Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 404 - PROTECTION OF CLIENTS AND STAFF-MENTAL HEALTH SERVICES
Subchapter E - RIGHTS OF PERSONS RECEIVING MENTAL HEALTH SERVICES
Section 405.106 - Medical Evaluation Required Prior to a Course of Electroconvulsive Therapy (ECT)

Universal Citation: 25 TX Admin Code § 405.106

Current through Reg. 49, No. 38; September 20, 2024

(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.

Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.