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 We will update this page once the new process is clear and the old one no longer applicable.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.


*distribution process:  Data collectors will be mailed packages of new TISS form between Dec 7-12th. They will be required to communicate with site manager, and unit clerk in regards to NEW TISS form to start for all patient Jan 1.13.
== Collection instructions ==
*an education script & copy of final TISS form will be sent out by Basil Evan (QI officer)to managers at each unit.  This email will then be distributed to ICU nursing staff, data collection and unit clerks in Region.   
* every TISS Page should have the same entry as what you use for [[Service/Location]]
*collectors will be required to assist completing some of the NEW TISS forms retrospectively during the transition period.  We anticipate problems with this transition.
** this used to be the specific unit but that changed with [[PatientFollow Project]]
*All patient admitted on or before DEC 31.12 midnight,  will need old TISS76 forms filled out. Old completed form should be collected as usual and a new TISS28 form started for the calender day Jan 1.13
*it is okay if TISS28 information overlaps on old TISS76 form and onto new TISS form for after Dec 31.  Collectors will not have to cross out Jan 1 2, 3 etc if still done on old TISS76 form however, they will have start and NEW TISS28 form retro to Jan 1.13 for those that beside missed starting.
*TISS form will be mail to Pagasa same way as before.


required to be informed & assist in this: unit manager unit clerks, bedside nurse,  data collectors.
* every TISS page should have the numeric part of your [[Laptop identifier]] entered on the '''Page''' field at the top of the form
*some collectors away over Xmas, and 3 stats during week during this period hence need assistance from all sites for this transition.  Would have another collector at site check. 


==Form ordering and printing==
* see [[TISS Item List]] for the list of collected items, with links to specific instructions for each item
[[Printing and distributing TISS forms]]


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.
* [[TISS Item List | Items]] 1 to 45 (except 11 & 39) - '''mark if the activity occurred any time during that calendar date'''
* [[TISS Item List | Items]] 11 & 39 - mark if activity occurred with in last 24 hrs


==Who fills out the TISS==
* Answer each item separately; don't worry about apparent conflicts or overlaps between items
*All shift - bedside nurses.
** 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 recommend 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)


*If a patient is in the ICU a very short time, a TISS score is required to reflect nursing efforts during this time.
* A calendar day starts at 0001 hrs and ends at 2400 hrs


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


*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.  
* 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.  


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


*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.
* TISS is to be done for a patients entire length of stay in 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, do not sent the form to the other unit or hospital. A new form is started when patient admitted to your ICU.


=== TISS Quality Control Guide===
* 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.
*Data collectors will still be required to do '''quality control" of all TISS forms.  
** see [[TISS quality checks]]
*[[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. Instruction on how to fill out form and how to mark errors are at the top to the new TISS28 form.


*the [[data processor]] runs internal consistency checks on the TISS data and will flag patients whose TISS information is inconsistent with their collected information.
==Who fills out the TISS==
*For a list of data consistency checks and rules, see the [[:Category:TISS76 Checks]]. 
*All shift - bedside nurses.
**list of data consistency checks and rules no longer applies because TISS28 is different from TISS76.


== Variation across centres ==
== TISS Quality Control ==
*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)
=== 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
==site compliance issue==
* 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]]
*collector have good relationship with staff in unit they work in.  They will continue to provide feedback to staff on as needed basis.
** see [[TISS quality checks]]
*data collectors should discuss compliance issue to be emailed to ICU manager.


* if this is a problem anywhere we could do the same kind of tracking in tmp as we do for overstay... {{Potential Change}} Ttenbergen 19:49, 2014 April 30 (CDT)
=== 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==
== Staff to include in education ==
See [[Bedside nurse education for TISS28]]
*Done by: Nurse Educator at each ICU site in Region.   
*Done by: Nurse Educator at each ICU site in Region.   
When: Week of Dec 17.2012 onward.
When: Week of Dec 17.2012 onward.
Line 61: Line 54:
*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: TISS28 | *]]
[[Category: TISS28 Legacy]]
}}

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:
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