• Each of the most common ICU nursing activities is weighted from 1 to 4 point. More points indicate that greater nursing management is required.
  • A high daily TISS score indicates an increase in nursing workload.

TISS76 (inlcudes customization) Point Table

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