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Appendix I - Out-patient declaration form

Edited by
Jonathan Waite  and
Andrew Easton
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Summary

If you are receiving ECT as an out-patient your doctor will have explained the procedure to you to ensure that you meet the requirements needed so that you have safe and effective ECT treatments.

You and your carer will both need to sign the form below each time you attend for a treatment to confirm that you have read and understood the following information.

During ECT you will receive a general anaesthetic and therefore the following standard precautions apply.

You must:

  1. • be in the company of a responsible adult for 24 hours following the Treatment

  2. • be accompanied home

  3. • not leave the hospital if you are feeling unsteady or confused

  4. • not operate machinery or appliances for 24 hours

  5. • take DVLA advice on driving following an episode of mental illness (your psychiatrist should inform you of this)

  6. • not be left in sole charge of young children until the following morning

  7. • not sign any legal document or make important decisions for 24 hours

  8. • not consume alcohol for 24 hours.

Type
Chapter
Information
The ECT Handbook , pp. 230
Publisher: Royal College of Psychiatrists
First published in: 2017

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