26 Tex. Admin. Code § 307.511 - Medical Evaluation Required Prior to a Course of Electroconvulsive Therapy (ECT)
(a) A thorough
evaluation of the patient's psychiatric and physical status with review of
pertinent laboratory findings shall be done within 30 days prior to the
initiation of a course of ECT and shall be recorded in the patient's permanent
medical record. Physical evaluation shall include a neurological examination.
Other determinations shall include, but not be limited to, the following:
(1) laboratory as appropriate to medical
history and/or conditions, such as:
(A)
complete blood count;
(B)
electrolytes; and
(C) serum
pseudocholinesterase if there is no documentation of successful use of muscle
relaxant medication with general anesthesia, and if there is no record of
previous testing;
(2)
x-rays as appropriate to medical history and/or conditions;
(3) electrocardiogram.
(b) Abnormalities reported or found in the
neurological or cardiac evaluation shall be evaluated by a medical specialist
in the appropriate field, such evaluation to be incorporated in writing into
the patient's permanent record prior to initiation of ECT.
Notes
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