TISS: Difference between revisions

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* TISS is a method of quantifying nursing and medical care required by ~~critically ill patients according to the number and type of therapeutic interventions employed.~~

* TISS is a method of quantifying nursing and medical care required by

* By quantifying nursing care, this helps reflect the amount of time as well as complexity of the care being given to a patient.

* TISS has become a widely accepted and validated method of classifying critically ill patients.

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== TISS Item Guideline ==

==2 Hour rule==

Special instruction regarding collection of TISS apply for '''two hours on either side of midnight'''.

# If a patient is '''admitted to ICU at or after 2200''', nursing activities for the time before midnight are included on the '''next''' day's TISS score.

# If a patient passed away or is '''discharged from ICU at or before 0200''' hours, nursing activities for the time after midnight are included on the '''previous''' day's TISS score.

# If a patient's time of admission and discharge falls within the above 2 periods, i.e. [[LOS]] ≤ 4 hours, '''one TISS''' score must be done using the '''admit date'''.

Examples

* If a patient is admitted at 2200 hours on November 2.01 then the Day 1 TISS will start on November 3.01 and will be done done retrospectively by the night staff on November 3.01 looking back the previous 26 hrs of care.

* If a patient is discharged at 0200 hours on December 10.01 then the last day TISS score will be on December 09.01 which will be 26 hours long to include these 2 hours.

=== 48 Hour Rule ===

* 5 - RX of seizures, metabolic encephalopathy

* 17 - Post arrest cardiac or respiratory

* 34 - Fresh Tracheostomy

* 73 - Acute digitilization

Any activity marked with 48 hrs on form, should have TISS days marked for 2 days.

=== Neurological ===

Tiss therapeutic variables: 2 to 7

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*7 - patient restraint (to prevent harm)

~~=== 48 Hour Rule ===~~

* 5 - RX of seizures, metabolic encephalopathy

* 17 - Post arrest cardiac or respiratory

* 34 - Fresh Tracheostomy

* 73 - Acute digitilization

~~Any activity marked with 48 hrs on form, should have TISS days marked for 2 days.~~

=== Cardiovascular ===

@@ Line 12: / Line 12: @@
-* TISS is a method of quantifying nursing and medical care required by critically ill patients according to the number and type of therapeutic interventions employed.
+* TISS is a method of quantifying nursing and medical care required by
-* By quantifying nursing care, this helps reflect the amount of time as well as complexity of the care being given to a patient.
 * TISS has become a widely accepted and validated method of classifying critically ill patients.
@@ Line 79: / Line 76: @@
 == TISS Item Guideline ==
+==2 Hour rule==
+Special instruction regarding collection of TISS apply for '''two hours on either side of midnight'''.
+# If a patient is '''admitted to ICU at or after 2200''', nursing activities for the time before midnight are included on the '''next''' day's TISS score.
+# If a patient passed away or is '''discharged from ICU at or before 0200''' hours, nursing activities for the time after midnight are included on the '''previous''' day's TISS score.
+# If a patient's time of admission and discharge falls within the above 2 periods, i.e. [[LOS]] ≤ 4 hours, '''one TISS''' score must be done using the '''admit date'''.
+Examples
+* If a patient is admitted at 2200 hours on November 2.01 then the Day 1 TISS will start on November 3.01 and will be done done retrospectively by the night staff on November 3.01 looking back the previous 26 hrs of care.
+* If a patient is discharged at 0200 hours on December 10.01 then the last day TISS score will be on December 09.01 which will be 26 hours long to include these 2 hours.
+=== 48 Hour Rule ===
+*  5 - RX of seizures, metabolic encephalopathy
+*  17 - Post arrest cardiac or respiratory
+*  34 - Fresh Tracheostomy
+*  73 - Acute digitilization
+Any activity marked with 48 hrs on form, should have TISS days marked for 2 days.
 === Neurological ===
 Tiss therapeutic variables: 2 to 7
@@ Line 89: / Line 108: @@
 *7 - patient restraint (to prevent harm)
-=== 48 Hour Rule ===
-*  5 - RX of seizures, metabolic encephalopathy
-*  17 - Post arrest cardiac or respiratory
-*  34 - Fresh Tracheostomy
-*  73 - Acute digitilization
-Any activity marked with 48 hrs on form, should have TISS days marked for 2 days.
 === Cardiovascular ===