1. (1) Facilities which provide or arrange for electroconvulsive or other convulsive therapy must ensure the following:

   1. (a) Written informed consent must be obtained from the patient or guardian. Consent may be withdrawn at any time. Provision of electroconvulsive therapy to minors must be in accordance with T.C.A. § 33-3-201; MENTAL HEALTH HOSPITAL FACILITIES
   2. (b) Clinical justification for the use of electroconvulsive or other convulsive therapy must be documented in the patient’s record and must reflect consideration of other, less- intrusive therapies; and
   3. (c) Electroconvulsive or other convulsive therapy must be ordered by a psychiatrist or in consultation with a psychiatrist if the attending physician is not a psychiatrist.

Authority: T.C.A. § 33-2-504. Administrative History: Original rule filed May 26, 1988; effective July 11, 1988.