TISS76-Blood Products: Difference between revisions
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* 20 - Pressurized blood transfusion | * 20 - Pressurized blood transfusion | ||
* 21 - Mast Trouser '''discontinued''' practice in ICU - '''1998-1999''' | * 21 - Mast Trouser '''discontinued''' practice in ICU - '''1998-1999''' | ||
* 22 - Platelet Infusion '''(1 adult dose= 3units, 1 adult dose - 6 units)''' | * 22 - Platelet Infusion '''(1 adult dose= 3units, 1 adult dose - 6 units)''' | ||
**(scored separately from 23)& 24 below. | **(scored separately from 23)& 24 below. | ||
*--[[User:TOstryzniuk|TOstryzniuk]] 23:29, 29 January 2009 (CST) | |||
* 23 - Infusion of blood ≤5/24 hrs. | * 23 - Infusion of blood ≤5/24 hrs. | ||
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**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. | **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. | ***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. | ***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. | **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]]. (In the lab section it is counted separately). | ***If [[Voluven]] is given as a volume expander add this number to the [[Pentaspan]]. (In the lab section it is counted separately). | ||
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* 25 - IV replacement of excess fluid loss (>6L/24 hrs). | * 25 - IV replacement of excess fluid loss (>6L/24 hrs). | ||
* 25 - IV replacement of excess fluid loss (>6L/24 hrs). | * 25 - IV replacement of excess fluid loss (>6L/24 hrs). | ||
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**[[TISS Cardiovascular]] | **[[TISS Cardiovascular]] | ||
**[[TISS Neurological]] | **[[TISS Neurological]] | ||
==== Discussion ==== | ==== Discussion ==== | ||
* what is meant by: | * what is meant by: | ||
"if Voluven is given as a volume expander add this number to the Pentaspan. (In the lab section it is counted separately)." | "if Voluven is given as a volume expander add this number to the Pentaspan on the TISS. (In the lab section it is counted separately)." | ||
Wouldn't you be adding it to the number of blood products hung, not to the Pentaspan? [[User:Ttenbergen|Ttenbergen]] 15:21, 16 October 2008 (CDT) | Wouldn't you be adding it to the number of blood products hung, not to the Pentaspan? [[User:Ttenbergen|Ttenbergen]] 15:21, 16 October 2008 (CDT) | ||
Revision as of 00:52, 30 January 2009
- TISS Items: T20 - T25
- 20 - Pressurized blood transfusion
- 21 - Mast Trouser discontinued practice in ICU - 1998-1999
- 22 - Platelet Infusion (1 adult dose= 3units, 1 adult dose - 6 units)
- (scored separately from 23)& 24 below.
- --TOstryzniuk 23:29, 29 January 2009 (CST)
- 23 - Infusion of blood ≤5/24 hrs.
- 24 - Infusion of blood ≥5/24 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.
- 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.
- 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.
- 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 = 500 mls
- 25 - IV replacement of excess fluid loss (>6L/24 hrs).
- 25 - IV replacement of excess fluid loss (>6L/24 hrs).
- Also, see:
Discussion
- what is meant by:
"if Voluven is given as a volume expander add this number to the Pentaspan on the TISS. (In the lab section it is counted separately)." Wouldn't you be adding it to the number of blood products hung, not to the Pentaspan? Ttenbergen 15:21, 16 October 2008 (CDT)