TISS76-General Care

TISS therapeutic variables T81 to t89

T81 & T82 are are mutually exclusive. Select only ONE item per day that will give you the most points.

T87 & T88 are mutually exclusive. Select only ONE item per day that will give you the most points.

• T81 Dressing Routine
  • Simple dressings-routine practice per 24 hr. period. Arterial line, Swan ganz,trach care, NG dressing change. Each site or a specific site has 1 or 2 dressing changes per 24 hr period at the most.

• T82 Dressing Multiple
  • Any dressings that are above & beyond what I considered routine in your ICU. E.g. numerous bedsores, excessive bleeding from any site for post-ops or medical patients, traumas or post-ops with an open abdomen. DEATH-morgue prep (if done by bedside nurse. Each dressing site, or a particular site requiring 3 or more dressings per 24 hr. period.

• T83 Extensive wound care - Burns 30% 3rd degree or bleeding required packing more than once per shift.

• T84 Decubitus care (not preventative)

• T85 Ostomy drainage
• T86 Drainage tube(s) Hemovac/ any type of tube.
  • EXCEPT THE FOLLOWING which are found elsewhere on the TISS form:
    • foley is T50. Go to:TISS Genitourinary
    • Chest tube is T40. Go to TISS Respiratory
    • Ostomy is T85 (see above)

• T87 Orthopedic Traction-standard -Single weight
• T88 Orthopedic Traction-complex - 2 or more weights, C-Spine, Halo

• T89 Isolation of patient

• Do other centers find that routine dressing changes are being marked for everyday that a pt is in ICU? It is hard to quality check because every little dressing change is not always charted. I have been leaving it if it marked. Any comments?--MWaschuk 09:48, 3 December 2008 (CST)
• Also see:
  • TISS Neurological
  • TISS Cardiovascular
  • TISS Blood Products
  • TISS Respiratory
  • TISS Gastrointestinal
  • TISS Genitourinary
  • TISS Fluid Lytes bloodsample
  • TISS Meds IVs
  • TISS Procedures Interventions
  • TISS Collection Guide
  • ICU TISS form