TISS28 Legacy Guide for Paper Form Collection

  This is just a template for starters.  Meeting for education plan is Friday Nov 30.12 @ 1030 hrs.

This category contains basic information about collecting Therapeutic Intervention Scoring System (TISS28) data

• 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.
  • 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.
• 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.

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).

Who fills out the TISS

• All shifts
  • 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.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.

• 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.

TISS Quality Control Guide

• Data collectors are required to do quality control" of all TISS forms.

• • 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

• As LKolesar points out, there is variation in how the TISS is collected in different centers. Is this something we should look at? Ttenbergen 00:04, 27 May 2008 (CDT)

site compliance issue

• collects have good repoire with staff in unit they work in. They will continue to provide feedback to staff on as needed basis.
• complaince issue to be emailed to site manager. - Jodi to advise further.

Staff to include in education

• who?, when?

to include:

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