TISS76-Blood Products

TISS therapeutic variables: T20 - T25

• T23 & T24 are mutually exclusive

• T20 - Pressurized blood transfusion
• T21 - Mast Trouser discontinued practice in ICU - 1998-1999
• T22 - Platelet Infusion (1 adult dose= 3units, 1 adult dose - 6 units)
  • (scored separately from 23)& 24 below.--TOstryzniuk 23:29, 29 January 2009 (CST)
• 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. (In the lab 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 = 500 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

Discussion

• VOLUVEN tallying on TISS==
  • 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)

• TISS 23 & 24 Blood Products
  • The TISS items 23 & 24 (blood products) & Lab data collection of blood products section states that we want to know the number of bags since we are looking at work load, not product used. It also says to calcualte the total amount of product and round up. The two seem inconsistent.Ttenbergen 09:04, 21 May 2008 (CDT)
    • It is possible that Julie uses this information for other reasons (not nursing workload)--LKolesar 11:06, 22 May 2008 (CDT)