TISS Items SMW

From CCMDB Wiki
(Redirected from TISS28)

This page gets data from other pages that use Template:TISS Item using Semantic Mediawiki (SMW).

CategoryRow# DescriptionPointsItem#Comment
Basic Activities1No TISS Item (TISS Item)No TISS items applicable for today00cross-check value only
Basic Activities2Hourly Vital Signs (TISS Item)Hourly vital Signs (BP, HR, RR) and intake & output (hourly means more than 2 consecutive hours)51
Basic Activities3Lab Specimen Collection (TISS Item)Any lab specimen collection by RN12
Basic Activities4Any medication any route (TISS Item)Any medication given by any route23
Basic Activities5Two or more IV Meds (TISS Item)Two or more IV medications given any time (continuous or intermittent)34
Basic Activities6Dressings 2 or less (TISS Item)Dressings 2 or less per day, takes 10 mins or less each15
Basic Activities7Dressings 3 or more (TISS Item)Dressings 3 or more per day, OR takes more than 10 mins each16
Basic Activities8Care of drainage tubes (TISS Item)Care of any drainage tubes (excluding NG or OG tubes)37
Neurological Support9CAM positive (TISS Item)CAM "+" any time today00added for Dr. Arora & Critical Care QI Team
Neurological Support10Intracranial pressure monitoring (TISS Item)Intracranial pressure monitoring48
Cardiovascular Support11CPR within past 24 hrs (TISS Item)CPR within the past 24 hrs (must have had chest compressions)39
Cardiovascular Support12More than 5 liters IV fluid per day (TISS Item)More than 5L per day of IV fluids given in the ICU only
  • includes: crystalloids, albumin and artificial volume expanders
410
Cardiovascular Support13Vasoactive drug IV continuous-single (TISS Item)Vasoactive drug continuous IV infusion: Single or one at a time311
Cardiovascular Support14Vasoactive drug IV continuous-multiple simultaneous (TISS Item)Vasoactive drug continuous IV infusion: multiple simultaneous412Row 13-14: If both are marked, get the higher points
Cardiovascular Support15Pulmonary arterial line (TISS Item)Pulmonary arterial line (Swan Ganz)813
Cardiovascular Support16Peripheral arterial line (TISS Item)Peripheral arterial line514
Cardiovascular Support17Central venous catheter (TISS Item)Central venous catheter - any (includes Cordis, PICC, vascath etc. SEE: #CL_means_Central_Line215
Respiratory Support18Invasive Mechanical Ventilation (TISS Item)Invasive Mechanical Ventilation via ETT or Trach (AC, SIMV, PSV)516Row 18-21: If more than one is marked, get one with the highest points.
Respiratory Support19Spontaneous breathing via ETT or Trach (TISS Item)Spontaneous breathing via ETT or Trach (no ventilator attached)217Row 18-21: If more than one is marked, get one with the highest points.
Respiratory Support20Supp O2 No ETT No Trach (TISS Item)Supplemental oxygen without ETT or trach (nasal prongs or face mask)217Row 18-21: If more than one is marked, get one with the highest points.
Respiratory Support21Non-invasive CPAP or BIPAP (TISS Item)Non invasive CPAP or BIPAP (nasal or face mask)517Row 18-21: If more than one is marked, get one with the highest points.
Respiratory Support22ETT Present (TISS Item)ETT present118Row 22-23: If both are marked, point=1 only
Respiratory Support23Trach Tube Present (TISS Item)Tracheostomy tube present118Row 22-23 If both are marked, point=1 only
Respiratory Support24Chest Physio (TISS Item)Chest Physio (pummeling &/or vibes &/or DB+C)119Row 24-27 If more than one is marked, point=1 only
Respiratory Support25Incentive Spirometry (TISS Item)Incentive Spirometry119Row 24-27: If more than one is marked, point=1 only
Respiratory Support26Inhalation therapy (TISS Item)Inhalation Therapy (nebulizers, puffers)119Row 24-27: If more than one is marked, point=1 only
Respiratory Support27Intratracheal suctioning (TISS Item)Intratracheal Suctioning (via ETT, Trach, nasal trumpet, oral)119Row 24-27: If more than one is marked, point=1 only
Respiratory Support28Planned extubation (TISS Item)Planned extubation occurred today (intentional) (NOT trach)00For CCVSM & ICU QI Team
Respiratory Support29Unplanned extubation (TISS Item)Unplanned extubation occurred today (unintentional) (NOT trach)00For CCVSM & ICU QI Team
Renal Support30Measurement of urinary output (TISS Item)Measurement of urinary output (with or without a Foley)220
Renal Support31Substantial IV diuretics (TISS Item)continuous or intermittent-Total daily dose of:
  • IV Lasix more than 30mg/day &/or
  • IV Bumex more than 0.75mg/day
  • 321
    Renal Support32Intermittent hemodialysis (TISS Item)even if patient goes to dialysis unit322Row 32-34: If more than one is marked, points=3 only
    Renal Support33CRRT (TISS Item)CRRT322Row 32-34: If more than one is marked, points=3 only
    Renal Support34Peritoneal dialysis (TISS Item)322Row 32-34: If more than one is marked, points=3 only
    Metabolic Support35Treatment of metabolic acidosis or alkalosis (TISS Item)e.g. NaHCO3 or Diamox for pH423
    Metabolic Support36IV hyperalimentation (TISS Item)TNA or TPN324
    Metabolic Support37Tube feeds (TISS Item)bolus or continuous, (NG, J-tube, G-tube)225don't include free water as tube feed
    Other38Patient is on isolation (TISS Item)any type00
    Other39Emergency Surgery (TISS Item)Patient had EMERGENCY surgery in the last 24 hrs3 or 526 & 27Row 39-44:
  • Single intervention: 3 points.
  • Two or more interventions: 5 points
  • Specific Interventions (in the ICU only)40Insertion of ETT (TISS Item)Insertion of ETT Tube (intubation) in the ICU (excludes ETT changes)3 or 526 & 27Row 39-44:
  • Single intervention: 3 points.
  • Two or more interventions: 5 points
  • Specific Interventions (in the ICU only)41Cardioversion (TISS Item)Cardioversion only (not defibrillation) in the ICU3 or 526 & 27Row 39-44:
  • Single intervention: 3 points.
  • Two or more interventions: 5 points
  • Specific Interventions (in the ICU only)42Pacemaker insertion (TISS Item)Pacemaker insertion (only transvenous) in the ICU3 or 526 & 27Row 39-44:
  • Single intervention: 3 points.
  • Two or more interventions: 5 points
  • Specific Interventions (in the ICU only)43Endoscopy (TISS Item)Endoscopy (any type of scope) in the ICU3 or 526 & 27Row 39-44:
  • Single intervention: 3 points.
  • Two or more interventions: 5 points
  • Specific Interventions (in the ICU only)44Gastric Lavage (TISS Item)Gastric Lavage for upper GI bleed in the ICU3 or 526 & 27Row 39-44:
  • Single intervention: 3 points.
  • Two or more interventions: 5 points
  • Specific Interventions (outside the ICU)45RN Accompanied Trip (TISS Item)RN accompanied trips out of the ICU (any reason except ward transfers)528
    At 2300 Hours46Central Venous Catheter at 2300 (TISS Item)Central Venous Catheter (includes Cordis, PICC, Vascath, etc)00See TISS at 2300 Hours
    At 2300 Hours47Tracheostomy tube at 2300hrs (TISS Item)Tracheostomy tube00See TISS at 2300 Hours
    At 2300 Hours48Invasive mechanical ventilation at 2300 hrs (TISS Item)Invasive mechanical ventilation via ETT or trach (AC, SIMV, PSV)00See TISS at 2300 Hours
    At 2300 Hours49BIPAP at 2300 (TISS Item)BIPAP (non-invasive - nasal or face mask) not CPAP322See TISS at 2300 Hours

    Related articles

    Related articles: