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PILGRIM PSYCHIATRIC CENTER Issue Date: 10/1/97 Revision Date: 2/20/2001 Facility Policy Reviewed Date:2/20/2001 Page 5 of 58 Issuing Office: Clinical Services Subject: ELECTROCONVULSIVE THERAPY (ECT) 1. POLICY The Office of Mental Health (OMH) recognizes Electroconvulsive Therapy (ECT), modified by general anesthesia and muscle relaxation, as a safe and effective treatment for appropriately selected patients. This policy establishes the standards for use of ECT at Pilgrim Psychiatric Center. This policy is written and approved by the Medical Staff Organization of Pilgrim Psychiatric. Compliance with this policy will be monitored by The Director of ECT in conjunction with the Quality Management Committee and Utilization Review. Ill. DEFINITIONS A. Director of ECT: The physician who is in charge of all ECT services at PPC. This includes the oversight and supervision of all staff (psychiatrists, anesthetists/anaesthesiologists, and nurses) involved in the administration of ECT, the review of all proposed ECT cases for clinical appropriateness, and the monitoring of the quality and effectiveness of care rendered. (See appendix Al. Staffing for a full description of responsibilities) B. Treating Psychiatrist: The physician responsible for the overall treatment of the patient for which ECT is recommended (See Appendix 11 Staffing for a full description of responsibilities) ECT Psychiatrist: The physician responsible for administering ECT. When providing this service, this psychiatrist is in charge of all staff involved in the administration of ECT, and has the responsibility for the overall care of the during that time. (See Appendix 11 Staffing for a full description of responsibilities) D. Anesthetist: The individual responsible for administering anesthesia for ECT and management of any adverse medical events. (See appendix 11 Staffing for a full description of responsibilities) E. Consentor: The individual providing informed consent for ECT. This may be the patient, (if the patient has the capacity to understand the risks/benefits of the procedure), OR if the patient lacks capacity, the patient's spouse, parents, adult child, or the court. F. Facility: This is Pilgrim Psychiatric Center (PPC), the organization responsible for the development and implementation of policies and procedures for both clinical PILGRIM PSYCHIATRIC CENTER Issue Date: 10/1/97 Revision Date: 2/20/2001 Facility Policy Reviewed Date:2/20/2001 Page 6 of 58 Issuing Office: Clinical Services Subject: ELECTROCONVULSIVE THERAPY (ECT) practice of ECT and privileging of individuals in its administration G. ECT Course: A series of ECT treatments administered to induce a clinical remission in a defined episode of a mental disorder H. Continuation/Maintenance ECT: The use of ECT to maintain an induced clinical remission and/or minimize the likelihood of relapse. The onset of a period of continuation or maintenance ECT is defined as the point at which therapeutic intent shifts from inducing a remission to maintaining it. 1. ECT Nurse: The nurse responsible for assisting the ECT Psychiatrist and Anesthetist in the ECT suite. This nurse has overall responsiblility to insure that the appropriate supplies and equipment are present and functioning prior to the onset of ECT. (See Appendix II Staffing for full description of responsibilities) J. Recovery Nurse: This nurse is responsible for the oversight and management of the patient while in the recovery area, post ECT. (See Appendix 11 Staffing for full description of resonsbilities) |
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