REVISED FINAL 1/20/00 ROCKLAND PSYCHIATRIC CENTER ELECTROCONVULSIVE THERAPY PROGRAM POLICY AND PROCEDURES

I. Policy The Rockland Psychiatric Center ECT program provides acute treatment for inpatients as well as continuation and maintenance treatments for same. The ECT suite is located in the ambulatory medical clinic area on the second floor of Building 57. Hospital staff participating in the ECT evaluation, counseling, treatment, and monitoring process include physicians (psychiatrists, internists, and anesthesiologists), dentists, and nurses. The Rockland Psychiatric Center ECT program is oriented towards serving the inpatients of Rockland Psychiatric Center. Among the most frequent psychiatric illnesses treated are major depressive disorder, mania, bipolar disorder, schizophrenia, and other psychotic illnesses. As clinically indicated, other illnesses may also be treated. Our treatment program is oriented towards treating adult and geriatric patients. Pregnant women and patients with high risk medical conditions shall be individually evaluated as to their appropriateness for being treated here. If indicated, they may be referred to a tertiary care center for treatment instead. As patients should abstain from food or fluid for at least six hours before treatment, ECT, in general, is administered in the morning.

II. Procedures

A. Referral Process

1. The patients attending psychiatrist discusses ECT with the patient (and family, when appropriate). Following the approval of his/her Medical Director, he/she then fills out Section A of the "ECT Referral & Approval Form' (RPC ECT-1) and refers the patient to the Director of ECT for evaluation for treatment. As part of the evaluation process, the patient's past psychiatric history, past and current treatment regimens, and current mental status shall be taken into account. The reasons for recommending ECT will be justified as well as the expected treatment objectives.

2. The Director of ECT, and/or his Designee, evaluates the patient for appropriateness for ECT. He/she then fills out Section B of the form. If ECT is felt to be psychiatrically indicated, the rest of the screening and evaluation process will be followed and he/she documents same in medical record including justification for ECT.

3. The patient's psychiatrist arranges for the patient to have medical, anesthesiology, and dental evaluations as part of the pre-ECT evaluation process.

4. The patient is evaluated by the medical specialist who fills out the Pre-ECT Physical/Medical History" Form (RPC-ECT-2). As part of the evaluation process, the patients medical history, current medications, lab work, and EKG will be reviewed. A chest x-ray will be done prior to first\treatment. A physical exam will be performed. Recommendations forfurther evaluations (such as dental or otherwise) shall be made. Anyprecautions to take in light of medical problems that might predispose thepatient to a higher risk shall be listed. Lab work and EKG will be repeated as clinically indicated.

5. The patient is evaluated by the anesthesiologist who fills out the Pre-ECT Anesthesia Administration Form' (RPC-ECT-3). This shall include a review of the patient's medical history, his current physical status, and special precautions that might be indicated to minimize any higher risks for anesthesia.

6. The patient is evaluated by the dentist who fills out the ³Pre-ECT Dental Consultation Form" (RPC ECT4).

7. Medical-surgical consultation is obtained, when indicated, by the treating psychiatrist in consultation with the Director of ECT, internist, and/or anesthesiologist. The decision to request a medical-surgical consultation is based on an assessment of the risks of ECT and/or general anesthesia for a given patient. Dorsal spine films will not be obtained on a routine basis, but may be ordered as clinically indicated.

8. The treating psychiatrist obtains an informed consent (ECT Consent Form RPC-ECT 5) from the patient. In patients who are deemed to lack capacity to give consent, a court order will be obtained. The treating psychiatrist will verbally inform the patient of the reason for treatment, the anticipated course of treatment, the expected outcome, possible side effects, and individual risk factors. The designated ECT nurse and/or the unit R.N. may also assist in the counseling process with the patient and his family. The written consent shall include the voluntary nature of treatment, the right to terminate treatment at any time, a description of the ECT procedure, possible adverse effects and risks, and the expected number of treatments. As indicated, an informational video may be shown. An informational booklet will be given. Questions by the patient and his family will be answered. Consent shall be reobtained from the patient every six months for those receiving ECT. For those patients who are court ordered to receive ECT, if treatment is anticipated to continue after order is going to expire, timely renewal before expiration of the standing order should be started.

9. The Director of ECT will fill out Section B of the "ECT Referral & Approval Forms (RPC ECT- 1), after consent and all evaluations are complete.

10. The Chief of Medicine and Clinical Director review the "Pre-ECT Referral And Approval Form (RPC ECT-1).

11. Should the psychiatrists, medical doctors or anesthesiologists disagree as to the necessity of ECT treatment, a consultation will be done by the Chief of Psychiatry, or Chief of Medicine, as indicated and final decision made by the Clinical Director.

B. ECT Orders

1. The day prior to treatment the patient's treating psychiatrist/Designee will write orders for the treatment. These orders shall include:

A. The patient is NPO after midnight.

B. Jewelry and nail polish shall be removed prior to treatment.

C. The patient's hair will be washed the evening prior to treatment.

D. The patient will be toileted before treatment.

2. Additional orders will be written as clinically indicated e.g.,metoclopramide (Reglan) 10 mg. and/or nizatidine (Axid) 150 mg. PO witha sip of water just prior to ECT.

3. Electrode placement (bifrontal, bitemporal, right unilateral) will be as specified by the Director of ECT/Designee. The decision on placementwill be made in consultation with the treating psychiatrist.

C. Pre-Treatment procedures

1. Nursing

a. Sending Unit Nurse fills out "RN ECT Record." (RPC ECT-6), Part I - Pre-ECT Evaluation, the day of treatment. This confirms the patient has been NPO since midnight; has stable vital signs; has no overt signs or symptoms of upper respiratory infections; is not nauseous; has voided; has received any ordered medication; has had nail polish, contact lenses, dentures, and any jewelry removed and safely stored; and has washed his/her hair.

b. The ECT nurse: Prior to ECT, the ECT nurse confirms that specified equipment in the ECT suite is set up and functioning. This includes the automatic BP cuff, the pulse oximeter, the EKG machine, the oxygen lines, and the suction machine. She/he also ensures that the medication inventory is accurate. She/he will greet the patient on arrival; identify patient using pictured ID on the medical chart and verbal inquiry of the patient; establish rapport; provide support; and explain the procedure as needed. In addition, he/she: a. Confirms the NPO status. b. Reviews Medex to assure that any medications ordered, i.e., Reglan or Axid, were given.

c. Checks orders for ECT.

d. Reviews medical record since last ECT treatment.

e. Checks patient's temperature, blood pressure, pulse, and respirations.

f. Removes, documents, and stores any of the patient's personal items (eyeglasses, hearing aids, dentures, canes, prosthetic devices, jewelry, etc.) which might not have been stored on patient's home unit.

g. Attaches the continuous blood pressure cuff, EKG, pulse oximeter, and blood pressure cuff used to monitor the motor seizure.

h. Begins the IV with NS 500 ml or as directed by Physician.

i. Completes 'RN ECT Record' (RPC ECT-6), Part I I-ECT Treatment Record, pre-orientation checklist.

2. Psychiatry

2a The referring psychiatrist will fill out "Pre-ECT Psychiatrist Checklist" (RPC ECT-5) prior to each treatment. If indicated, referring psychiatrist will verbally communicate with the psychiatrist administering ECT any information that might be important to the patient's treatment. This includes side effects of previous treatments (such as headaches, muscle pain, confusion, etc.), new illnesses or injuries (such as respiratory tract infections, nausea or vomiting, head injuries, poor oral intake, fever, etc.), medication changes, etc.

2b The psychiatrist administering ECT:

a. Checks the readiness, availability and working condition of the equipment used in the administration of electrical stimuli.

b. Reviews the patient's current condition and patient's medical record since last ECT treatment. He/she performs a brief assessment of the clinical status and any treatment side effects. He/she modifies the treatment as clinically indicated by the response to the last session. An individualized treatment schedule will be established. He/she may cancel the session if he/she feels it is clinically indicated.

c. Establishes the treatment parameters.

3. Follows and documents procedures as listed on "ECT Psychiatrist Record (RPC ECT-7).

3. Anesthesiology

The anesthesiologist:

a. Checks the readiness, availability and working conditions of the equipment used, method of administration of anesthetic agents.

b. Reviews the patient's clinical condition. He/she performs a brief assessment of the patient. This includes checking the patient's ID, reviewing the vital signs and oxygen saturation, and reviewing the nursing form. He/she modifies the treatment as clinically indicated, depending on the response to the previous session. He/she may cancel the treatment session if he feels it is clinically indicated.

c. Has the option of starting the IV in place of the nurse.

d. Administers premedication as indicated.

e. Administers the sedative and muscle relaxant. The dosages will be adjusted as clinically indicated.

f. Begins ventilation of the patient with oxygen via ambu bag.

h. Assesses the level of paralysis.

i. Inserts the bite block and holds jaw tight against the bite block during treatment.

j. Indicates the patient is ready for treatment. k. Completes documentation of the above on the "ECT Anesthesia Record" (RPC ECT-8).

D. Treatment

1. The psychiatrist administers the stimulus.

2. Seizure activity is continually monitored visually and via EEG. a. For a prolonged seizure (defined as duration > 3 minutes) the psychiatrist will give benzodiazepine or other anticonvulsants.

3. Psychiatrist completes "ECT Psychiatrist Record² (RPC ECT-7).

4. The anesthesiologist monitors the respiratory and cardiovascular status including EKG, blood pressure and pulse oximeter. He/she ventilates the patient with oxygen while he/she is under the muscle relaxant. The nurse assists in the monitoring of the patient's vital signs, oxygen saturation, cardiac rhythm, and seizure duration. She/he assists in drawing up and administering any ordered medications.

E. Post-treatment procedure

1. The patient remains on monitors (EKG, blood pressure, pulse oximeter) until vital signs are stable and he/she is awake and responsive. The decision to terminate monitoring and the IV is made by the anesthesiologist.

a. If the patient has post-emergence delirium, appropriate behavioral and pharmacological treatment is given as per the psychiatrist.

2. The patient is moved to the recovery room as soon as he/she is conscious, vital signs are stable and is breathing on his/her own.

a. VS and cognitive status are monitored every fifteen minutes by nursing and documented on "RN ECT Record" (RPC ECT-6). He/she will be under constant visual surveillance of nursing staff until discharged

b. If post treatment medical difficulties develop, the anesthesiologist will be called to evaluate and treat.

C. RN completes ³RN ECT Record" (RPC ECT-6), Part II-ECT Treatment Record, post-orientation checklist and post-ECT Discharge Evaluation.

3. Physician/R.N. provides education/reinforcement about side effects, post treatment complications, etc.

4. The patient is transported or escorted back to the unit after being evaluated to be stable and the anesthesiologist or psychiatrist writes the discharge order. The nurse fills out the 'Post ECT Discharge Instructions/Follow-Up Appointment" form (RPC ECT-9).

5. The nurse reviews the discharge instructions with the patient and communicates with ward staff about patient's clinical condition prior to return to unit.

F Number of treatments The ongoing assessment of treatment effects and side effects is the responsibility of the treating psychiatrist in collaboration Vith the Director of ECT/Designee. The determination of future treatments beyond the initial number approved must be reviewed by the treating psychiatrist, Director of ECT and approved by the Clinical Director/Designee. The total number of treatments recommended, the frequency and method (unilateral versus bilateral), will also be made in collaboration with the above.

G. Documentation 1 Pre-treatment

a. Treating Psychiatrist

(1) ECT consent form (RPC ECT-5)

(2) ECT Referral and Approval Form (RPC ECT-1)

(3) Treatment order

b. Anesthesiologist Pre-ECT Anesthesia Administration Form (RPC ECT3)

c. Unit Nurse RN ECT Record (Part I-Pre-ECT Evaluation) (RPC ECT-6)

d. ECT Nurse RN ECT Record (RPC ECT-6) Part II - ECT Treatment Record

e. Internist Pre-ECT Physical/Medical History Form (RPC ECT-2)

f) Dentist Pre ECT Dental Consultation Form (RPC ECT-4)

g. Director of ECT ECT Referral and Approval Form (RPC ECT-1)

2. Post-treatment

a. ECT Psychiatrist

(1) ECT Psychiatrist Record (RPC ECT-7). This shall include the ECT equipment settings, the length of the patient's seizure, and any adverse reactions. Recommended modifications for the next treatment will also be noted.

(2) Order for any prn medication given.

(3) May write the discharge order in place of the anesthesiologist.

b. Anesthesiologist

(1) ECT Anesthesia Record (RPC ECT-8). This shall include the dosages of anesthetic medications used and any adverse treatment reactions. Recommended modifications for the next treatment will also be noted.

(2) Discharge order. c. Nursing (1) Completes form RN ECT Record (RPC ECT-6). This includes a recording of the patient's vital signs; any\ medications administered, their times, and the outcome.

III. ECT will be administered by appropriately MSO credentialed anesthesiologists and psychiatrists.

A. In order for a psychiatrist to be credentialed to do ECT: I . The psychiatrist must be on the staff of Rockland Psychiatric Center or an affiliated state psychiatric center. 2. The psychiatrist must document or demonstrate the knowledge and skill necessary to select patients and administer ECT at a level that is commensurate with the standards of Roddand Psychiatric Center:

a. He/she must document the successful completion of a five day ECT Fellowship Program or a preceptorship with a psychiatrist experienced in ECT;

b. He/she must perform a minimum of five ECT treatments under the supervision of the Director of ECT to demonstrate that he/she has the necessary skill and knowledge.

c. He/she must be Intermediate Response EMS (including AED training) trained at least every six months.

d. The MSO Privileging Committee and Clinical Director must approve the appointment.

B. The anesthesiologist must document or demonstrate the knowledge and skill necessary to administer anesthesia at a level that is commensurate with the standards of Rockland Psychiatric Center:

a. He must document the successful completion of an ECT Anesthesia Fellowship program or a preceptorship with an anesthesiologist experienced in ECT.

b. He/she shall be ACLS certified.

C. He/she must be Intermediate Response EMS trained (including AED training) at least every six months.

d. The MSO Privileging Committee and Clinical Director must approve the appointment.

C. The Director of Nursing/Designee, in consultation with the Clinical Director and Director of ECT, evaluates the competency of nurses to participate in the ECT counseling process, treatment procedure, and post treatment monitoring. Only nurses found competent will be permitted to participate.

D. An ACLS trained RN/MD must be present at all times in the recovery room.

IV. ECT Equipment

A. The ECT suite shall be equipped With the following equipment:

a. An ECT machine

b. Pulseoximeter

c. Automatic BP cuff

d. EKG machine and defibrillator

e. Suction machine and tray

f. Manual sphygmomanometer

g. Stretchers that can tilt into the Trendelenburg position

h. Oxygen tanks and delivery system (including nasal cannulas, tubing, masks, and ventilation bags)

i. Intravenous equipment j. Crash cart (which includes emergency medication, intubation kits, CPR board, etc.)

k. Miscellaneous equipment (this includes items such as alcohol pads, band aids, gauze pads, tape, tissues, drinking cups, bite blocks, stethoscopes, reflex hammers, thermometers, electrodes, phlebotomy supplies, sharps container, red bags, linen, pillows, denture cups, emesis basins, etc.)

B. The electrical equipment shall be regularly maintained and inspected as per the Rockland Psychiatric Center Medical Equipment Management Program

V. Emergency Situations: Should an emergency situation occur, the staff will call ext. 5555 immediately.

VII. Quality Assurance Program Each department will monitor equipment for safety, appropriateness and efficacy. Each discipline will implement their own QA program regarding ECT. ROCKLAND PSYCHIATRIC CENTER RPC ECT-1 (12/99) _______________________________________________________ | (TO BE COMPETED BY REFERRING PSYCHIATRIST) | NAME | | C# | | DOB | | UNIT/WARD |_____________________________________________________ | FACILITY A. INDICATIONS FOR ELECTROCONVULSIVE THERAPY AND REASONS: Treatment unresponsiveness_______ Suicide Attempts_______ Need for Accelerated Response______ Suicidal Ideation_______ Depression_______ Self Abuse_______ Mania_______ Assaultiveness_______ Psychosis_______ Homicidal Ideation_______ Previous Treatment with ECT_______ Other_______ # of Treatments, Response _____________________ Comments & Goals:________________________________ _______________________________________________ Diagnoses: Axis I: Allergies: Axis II: Axis III Current Meds: Previous Medication Trials (medication, dosage, duration):____________________________ ______________________________________________________________________ ______________________________________________________________________ Special Precautions/Comments: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ SMA-20 Date ___/___/___ Handedness: Right Left CBC Date: ___/___/___ ECG Date: ___/___/___ ECG Findings:_____________________________ Chest X-ray (if applicable Date: ___/___/___ CXR Findings: _________________ Hx of heart/lung problems? No: [ ] Yes: [ ] Describe: ______________________________________________ ECT video viewed: Yes [ ] No [ ] Date: ___/___/___ ECT Pamphlet Given: Yes [ ] No [ ] Date: ___/___/___ ECT Discussed with Patient/Family: Yes [ ] No [ ] Date: ___/___/___ Referring Psychiatrist: _________________________________________________ Signature Print Name Date Medical Director:_________________________________________________ Signature Print Name Date ROCKLAND PSYCHIATRIC CENTER RPC ECT-1 (12/99) __________________________________________________ | (TO BE COMPETED BY MEDICAL SPECIALIST) | NAME | | C# | | DOB | | UNIT/WARD |_________________________________________________ | FACILITY History of Present Illness/Pertinent Surgical History:______________________________________ ________________________________________________________________________________ Current medications: Allergies: Yes [ ] No [ ] Comments ________________ Alcohol/street drugs/tobacco use: Yes [ ] No [ ] Comments ________________ Family History (medical and psychiatric) _____________________________________________ ECT History (past response/side effects)_____________________________________________ Personal history of: Yes No Comments Heart disease (MI, Angina, Hypertension, Arrhythmia C.H.F., Pace-maker) _____ _____ _____________________ Space-occupying lesion or increased intracranial pressure _____ _____ _____________________ Recent head trauma _____ _____ _____________________ Recent Stroke _____ _____ _____________________ Retinal detachmcnt/Glaucoma _____ _____ _____________________ Back or neck problems, spinal fusion, disc surgery _____ _____ _____________________ Pheochromocytoma _____ _____ _____________________ Gastroesophageal reflux _____ _____ _____________________ Thromophlebitis/Diabetes _____ _____ _____________________ C.O.P.D./Asthma/Bronchitis _____ _____ _____________________ Osteoporosis _____ _____ _____________________ Major bone fracture _____ _____ _____________________ Neuromuscular disorders _____ _____ _____________________ Cancer history _____ _____ _____________________ Pregnancy (current _____ _____ Last Menstrual Period_______ Dental pathology (loose teeth etc.) _____ _____ _____________________ or temporomandibular joint problems _____ _____ _____________________ Dentures, hearing aids, contact lens _____ _____ _____________________ Oral examination findings: ________________________________________ Personal or family history of:. Problems w/ anesthesia or surgery _____ _____ _____________________ Aneurysm or vascular malformation _____ _____ _____________________ Porphyria _____ _____ _____________________ Recommendations Needed prior to ECT Yes No Comments Additional medical evaluation _____ _____ _____________________ Additional lab or radiologic studies _____ _____ _____________________ Medication changes _____ _____ _____________________ Dental Consultation _____ _____ _____________________ Chest X-Ray Indicated _____ _____ _____________________ Dorsal spine films indicated _____ _____ _____________________ ROCKLAND PSYCHIATRIC CENTER RPC ECT-1 (12/99) __________________________________________________ | (TO BE COMPETED BY ANESTHESIOLOGIST) | NAME | | C# | | DOB | | UNIT/WARD |_________________________________________________ | FACILITY ____________________________________________________________________________ FOR 1st ECT ONLY SMA-20 Date: / / Sodium:_____ Potassium:_____ S.G.O.T._____ Blood Glucose:___ BUN:_____ S.G.P.T._____ Alkaline Phosphatase_____________________________ CBC Date: / / Hemoglobin: / / Hematocrit:___ WBC:_____ ECG Date: / / ECG Findings:_______________________________ Chest X- Ray Date: / / CXR Findings:___________________________ Hx.of heart/lung problems? Yes [ ] No [ ] Comments: Pre-ECT Medical Clearance Note Date: / / MD:_________ Cleared: Yes [ ] No [ ] ____________________________________________________________________________ |___________________________________________________________________________| Anesthesia ASA Risk Category: 1 2 3 4 WEIGHT:_____ ECT#:______ Family or personal history of anesthesia problems Yes [ ] No [ ] Comments:_________________________________________ Pre-anesthesia Evaluation: Allergies:_______________NPO Since:____________ Any Medications?_____________________________Charted: _______________ Teeth:_______ Dentures:______ Glasses/Contact Lenses:_______Hearing Aids:_______ URI absent? Yes[ ] No[ ] Airway Clear? Yes[ ] No[ ] Patient status does [ ] does not [ ]match that described in plan. Comments: ANESTHESIA CLEARANCE: YES____ NO____ _________________________________________ _________ (Signature) (Date) ____________________________________________ (Print Name) ROCKLAND PSYCHIATRIC CENTER RPC ECT-1 (12/99) __________________________________________________ | (TO BE COMPETED BY DENTIST) | NAME | | C# | | DOB | | UNIT/WARD |_________________________________________________ | FACILITY ____________________________________________________________________________ Grossly mobile teeth? Yes [ ] No [ ] Cosmetic dentistry? Yes [ ] No [ ] Extensive fixed bridgework? Yes [ ] No [ ] Orthodontic appliances in place? Yes [ ] No [ ] Prosthesis supported by dental implants? Yes [ ] No [ ] Broken down/infected teeth? Yes [ ] No [ ] Complaints of mouth pain? Yes [ ] No [ ] Recent history of mouth trauma? Yes [ ] No [ ] History of temporomandibular joint dysfunction? Yes [ ] No [ ] Appliances or conditions that pose a risk of aspiration? Yes [ ] No [ ] Special precautions? Yes [ ] No [ ] Comments_________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________ (Signature) _________________________________ (Print Name) _________________________________ (Date) ROCKLAND PSYCHIATRIC CENTER RPC ECT-1 (12/99) __________________________________________________ |(TO BE COMPETED BY TREATING PSYCHIATRIST) | NAME | | C# | | DOB | | UNIT/WARD |_________________________________________________ | FACILITY

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CONSENT FOR ELECTROCONVULSIVE THERAPY I hereby authorize and voluntarily give my consent to Rockland Psychiatric Center to administer to me or to the named patient, a series of electroconvulsive treatments and general anesthesia. I understand that this consent will be valid for 6 months and the number of treatments will be decided by my treating psychiatrist and the ECT psychiatrist. I have been informed that each treatment involves the use of general anesthesia and that the specific treatment, ECT, involves the passing of an electric current through a specific area of the brain. The risks and benefits to health and life associated with general anesthesia, medications used and the electro-convulsive treatments have been explained to me by the treating psychiatrist Dr.________________________and the psychiatrist privileged in ECT administration, Dr. ________________. We have also discussed the risks and benefits and efficacy to life and health of alternate treatment modalities, which include medications and psychotherapy. I understand that the question whether ECT or alternative treatment is most appropriate depends on prior experience with these treatments, and the nature of the psychiatric condition. While it cannot be guaranteed that any medical treatment will result in improvement, the majority of people with similar emotional difficulties show improvement following treatment. The side effects of ECT and general anesthesia, which may occur, include: 1. Confusion after treatment usually lasting 10 - 45 minutes. 2. Memory loss which usually subsides within the first few weeks following treatment. 3. Remote possibility of fracture, dislocation, brain damage or death (occurs less frequently than I in 40,000 treatments). I understand that, if during my hospitalization as a result of ECT, injuries occur from known or unknown risks of the treatment described to me , immediate medical care and treatment will be available. It is my understanding that I may withdraw my consent for electroconvulsive therapy at any time throughout the course of the proposed treatment. RN ECT RECORD ECT# | Date: ____________________ |________________________ Nurse: _____________________________________________ Time Arrived: _____________________________________________\ Accompanied By: Patient Name (Last, First, MI): PART I - PRE ECT EVALUATION To be completed by sending unit RN Baseline V/S T: P: R: BP: Weight: ECT Order written: Yes 0 No 0 NPO since Midnight Yes 0 No 0 Has patient voided: Yes 0 No 0 Time: ID Picture checked Yes 0 No 0 Hair washed within 24 Hrs: Yes 0 No 0 Allergies: Yes 0 No 0 Any Meds since Midnight Yes 0 No 0 it Yes, Specify: CHECK IF PATIENT HAS: 0 Eyeglasses/Contact Lenses 0 Dentures 0 Prosthesis 0 Hearing Aid 0 Jewelry/Watch 0 Mouth Guard 0 Cane/Walker/Wheelchair 0 Physical impairment 0 Impaired Communication Medical Record sent with patient? Yes 0 No [] Doctor Order Sheetst/Med Kardex sent with patient? Yes 0 No [] Jewelry/Watch/Nail Polish/Contact Lenses removed ? Yes [] No 0 Sending Unit RN Signature/Title Date: Time: PART II - ECT TREATMENT RECORD To be completed by ECT RN ORIENTATION: PRE POST What are your first and last names? How old are you? What is your Birthdate? What is the Day of the Week, Today's Date, Month, Year? Where are you? Place, City, County. State, Country? What are you doing here ? Who is with you? How do vou feel? ____________________________________________________________________________ POST ECT RECOVERY AREA EVALUATION - Post ECT Recovery Room Monitoring Chart (on back) to be completed every 15 minutes Time Procedure began: Time moved to recovery room: _____________________________________________________________________________ PART III - POST ECT DISCHARGE EVALUATION Discharge Order written: Yes 0 No Patient Teaching Done: Yes 0 No 0 Instructions Reviewed with Patient and Accompanying Staff: Yes 0 No 0 Person accompanying the patient back: Time Discharged: RN Signature Print Name Date Is Patient Stable for Discharge: Yes 0 No 0 Patient Discharged to: 0 Unit 0 Home 0 Other (specify) MD Signature Print Name Date Monitoring Chart on back of form ->>> ECT ANESTHESIA RECORD ECT# | Date: ____________________ |________________________ Anesthesiologist: _____________________________________________ Psychiatrist: _____________________________________________\ Nurse: Patient Name (Last, First, MI): Patient Review: NPO after midnight? []Voided in last hour? [] Dentures? [] Contact Lenses? [] URI absent? [] Equipment Check: Anesthesia Machine[] Suction [] Laryngoscope[] Time Equipment checked: Anesthesia Start: Anesthesla Finish: Previous Treatment Complications: Hypertension []Hypotension []Arrhythmia []Apnea [] Confusion [] COPD [] Secretions [] Bronchspasm[] Difficult IV BP Cuff Size:Adult[]Large []Pediatric [] Medication/Dose: Glycopyrrolate: Atropine: Methohexital: Succinylcholine: Atracurium: Pentobarbital: Caffeine: Other (specify): IV Solutlon: D5W[] NS[] D5W.5NS[] Ringers[] IV Site: Right[] Left[] Hand[] Forearm[] Antecubital[] Bite Block used? Yes[ ] No[ ] Type: Gauze [ ] Foam [ ] Rubber [ ] TIME O2 FIO2 EKG EtCO2 TEMP BP P 240 230 220 210 200 190 180 170 160 150 140 130 120 110 90 80 70 60 50 40 30 20 10 0 Fluids Urine NOTE: SR=Sinus Rhythm, AR=Arrythmia Seizure Duration EEG Motor Energy Modify Next Treatment: Yes [] No [] REMARKS: Signature: GENERAL AIRWAY MANAGEMENT: Mask Blade Oral/Nasal Trach Tube Attempts Easy/Diff. Vision Impaired/Blind Bilat Breathe Sounds Airway Nasal/Oral TOTAL FLUIDS: IV: Urine: PACU TIME: SaO2: O2: BP: P: R: []Alert []Unresponsive []Responsive to Pain []Responsive to Voice []NOTES ON MAINTENANCE: []Temp (Rectal, Oral Otic) []Precordial/Esophageal []Pulse/Oximeter []EKG []EtCO2 []O2 Analyzer []NeuroBlock Monitor [] NIBP [] Spirometer ROCKLAND PSYCHIATRIC CENTER RPC ECT-9 (12/99) __________________________________________________ |POST ECT DISCHARGE INSTRUCTIONS FOLLOW-UP | NAME |APPOINTMENT | C# | | DOB | | UNIT/WARD |_________________________________________________ | FACILITY Instructions: To be reviewed by RN with the patient/family member/significant other prior to departure from the EC T recovery area. 1. As part of your ECT treatment you have received anesthesia. The medications wear off quickly. However, some effects may linger throughout the day. Therefore you should: -Not drive a motor vehicle or operate dangerous equipment as your judgement and reflexes may not be normal. -Not drink any alcoholic beverages. 2. Some common side effects of ECT are: -A slight headache. -Some nausea/stomach ache (from anesthesia). -Dry mouth (from anesthesia). -Temporary memory loss and slight confusion. You may have difficulty remembering new information. This usually goes away in a few weeks. -Fatigue during the first few hours after the treatment. -Stiffness or sore muscles. Most symptoms usually go away in a few hours. A warm bath/shower, acetaminophen (Tylenol) or ibuprofen (Motrin) 400 may help with some of these symptoms. 3. If you feel/experience any of the following symptoms please report them to the Nurse. These symptoms include: -Extreme headache, nausea, vomiting or confusion. -Temperature -Redness, swelling, drainage or pain at your IV site which lasts more than 24 hours. -Any mood changes There is a doctor available twenty four hours a day. Next ECT appointment:__________________at ________________AM/pm I have reviewed the above and had the opportunity to ask questions. _______________________ ___________________________ Patient Accompanying Staff/Family _______________________ ___________________________ Registered Nurse Signature Date handwritten: liquid lunch 2 hrs after discharge from ETC. pt. can eat often ROCKLAND PSYCHIATRIC CENTER __________________________________________________ |ECT PSYCHIATRIST RECORD | NAME | | C# | | DOB | | UNIT/WARD |_________________________________________________ | FACILITY Psychiatrist: NPO after Midnight Yes No Voided in Last Hour Yes No Anesthesiologist: ECT Order Written: Yes No Orientation Checked: Yes No Nurse: Patient Complaints After Last Treatment: Yes [] No [] Headache []Muscle pain/stiffness[] Back pain[] Jaw pain[] Confusion[] Staring spells[] Other []_______________________________________________________ Medications: Glycopyrrolate_____ Atropine_____ Methohexital_____Succinylcholine_____ Atracurium_____ Pentobarbital_____ Other_________________________________________________________________ Bite Block Used: Yes [] No [] Gauze [] Foam [] Rubber [] ECT Machine: Thymatron [] Mecta [] Lead Placement: R/L Unilateral [] Bitemporal [] Bifrontal [] Settings: Percent Energy_____Pulse Width_____ Frequency_____Duration_____ Current_____ Seizure Length: EEG_____ Motor_____ See Print Out [] Restimulated: Yest[]No [] Percent Energy-_____Pulse Width_____ Frequency_____ Duration Current_____ Seizure Length: EEG_____ Motor_____ See Print Out [] Restimulated: Yes [] No [] Percent Energy_____Pulse Width_____Frequency_____Duration_____Current_____ Seizure Length: EEG_____ Motor_____ See Print Out [] Treatment Complications: Hypertension [] Hypotensio [] Arrythmia [] Apnea [] Confusion [] Secretions [] Bronchospasm [] Difficult IV [] Other [] ________ Other [] __________________________________ Post ECT Mods Given: Yes [] No [] Medications & Time_____________________________________________________________ _____________________________________________________________ Modify Next Treatment Yes[] No [] Comments: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ __________________________ (Signature) __________________________ (Print Name) __________________________ (Date) PHYSICIANS NAME:________________________________________________________________ APPLICATION FOR CLINICAL PRIVILEG DEPARTMENT OF PSYCHIATRY Please check the box for each area in which you are requesting privileges. If you wish privileges in addition to those listed, please indicate at the end PRIVILEGES: Bask Clinical Privileges for Psychiatrists [] a. Admission of Patients [] b. Evaluation of Patients. [] c. Clinical history, mental status exam. [] d. Treatment of patients; crisis intervention, psychotherapy. [] e. Group therapy, family counseling. Routine Medical Practices [] a. Basic physical exam. [] b. Prescription of medications. [] c. Prescription of restraints & secluslons. [] d. Evaluation of lab results [] e. Emergency minor surgery. [] Supervision of Clinical Staff in Direct Patient Care [] Discharge of patients including pre-discharge Evaluation [] Interdisciplinary professional consultation SPECIAL PRIVILEGES: [] Acupuncture [] ECT (Electro Convulsive Therapy) REQUIREMENTS: M.D. degree recognized by Department of Education State of New York New York State license with current registration Completion of psychiatric residency (Those in training perform the functions under supervision) Current DEA registration a. MD Degree recognized by Department of Education, State of New York b. NYS License in acupuncture c. Evidence of specialized training and/or capability & experience as attested by trained supervisors a. MD Degree recognized by Department of Education, State of New York b. Evidence of specialized training and/or capability & experience as attested by trained supervisors. c. Completion of ECT training

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