Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 307 - BEHAVIORAL HEALTH PROGRAM
Subchapter I - ELECTROCONVULSIVE THERAPY (ECT)
Section 307.511 - Medical Evaluation Required Prior to a Course of Electroconvulsive Therapy (ECT)

Universal Citation: 26 TX Admin Code § 307.511

Current through Reg. 50, No. 13; March 28, 2025

(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.

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