| Tiss No
|
Label
|
Points
|
|
| T1
|
Label row-Neurological
|
|
|
| T2
|
Hourly neuro checks
|
2
|
|
| T3
|
Intracranial pressure monitoring
|
4
|
|
| T4
|
Mannitol infusion for cerebral edema
|
4
|
|
| T5
|
RX of seizures, metabolic encehphalopathy (1st 48 hrs)
|
3
|
|
| T6
|
Hypo/hyperthermic blanket
|
2
|
|
| T7
|
Patient restraint (to prevent harm)
|
1
|
|
| T8
|
Label row_Cardiovascular
|
|
|
| T9
|
ECG monitoring
|
1
|
|
| T10
|
Hourly vital signs
|
1
|
|
| T11
|
Peripheral arterial line
|
3
|
|
| T12
|
Pulmonary arterial line
|
4
|
|
| T13
|
Measurement CVP (any method)
|
2
|
|
| T14
|
Measurement of Cardiac output
|
3
|
|
| T15
|
Temporary pacemaker-standby
|
3
|
|
| T16
|
Temporary pacemaker-active
|
4
|
|
| T17
|
Post cardiac or respiratory arrest (1st 48 hrs)
|
4
|
|
| T18
|
Cardioversion/Defibrillation for arrhythmias
|
3
|
|
| T19
|
Intraaortic ballon pump
|
4
|
|
| T20
|
Pressurized blood transfusion
|
4
|
|
| T21
|
Mast trousers
|
4
|
LEGACY-NOT USED
|
| T22
|
Platelet Infusion
|
4
|
|
| T23
|
Infusion of blood products (<=5/24 hrs) not including platelets
|
2
|
|
| T24
|
Infusion of blood products (>=5/24 hrs) not including platelets
|
3
|
|
| T25
|
IV replacement of excess fluids (>6L/24hrs
|
2
|
|
| T26
|
Label row-Respiratory
|
|
|
| T27
|
|
4
|
LEGACY-NOT USED
|
| T28
|
|
4
|
LEGACY-NOT USED
|
| T29
|
A/C, SIMV, PSV with muscle relaxant/sedation
|
4
|
|
| T30
|
A/C, SIMV, PSV without muscle relaxant/sedation
|
4
|
|
| T31
|
Spontaneous CPAP or BIPAP - NON VENTILATED
|
3
|
|
| T32
|
Spontaneous respiration via ET tube
|
2
|
|
| T33
|
Intubation-nasal or tracheal performed in ICU
|
3
|
|
| T34
|
Fresh tracheostomy -1st 48 hours
|
2
|
|
| T35
|
Tracheostomy care over 48 hours
|
1
|
|
| T36
|
Chest physiotherapy
|
1
|
|
| T37
|
Incentive spirometry/IPPB/inhalation therapy (e.g. ventolin)
|
1
|
|
| T38
|
tracheal suctioning of NON intubated patient
|
3
|
|
| T39
|
Oxygen by mask or nasal prongs
|
1
|
|
| T40
|
Chest tube(s)
|
3
|
|
| T41
|
Label row-Gastrointesinal
|
|
|
| T42
|
Tube feedings
|
2
|
|
| T43
|
Central IV hyperalimentation
|
3
|
|
| T44
|
Peripheral IV hyperalimentation
|
1
|
|
| T45
|
Oral/MG replacement of fluids above maintenance
|
2
|
|
| T46
|
Balloon tamponade of varices (blakemore)
|
4
|
|
| T47
|
Gastric lavage for active bleeding
|
4
|
|
| T48
|
Kayexalate/colonic enema
|
2
|
|
| T49
|
Label row -Genitourinary
|
|
|
| T50
|
Urnary-Foley catheter
|
1
|
|
| T51
|
Dipstick Urine testing (S&K)
|
1
|
|
| T52
|
Peritoneal dialysis
|
4
|
|
| T53
|
Hemodialysis-stable patient
|
2
|
|
| T54
|
Hemodialysis-unstable patient
|
4
|
|
| T55
|
CVVHD
|
4
|
|
| T56
|
Label row -Metabolic/Fluids/Electrolytes/Blood work
|
|
|
| T57
|
Intake and output
|
1
|
|
| T58
|
Blood samples-TOTAL <=12/24 hrs
|
1
|
|
| T59
|
Blood samples-TOTAL 13 or more /24 hrs
|
3
|
|
| T60
|
|
|
|
| T61
|
Treatment of metabolic acidosis or alkalsosis
|
3
|
|
| T62
|
Active diuesis (e.g. Lasix, diamox etc.)
|
3
|
|
| T63
|
Label row - Med's/IV's
|
|
|
| T64
|
Peripheral venous catheter: 1 (not central lines)
|
1
|
|
| T65
|
Peripheral venous catheter: 2 or more (not central lines)
|
2
|
|
| T66
|
Pump regulated IV infusion (initial onset)
|
2
|
|
| T67
|
Vasoactive drug infusion: 1 drug
|
3
|
|
| T68
|
Vasoactive drug infusion: 2 or more drugs
|
4
|
|
| T69
|
Continuous antiarrhythic infusion(s)
|
3
|
|
| T70
|
Intravenous Petressin infusion
|
2
|
|
| T71
|
Postassium infusion via central line
|
3
|
|
| T72
|
Anticoagulation: acute (first 24 hrs)
|
3
|
|
| T73
|
Anticoagulation: chronic (over 24 hrs)
|
1
|
|
| T74
|
Acute digitalization (first 48 hrs)
|
3
|
|
| T75
|
Parenteral chemotherapy
|
2
|
|
| T76
|
IV anitbiotics/antifungals: 1 or 2
|
1
|
|
| T77
|
IV anitbiotics/antifungals: 3 or more
|
3
|
|
| T78
|
Unscheduled Bolus meds (stats, PRNs)
|
3
|
|
| T79
|
Scheduled IV meds (including IV antibiotic doses)
|
1
|
|
| T80
|
Label row - General
|
|
|
| T81
|
Dressing changes: routine
|
1
|
|
| T82
|
Dressing changes: multiple
|
2
|
|
| T83
|
Extensive wound care, irrigation, packing
|
1
|
|
| T84
|
Decubitus care (not preventative)
|
1
|
|
| T85
|
Ostomy drainage
|
1
|
|
| T86
|
Drainage tubes/Hemovacs/any type of tube (not foley)
|
1
|
|
| T87
|
Orthopedic traction: standard
|
1
|
|
| T88
|
Orthopedic traction: complex
|
3
|
|
| T89
|
Isolation of patient
|
2
|
|
| T90
|
Label row - Procedures
|
|
|
| T91
|
Diagnositic procedure (outside of ICU e.g. CT, angio, MRI etc)
|
4
|
|
| T92
|
Bronchoscopy
|
4
|
|
| T93
|
Cardiocentesis
|
3
|
|
| T94
|
Endoscopy
|
4
|
|
| T95
|
Thoracentesis
|
3
|
|
| T96
|
Operative procedure (day of surgery only)
|
4
|
|