TISS76-Cardiovascular

Legacy article

TISS therapeutic variables: T9 to T16

T15 & T16 are mutually exclusive. Select only ONE item per day that will give you the most points.

• T9 - ECG monitoring
• T10 - Hourly Vital signs -Must include hourly BP (blood pressure) every hour for 6 consecutively hours in ICU to get points.--TOstryzniuk 16:42, 2 February 2009 (CST)
• T11 - Peripheral arterial line
• T12 - Pulmonary arterial line (Swan Ganz Catheter)
• T13 - Measurement of CVP (any method)
• T14 - Measurement of Cardiac Output
• T15 - Temporary Pacemaker-Standby (includes external) - wires hooked up but pace not turned on.
• T16 - Temporary Pacemaker-Active (includes external) - turned on but may not be pacing all the time.
  • The testing for "capture" not counted as active pacing.
  • Permanent pacer not included.

• T17 - Post Cardiac Arrest - (first 48 hours) mark for 2 days. Also see: TISS76-48 hour rule

• T18 - Cardioversion/Defibrillation - While in ICU only

• T19 - IABP

• NOTE: Community hospitals (Oaks, Grace, Concordia, Victoria). If a patient goes from your center to STB or HSC for an angiogram/plasty, has an IABP inserted in the angio department and is either admitted for HSC or STB ICU/CCU or goes directly to the OR from there, please do not put on your TISS item # 19 -IABP.Discharge to should be coded using the codes for HSC or STB for OR , CCU , SICU or MICU.

• Also see:
  • TISS76-Neurological
  • TISS76-Blood Products
  • TISS76-Respiratory
  • TISS76-Gastrointestinal
  • TISS76-Genitourinary
  • TISS76-Fluid Lytes bloodsample
  • TISS76-Meds IVs
  • TISS76-General Care
  • TISS76-Procedures Interventions
  • ! TISS76 Collection Guide
  • TISS76-Points
  • File:TISS76-FORM for ICU citywide2.pdf

discussion

• Hourly vital signs essentially means that a pt is not that stable and requires frequent vital signs. If a pt comes in at 2100 hrs for example, they may require hourly vitals but by the above definition will not get tiss points for hourly vitals simply because there are only 3 hours in that day on the first day of tiss.
• For all the other items on the form, an intervention can be used only briefly in order to count it. Why is 6 hours of all vital signs needed for the hourly vital signs? A pt may be very unstable for only 2 hours requiring frequent vital signs and then go back to vital signs every 2 hours following this, then they do not get any tiss points for this either. Would like your feedback on this question.--LKolesar 13:11, 2012 February 21 (CST)