TISS28 collection Survey January 7, 2013: Difference between revisions

*Collection Staff:  Please email the unit manager in the area you are assigned to keep them posted in regards to some of the issues you are observing with new TISS28 forms.  This will allow them to help address some of the problems collectors are observing.     

*Nights continues to complete the form and I expect that this will be an old habit that will take a long time to fade. I thought we had switched over to the new forms but found old ones appearing on all new admissions. The problem was that there were admissions bundles made up that included the old forms. I worked a shift in ICU as a bedside nurse this weekend and assisted the unit clerk in switching out all the bundles so that problem should correct itself. I will have to go back and do the TISS on the days that were not done now that all forms have been switched over. I am finding it a little more time consuming to complete as we are getting used to the new form. [[User:Lpruden2 | Lorri Pruden]]

*STB_MICU - So far it seems well received and the nurses are completing it fairly well.  The only thing so far I have seen being missed consistently is:

* '''#28-planned extubations''' which is a new item so they are not used to it being there yet.  There will be a learning curve.  I will update you later in the month as well. [[User: LKolesar | Laura Kolesar]].  Jan 4.13.

*STB_CCU - It’s a little early for me to tell how the new TISS will work out.  My nurses are overwhelmed with “new” stuff right now and I think they just “gave up trying” between Christmas and New Years.  There were an abnormal number of TISS missing and the ones that were accounted for, were sorely lacking in data.  I will gently remind and coax for another week before I become worried about the new forms. [[User: Mpenner | Marla Penner]]. Jan 9.13

*''' MICU and my IICU patients only''' I have the following comments:

*'''#9 CAM ve+'''  '''HSC_SICU''' - The charting of the # 9-CAM is not in a consistent place on the flowsheet.  Sometimes it is in the IPN.  It is generally being done inconsistently.  I think it is then incorrectly interpreted by the TISS since an incomplete would appear the same as CAM –ve.[[User: Jpeterson | Joyce Peterson]] Jan 14.13.

Spoke with Lily today and she said she thinks the nureses like the form better.  I have not used it yet as ICU is backlogged and have been working on Dec discharges but I am looking forward to using them. -[[User: MWaschuk | Mary Lou Waschuk]]. Jan 9.13

I am just starting to look at Jan admit/discharges. I have not done the Tiss quality checks for any of these charts but for the 6 pts discharged the bedside nurses' incompletion of the TISS is still an issue--5 of 6 charts had 0-35% of the TISS days filled in.  

*Jan 22-Completion of the TISS is improving at the CON; but still issues of miss'''ed days''' (ex.first day on the TISS is the pt's fourth day in ICU --not done for the first three days,last day missed,etc.)  

*'''FIRST DAY TISS & LAST DAY TISS:''' missed first and last day,etc)-[[User:Mlaporte|Mlaporte]] 16:03, 2013 January 30 (EST)

As above stated nurses are forgetting to mark  

*'''#9 CAM positive'''