Therapeutic Intervention Scoring System (TISS)

Number of STAT blood tests (including blood gases) per shift

Number of intravenous lines

Number IV antibiotics

• hourly vital signs?

• hourly neurologic signs?

• urinary catheter placement?

• dressing changes?

• decubitus care?

• orthopedic traction?

• chest physiotherapy?

• continous ECG monitoring?

• central venous pressure monitoring?

• arterial catheter placement?

• measurement of cardiac output?

• chronic anticoagulation?

• active anticoagulation?

• replacement of excess fluid loss?

• bolus IV medication?

• parenteral chemotherapy?

• phlebotomy for fluid overload?

• acute treatment for metabolic acidosis or alkalosis?

• onset of seizures or metabolic encephalopathy within past 48 hours, with treatment?

• active diuresis for fluid overload or cerebral edema?

• infusion of potassium concentrates?

• platelet transfusions?

• pressure activated blood transfusion?

• continuous arterial infusions?

• GI decompression?

• chest tube placement?

• lavage for acute GI bleeding?

• balloon tamponade of esophageal varices?

• emergency thoracentesis, paracentesis, or pericardiocentesis?

• emergency endoscopy or bronchoscopy?

• emergency operative procedure within past 24 hours

• blind intra-tracheal suctioning (nonintubated)?

• tracheostomy care?

• membrane oxygenation?

• continuous antiarrhythmia infusions?

• vasoactive drug infusions?

• acute digitalization within past 48 hours?

• cardioversion for arrhythmias?

• cardiac resuscitation and/or counter-shock within past 48 hours

• intra-aortic balloon assist?

• use of G-suit?

Intake and output

Hypothermia

Airway

Respiratory support

Dialysis

Cardiac pacing