Book contents
- Frontmatter
- Contents
- Abbreviations
- List of figures, tables and boxes
- List of contributors
- Preface
- Introduction: the role of ECT in contemporary psychiatry: Royal College of Psychiatrists’ Special Committee on ECT and Related Treatments
- 1 Mechanism of action of ECT
- 2 The ECT suite
- 3 Anaesthesia for ECT
- 4 ECT prescribing and practice
- 5 Psychotropic drug treatment during and after ECT
- 6 Monitoring a course of ECT
- 7 Non-cognitive adverse effects of ECT
- 8 Cognitive adverse effects of ECT
- 9 Dental issues related to ECT
- 10 Training, supervision and professional development: achieving competency
- 11 Nursing guidelines for ECT
- 12 Inspection of ECT clinics
- 13 Other brain stimulation treatments
- 14 The use of ECT in the treatment of depression
- 15 The use of ECT in the treatment of mania
- 16 The use of ECT in the treatment of schizophrenia and catatonia
- 17 The use of ECT in neuropsychiatric disorders
- 18 The use of ECT in people with intellectual disability
- 19 Safe ECT practice in people with a physical illness
- 20 ECT for older adults
- 21 The use of ECT as continuation or maintenance treatment
- 22 Consent, capacity and the law
- 23 Patients’ and carers’ perspectives on ECT
- Appendix I Out-patient declaration form
- Appendix II ECT competencies for doctors
- Appendix III Example of a job description for an ECT nurse specialist
- Appendix IV Example of a job description for an ECT nurse/ECT coordinator
- Appendix V Information for patients and carers
- Appendix VI Example of a consent form
- Appendix VII Useful contacts
- Appendix VIII Example of a certificate of incapacity
- Index
Appendix IV - Example of a job description for an ECT nurse/ECT coordinator
Published online by Cambridge University Press: 02 January 2018
- Frontmatter
- Contents
- Abbreviations
- List of figures, tables and boxes
- List of contributors
- Preface
- Introduction: the role of ECT in contemporary psychiatry: Royal College of Psychiatrists’ Special Committee on ECT and Related Treatments
- 1 Mechanism of action of ECT
- 2 The ECT suite
- 3 Anaesthesia for ECT
- 4 ECT prescribing and practice
- 5 Psychotropic drug treatment during and after ECT
- 6 Monitoring a course of ECT
- 7 Non-cognitive adverse effects of ECT
- 8 Cognitive adverse effects of ECT
- 9 Dental issues related to ECT
- 10 Training, supervision and professional development: achieving competency
- 11 Nursing guidelines for ECT
- 12 Inspection of ECT clinics
- 13 Other brain stimulation treatments
- 14 The use of ECT in the treatment of depression
- 15 The use of ECT in the treatment of mania
- 16 The use of ECT in the treatment of schizophrenia and catatonia
- 17 The use of ECT in neuropsychiatric disorders
- 18 The use of ECT in people with intellectual disability
- 19 Safe ECT practice in people with a physical illness
- 20 ECT for older adults
- 21 The use of ECT as continuation or maintenance treatment
- 22 Consent, capacity and the law
- 23 Patients’ and carers’ perspectives on ECT
- Appendix I Out-patient declaration form
- Appendix II ECT competencies for doctors
- Appendix III Example of a job description for an ECT nurse specialist
- Appendix IV Example of a job description for an ECT nurse/ECT coordinator
- Appendix V Information for patients and carers
- Appendix VI Example of a consent form
- Appendix VII Useful contacts
- Appendix VIII Example of a certificate of incapacity
- Index
Summary
Scope and range
Sole nursing responsibility for management/supervision of all nursing staff involved in the ECT process, within the department (1 × Band 7, 1 × Band 6, 2 × Band 5). Participate in the ECT Induction training programme for senior house officers, new trained and untrained members of nursing staff and learner nurses. Act as a source of advice/support for medical and nursing staff, patients and relatives. Responsible for coordinating training/ updates for 2 anaesthetic nurses and 3 recovery nurses (Bands 5–7).
Practice population and boundaries – all in- and out-patients within [name of area] aged 16 years and above (Old Age, Adult & Forensic Psychiatry).
Main duties/responsibilities
Engaging in management supervision with line manager and participating in appraisal and a personal development framework as per Trust policy.
• Provide guidance, support and expertise relating to patient care in the psychological and physical preparation for ECT.
• Offer full knowledge and understanding of informed consent and its application to individual patient circumstances/needs.
• Have knowledge of Mental Health Act legislation in relation to ECT, as well as the wider context.
• Ensure effective communication between all disciplines involved in ECT delivery and good customer and public relations within the hospital, the Trust and the community.
• Provide anaesthetic support, practice and knowledge, including:
• suitable preparation of the environment
• pre-treatment clinical assessment and workup
• anaesthetic circuits and other equipment available within the treatment area
• all related pharmacology, including induction agents, depolarising muscle relaxants and emergency drugs
• identification of a normal ECG and recognition of arrhythmias and their treatment
• identification of the importance of baseline recordings and how anaesthetic agents affect them
• oxygenation needs pre-, during and post-treatment
• care of and protection of the unconscious patient
• identification of monitoring needs and the operation of equipment/ procedures related to this function
• post-anaesthetic care, complete recovery criteria and the principles involved
• basic and advanced life support skills.
• Ensure the smooth implementation of all organisational/operational issues related to this professional service.
- Type
- Chapter
- Information
- The ECT Handbook , pp. 241 - 244Publisher: Royal College of PsychiatristsPrint publication year: 2013