Revised TISS of 1983 (TISS-76)

cardiac arrest and/or countershock within past 48 hours

4

controlled ventilation with or without PEEP [1]

4

controlled ventilation with intermittent or continuous muscle relaxants [1]

4

balloon tamponade of varices

4

continuous arterial infusion

4

pulmonary artery catheter

4

atrial and/or ventricular pacing [12]

4

hemodialysis in unstable patient [2]

4

peritoneal dialysis [2]

4

induced hypothermia

4

pressure-activated blood infusion

4

G-suit

4

intracranial pressure monitoring

4

platelet transfusion

4

intra-aortic balloon assist

4

emergency operative procedure within past 24 hours

4

lavage of acute GI bleeding

4

emergency endoscopy or bronchoscopy

4

vasoactive drug infusion (> 1 drug) [3]

4

central IV hyperalimentation (includes renal, cardiac, hepatic failure fluid) [11]

3

pacemaker on standby [12]

3

chest tubes

3

intermittent mandatory ventilation or assisted ventilation [1]

3

continuous positive airway pressure (CPAP) [1]

3

concentrated potassium infusion via central catheter

3

nasotracheal or orotracheal intubation [6]

3

blind intratracheal suctioning

3

complex metabolic balance (frequent intake and output) [8]

3

multiple ABG, bleeding and/or STAT studies (> 4 per shift) [9]

3

frequent infusions of blood products (> 5 units in 24 hours)

3

bolus IV medication (nonscheduled)

3

vasoactive drug infusion (1 drug) [3]

3

continuous antiarrhythmia infusion

3

cardioversion for arrhythmia (not defibrillation)

3

hypothermia blanket

3

arterial line

3

acute digitalization within 48 hours

3

measurement of cardiac output by any method

3

active diuresis for fluid overload or cerebral edema

3

active therapy for metabolic alkalosis

3

active therapy for metabolic acidosis

3

emergency thora-, para- or pericardio-centesis

3

active anticoagulation (initial 48 hours) [7]

3

phlebotomy for volume overload

3

coverage with more than 2 IV antibiotics [4]

3

therapy of seizures or metabolic encephalopathy (within 48 hours of onset)

3

complicated orthopedic traction [10]

3

central venous pressure monitoring

2

2 peripheral IV catheters [5]

2

hemodialysis in a stable patient [2]

2

fresh tracheostomy (less than 48 hours) [6]

2

spontaneous ventilation via endotracheal tube or tracheostomy (T piece or trach mask) [1]

2

GI feedings

2

replacement of excess fluid loss

2

parenteral chemotherapy

2

hourly neuro vital signs

2

multiple dressing changes

2

pitressin infusion IV

2

ECG monitoring

1

hourly vital signs

1

1 peripheral IV catheter [5]

1

chronic anticoagulation [7]

1

standard intake and output, daily [8]

1

STAT blood tests [9]

1

intermittent scheduled medications

1

routine dressing changes

1

standard orthopedic traction [10]

1

tracheostomy care [6]

1

decubitus ulcer (treatment but not preventive care)

1

urinary catheter

1

supplemental oxygen (nasal or mask) [1]

1

antibiotics (2 or less) [4]

1

chest physiotherapy

1

extensive irrigations, packings or debridement of wound, fistula or colostomy

1

GI decompression

1

peripheral hyperalimentation, intralipid therapy [11]

1