TISS28 Form Completion Survey 2013

Question 1

• Overall, on a scale of 0-100( 0=horrible, meaning either not being completed at all, or completed but always extremely inaccurate; 100=wonderful, meaning always completed and always accurate), how well would you rate TISS28 form completion by the bedside nurses in your unit?

HSC MICU

I'm just guessing really. I think the staff in MICU almost always does the TISS. They miss last day sometimes,it is getting better. I would give them 90%

HSC CCU

90%

HSC IICU

For my patients in IICU I was finding the TISS to be quite inaccurate at times so I emailed the unit manager and since then it has improved. I would give them about 80%.GHall 08:14, 2013 November 7 (CST)

HSC SICU

• I would guess about 90%.--Jpeterson 09:35, 2013 November 7 (CST)

STB MICU

90% with accuracy and completion. I do need to fix and complete some missed items which is not a big deal. I think the information is valuable and worth the effort. It is the only part of our database that is nursing related and it is a very important part of the whole profile.--LKolesar 07:31, 2013 November 7 (CST)

STB CICU

• 75% They are fairly accurate when they do it but fail to do it at least 25% of the time, worst on weekends. Lois

CON MICU

• I would estimate accuracy and completion to be 70-75%--which is much improved in the last two months

VIC MICU

• Based on last few months I would say accuracy 85-90% with completion 80-85%

Question 2

• a. Taking into consideration both the frequency of completion and the accuracy of completion of TISS forms by the bedside nurses in your unit, would having the bedside nurses STOP prefilling them lead to you spending MORE, LESS or THE SAME amount of time as you currently spend on doing TISS28?
• b.) How about after vacation without coverage in your unit?

HSC MICU

• a.more time would be required
• b.more time would be required

HSC CCU

• a.more time would be required
• b.more time would be required

HSC IICU

• a.much more time would be required
• b.much more time would be required

HSC SICU

• a.
• b.

STB MICU

• a. I think having the bedside nurses complete the tiss is very important for 4 reasons:
• 1. It makes them aware that their efforts are being monitored
• 2. It makes them feel they contribute to the database and are part of the statistics being generated
• 3. It improves the accuracy to have them do it. Two heads are better than one! If I had to do the entire tiss I would likely miss some interventions. They are the ones at the bedside and I think it is important that they contribute as much as possible.
• 4. I think an important point also is that they never complain about doing it and when asked, they say they do not mind doing it. It has become a habit for most of the nurses and they see the value in it.
• b. If the nurses did not do the tiss at all, it would be more work for me when I return from vacation as I would need to read the nurses notes much more carefully to derive any events that may have been missed in the IPN, to see when lines were inserted and taken out and to see when extubations occured, etc. Like I said before 2 people contributing is always better than one person when you are dealing with detailed events. I feel strongly that they need to continue and the data collectors' contributions only add to the accuracy of an already excellent tool. --LKolesar 07:57, 2013 November 7 (CST)

STB CCU

• a.
• b.

STB CICU

• a. I would have to spend a lot more time doing the TISS if the bedside nurses did not do them. I would miss some interventions because they are not always well documented in the notes or are hard to figure out.
• b. It would also take a lot more time after vacation if nothing was done.

CON MICU

• a.more time would be required
• b.more time would be required

GRA MICU

• a.
• b.

OAK MICU

• a.
• b.

VIC MICU

• a.
• b.