1. (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. (1) laboratory as appropriate to medical history and/or conditions, such as:

      1. (A) complete blood count;
      2. (B) electrolytes; and
      3. (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. (2) x-rays as appropriate to medical history and/or conditions;
   3. (3) electrocardiogram.
2. (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.

Source Note:The provisions of this §307.511 adopted to be effective January 1, 1992, 16 TexReg 7528; transferred effective December 27, 2024, as published in the November 29, 2024, issue of the Texas Register, 49 TexReg 9771