TISS76-Cardiovascular

TISS therapeutic variables: T9 to T16

T15 & T16 are mutually exclusive. Select only ONE item per day that will give you the most points.

• T9 - ECG monitoring
• T10 - Hourly Vital signs -Must include hourly BP (blood pressure) every hour for 6 consecutively hours in the first 24 hours in ICU to get points.--TOstryzniuk 16:42, 2 February 2009 (CST)
• T11 - Peripheral arterial line
• T12 - Pulmonary arterial line (Swan Ganz Catheter)
• T13 - Measurement of CVP (any method)
• T14 - Measurement of Cardiac Output
• T15 - Temporary Pacemaker-Standby (includes external) - wires hooked up but pace not turned on.
• T16 - Temporary Pacemaker-Active (includes external) - turned on but may not be pacing all the time.
  • The testing for "capture" not counted as active pacing.
  • Permanent pacer not included.

• T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days. Also see: TISS 48 hour rule

• T18 - Cardioversion/Defibrillation - While in ICU only

• T19 - IABP

• • NOTE: Community hospitals (Oaks, Grace, Concordia, Victoria). If a patient goes from your center to STB or HSC for an angiogram/plasty, has an IABP inserted in the angio department and is either admitted for HSC or STB ICU/CCU or goes directly to the OR from there, please do not put on your TISS item # 19 -IABP.Discharge to should be coded using the codes for HSC or STB for OR , CCU , SICU or MICU.

• Also see:
  • TISS Neurological
  • TISS Blood Products
  • TISS Respiratory
  • TISS Gastrointestinal
  • TISS Genitourinary
  • TISS Fluid Lytes bloodsample
  • TISS Meds IVs
  • TISS General Care
  • TISS Procedures Interventions
  • TISS Collection Guide
  • TISS Points
  • ICU TISS form

discussion

The above instructions for hourly vital signs are as follows: "Must include hourly BP (blood pressure) every hour for 6 consecutively hours in the first 24 hours in ICU to get points."--TOstryzniuk 16:42, 2 February 2009 (CST)

The way the instructions are written for the hourly vital signs is not correct. TISS does not just apply to the first 24 hours of admission, any day may require hourly vital signs. We need to re-word this. Hourly vital signs essentially means that a pt is not that stable and requires frequent vital signs. If a pt comes in at 2100 hrs for example, they may require hourly vitals but by this definition will not get tiss points for hourly vitals simply because there are only 3 hours in that day on the first day of tiss.

For all the other items on the form, an intervention can be used only briefly in order to count it.  Why is 6 hours of all vital signs needed for the hourly vital signs?  A pt may be very unstable for only 2 hours requiring frequent vital signs and then go back to vital signs every 2 hours following this, then they do not get any tiss points for this either.  Would like your feedback on this question.--LKolesar 13:11, 2012 February 21 (CST)