TISS28 Legacy Guide for Paper Form Collection: Difference between revisions

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  This is just a template for starters.  Meeting for education plan is Friday Nov 30.12 @ 1030 hrs.
{{LegacyContent
|explanation=Change to collect TISS data in CCI Picklist
|successor=TISS28 Collection Guide
|content=


This category contains basic information about collecting Therapeutic Intervention Scoring System (TISS28) data
This pages explains how [[:Category:TISS28|TISS28]] is coded on [[File:TISS28 Form.pdf|TISS form]]s by local nursing staff / data collectors. See [[TISS Item List]] for the list of things that are collected.


*As of January 1, 2013 @ 0001 hours a NEW TISS28 form will be started for all patients who are in the ICU in the Region. 
<big>'''''We are changing this process, please see [[Change to collect TISS data in CCI Picklist]]. We will update this page once the new process is clear and the old one no longer applicable. ''''' </big>
**Any patient who is admitted, or is still in the ICU unit as of Dec 31.12 2400 hours, the bedside nurse must complete the old TISS form for their patient.


*Need to review the a distribution process:  required to be informed& assist in this: unit manager unit clerks, bedside nurse,  data collectors.
== Collection instructions ==
*some collectors away over Xmas, and 3 stats during week during this period hence need asstance from all sites for this transition.  Would have another collector at site check. 
* every TISS Page should have the same entry as what you use for [[Service/Location]]
** this used to be the specific unit but that changed with [[PatientFollow Project]]


==Form ordering and printing==
* every TISS page should have the numeric part of your [[Laptop identifier]] entered on the '''Page''' field at the top of the form
[[TISS form orders]]


Forms will be print up at HSC printshop before 7.12 and mailed to sited by main office data processor (same way we do now).Tentative at the moment.
* see [[TISS Item List]] for the list of collected items, with links to specific instructions for each item


==Who fills out the TISS==
* [[TISS Item List | Items]] 1 to 45 (except 11 & 39) - '''mark if the activity occurred any time during that calendar date'''
*All shifts - review with Jodi status of this.[[User:TOstryzniuk|Trish Ostryzniuk]] 22:08, 2012 November 29 (EST)
* [[TISS Item List | Items]] 11 & 39 - mark if activity occurred with in last 24 hrs
** It was noted at a ICU Task Group meeting 2011-12-09 that having only nights staff entering the TISS is a huge problem because the majority of patients are discharged from the unit during the day shift.  Also there are short stay patient being admitted for only a period of time during the day can be missed that way. The task team has recommened that all shift participate in completing the TISS form on their shift for the calender date. (Laura K).  In October 2012, Trish provided Jodi with stats that showed the % of discharges during days shift, which also represent the high number of TISS dates not done because of the misunderstanding that it is night shift job only.[[User:TOstryzniuk|Trish Ostryzniuk]] 22:01, 2012 November 29 (EST)
 
* Answer each item separately; don't worry about apparent conflicts or overlaps between items
 
* A calendar day starts at 0001 hrs and ends at 2400 hrs


*If a patient is in the ICU a very short time, a TISS score is required to reflect nursing efforts during this time.  
* If a patient is in the ICU a very short time, a TISS score is required to reflect nursing efforts during this time.  


*Do not sent TISS form to the ward with the chart. Please hand it in to the Unit Clerk who will file it in the Research Forms binder at the front desk.  
* Do not sent TISS form to the ward with the chart. Please hand it in to the Unit Clerk who will file it in the Research Forms binder at the front desk.  


*Once a page of TISS is completed, hand in the completed form to the Unit Clerk and start a new form. Please do not staple together. The scanning of the forms are affected if stapled.  
* Once a page of TISS is completed, hand in the completed form to the Unit Clerk and start a new form. Please do not staple together. The scanning of the forms are affected if stapled.  


*TISS is to be done for a patients '''entire length of stay in ICU'''.  
* TISS is to be done for a patients entire length of stay in ICU.  


*If a patient is transferred to another ICU, do not sent the form to the other unit or hospital. A new form is started when patient admitted to your ICU.   
* If a patient is transferred to another ICU, do not sent the form to the other unit or hospital. A new form is started when patient admitted to your ICU.   


*If a patient is transferred to another ICU in your center and the Service looking after the patient changes, then a new TISS form is required. E.G., a patient who goes from MICU under Medical Service and is transferred to SICU under Surgical service.  
* If a patient is transferred to another ICU in your center and the Service looking after the patient changes, then a new TISS form is required. E.G., a patient who goes from MICU under Medical Service and is transferred to SICU under Surgical service.


=== TISS Quality Control Guide===
==Who fills out the TISS==
*Data collectors are required to do '''quality control" of all TISS forms.  
*All shift - bedside nurses.


== TISS Quality Control ==
=== Data Collector ===
* Data collectors will still be required to do '''quality control" of all TISS forms up to September 30, 2020 for all patient in units
* October 1, 2020 - data collector will only have to QI check TISS items that have the squares around the item number.  This will be for ALL patient in unit on October 1, 2020.  New forms you will see: [[File:TISS28 Form.pdf]]
** see [[TISS quality checks]]
** see [[TISS quality checks]]
*the [[data processor]] runs internal consistency checks on the TISS data and will flag patients whose TISS information is inconsistent with their collected information.
*For a list of data consistency checks and rules, see the [[:Category:TISS76 Checks]]. 
**list no longer applies because it is different. 
*[[Black blobbing]] form - will no longer apply.  Form has been redesigned with smaller circles to fill and and staff will be asked to use dark pencil or black pen.  Instuction on how to fill out form and how to mark errors are at the top to the new TISS28 form.


== Variation across centres ==
=== Data Processor ===
*As [[:User:LKolesar|LKolesar]] points out, there is variation in how the TISS is collected in different centers. Is this something we should look at? [[User:Ttenbergen|Ttenbergen]] 00:04, 27 May 2008 (CDT)
The [[data processor]] runs internal consistency checks on the TISS data and will flag patients whose TISS information is inconsistent with their collected information. See [[TISS28 Form Scanning]].


==site compliance issue==
== Staff to include in education ==
*collects have good repoire with staff in unit they work in.  They will continue to provide feedback to staff on as needed basis.   
See [[Bedside nurse education for TISS28]]
*complaince issue to be emailed to site manager. - Jodi to advise further.
*Done by: Nurse Educator at each ICU site in Region.   
 
When: Week of Dec 17.2012 onward.
==Staff to include in education==
*who?, when?
to include:  
to include:  
*current staff. Perm, PT & causal, nursing and unit clerks.
*current staff. Perm, PT & causal, nursing and unit clerks.
*New staff hired (should be part of orientation
*New staff hired (should be part of orientation)
*ICU program - include in cirriculum
*ICU program - include in curriculum
 
== See also ==
* [[TISS Form (TISS28)]]


==Related articles ==
{{Related Articles}}


[[Category: TISS | *]]
[[Category: TISS28 Legacy]]
[[Category: TISS28 | *]]
}}

Latest revision as of 15:47, 2020 December 16

Legacy Content

This page contains Legacy Content.
  • Explanation: Change to collect TISS data in CCI Picklist
  • Successor: TISS28 Collection Guide

Click Expand to show legacy content.

This pages explains how TISS28 is coded on File:TISS28 Form.pdfs by local nursing staff / data collectors. See TISS Item List for the list of things that are collected.

We are changing this process, please see Change to collect TISS data in CCI Picklist. We will update this page once the new process is clear and the old one no longer applicable.

Collection instructions

  • every TISS page should have the numeric part of your Laptop identifier entered on the Page field at the top of the form
  • see TISS Item List for the list of collected items, with links to specific instructions for each item
  • Items 1 to 45 (except 11 & 39) - mark if the activity occurred any time during that calendar date
  • Items 11 & 39 - mark if activity occurred with in last 24 hrs
  • Answer each item separately; don't worry about apparent conflicts or overlaps between items
  • A calendar day starts at 0001 hrs and ends at 2400 hrs
  • If a patient is in the ICU a very short time, a TISS score is required to reflect nursing efforts during this time.
  • Do not sent TISS form to the ward with the chart. Please hand it in to the Unit Clerk who will file it in the Research Forms binder at the front desk.
  • Once a page of TISS is completed, hand in the completed form to the Unit Clerk and start a new form. Please do not staple together. The scanning of the forms are affected if stapled.
  • TISS is to be done for a patients entire length of stay in ICU.
  • If a patient is transferred to another ICU, do not sent the form to the other unit or hospital. A new form is started when patient admitted to your ICU.
  • If a patient is transferred to another ICU in your center and the Service looking after the patient changes, then a new TISS form is required. E.G., a patient who goes from MICU under Medical Service and is transferred to SICU under Surgical service.

Who fills out the TISS

  • All shift - bedside nurses.

TISS Quality Control

Data Collector

  • Data collectors will still be required to do quality control" of all TISS forms up to September 30, 2020 for all patient in units
  • October 1, 2020 - data collector will only have to QI check TISS items that have the squares around the item number. This will be for ALL patient in unit on October 1, 2020. New forms you will see: File:TISS28 Form.pdf

Data Processor

The data processor runs internal consistency checks on the TISS data and will flag patients whose TISS information is inconsistent with their collected information. See TISS28 Form Scanning.

Staff to include in education

See Bedside nurse education for TISS28

  • Done by: Nurse Educator at each ICU site in Region.

When: Week of Dec 17.2012 onward. to include:

  • current staff. Perm, PT & causal, nursing and unit clerks.
  • New staff hired (should be part of orientation)
  • ICU program - include in curriculum

See also

Related articles

Related articles: