TISS76-Blood Products

TISS therapeutic variables: T20 - T25

T23 & T24 are mutually exclusive. Select only ONE item per day that will give you the most points.

• T20 - Pressurized blood transfusion
• T21 - Mast Trouser discontinued practice in ICU - 1998-1999

• T22 - Platelet Infusion
  • TISS WORKLOAD
    • 1 adult dose = approx 5 units count as ONE BAG for TISS
    • 2 adult doses = approx 10 units, count as ONE BAG for TISS
      • if 2 bags of 5 units each are hung, then count as TWO BAGS
      • if 2 bags of 10 units each are hung, count as TWO BAGS

NOTE: Hanging 1 bag with 10 units is not any more work than hanging 1 bag with 5 units in it.

See Platelets for how tally for lab tests.

• • Platelets are scored separately from T23 & T24 below.

• T23 - Infusion of blood ≤5/24 hrs.
• T24 - Infusion of blood ≥5/24 hrs.

• T25 - IV replacement of excess fluid loss (>6L/24 hrs).

• • Do not include blood products given in the OR in your lab tally or TISS. Add up volume given and divide by the BASE amount that is indicated on the TISS form.
    • For the lab data collection of blood products, since the amount in a bag now varies in terms of volume, please record totals as follows:EXAMPLE: FFP 350 + 150+175 =675 Divide by 350 (base amt.) = 1.9. Amount given ROUND OFF to = 2u.

• • • We are looking at the number of bags hung not the exact volumes infused. If a person gets only half a bag of blood or only 2 mls for that matter, the cost is associated with hanging the product regardless of whether the volume is totally infused or not.

• • This total includes Pentaspan (not a blood product but a volume expander) since we are looking at workload.
    • If Voluven is given as a volume expander add this number to the Pentaspan on TISS form. (In the Lab data section it is counted separately).
  • Does not include platelets. Platelets have own slot.
  • Example:
    • 1u FFP=350 mls
    • 1u PC,HSA 5%, Pentaspan = 250 mls
    • 1u HSA 25% = 100 mls
    • 1u Voluven = 250 mls

• Also see:
  • TISS Neurological
  • TISS Cardiovascular
  • TISS Respiratory
  • TISS Gastrointestinal
  • TISS Genitourinary
  • TISS Fluid Lytes bloodsample
  • TISS Meds IVs
  • TISS General Care
  • TISS Procedures Interventions
  • TISS Collection Guide
  • TISS76-Points
  • File:TISS76-FORM for ICU citywide2.pdf