Cardiovascular

TISS therapeutic variables: T9 to T16

T15 & T16 are mutually exclusive. Select only ONE item per day that will give you the most points.

• T9 - ECG monitoring
• T10 - Hourly Vital signs -Must include hourly BP (blood pressure) every hour for 6 consecutively hours in the first 24 hours in ICU to get points.--TOstryzniuk 16:42, 2 February 2009 (CST)
• T11 - Peripheral arterial line
• T12 - Pulmonary arterial line (Swan Ganz Catheter)
• T13 - Measurement of CVP (any method)
• T14 - Measurement of Cardiac Output
• T15 - Temporary Pacemaker-Standby (includes external) - wires hooked up but pace not turned on.
• T16 - Temporary Pacemaker-Active (includes external) - turned on but may not be pacing all the time.
  • The testing for "capture" not counted as active pacing.
  • Permanent pacer not included.

• T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days. Also see: TISS 48 hour rule

• T18 - Cardioversion/Defibrillation - While in ICU only

• T19 - IABP

• • NOTE: Community hospitals (Oaks, Grace, Concordia, Victoria). If a patient goes from your center to STB or HSC for an angiogram/plasty, has an IABP inserted in the angio department and is either admitted for HSC or STB ICU/CCU or goes directly to the OR from there, please do not put on your TISS item # 19 -IABP.Discharge to should be coded using the codes for HSC or STB for OR , CCU , SICU or MICU.

• Also see:
  • TISS Neurological
  • TISS Blood Products
  • TISS Respiratory
  • TISS Gastrointestinal
  • TISS Genitourinary
  • TISS Fluid Lytes bloodsample
  • TISS Meds IVs
  • TISS General Care
  • TISS Procedures Interventions
  • TISS Collection Guide
  • ICU TISS form

previous comments

• HOURLY vital signs on TISS
  • Do other centres mark hourly vital signs on the TISS if only the screen pulse is marked every hour on the nurses' flow sheet and BP recorded every 4 hours?--MWaschuk 20:18, 29 September 2008 (CDT)

• • • MaryLou, I think as long as some vital signs are done hourly it should still count as the nurse must still document this. --LKolesar 07:21, 30 September 2008 (CDT)

• • • • I agree. I always mark hourly vitals if the pulse has been documented hourly. I don't worry so much about the other vitals. My thinking is that the nurse is monitoring for arrythmias as well, and dealing with whatever alarms may be generated. That all takes time as well. BDeVlaming 11:45, 30 September 2008 (CDT)

• • • • • No!!!The nurse must do the BP as well for at least 6 consecutive hours to qualify for hourly VS. --LBilesky 15:59, 30 January 2009 (CST)
          • Our guideline is as stated by Lois. Details updated in this category for Tiss item 10.--TOstryzniuk 16:42, 2 February 2009 (CST)