The ‘ECT sticker’ as an Approach to Standardising Communication: a Report From an Audit

Kelly, S., Garry, A., Saggar, M., Martin, D. and Langan-Martin, J. (2020) The ‘ECT sticker’ as an Approach to Standardising Communication: a Report From an Audit. Seventh National ECT Nursing Conference, 28 Oct 2020.

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Background: In Leverndale Hospital, approximately 30 patients receive over 300 ECT treatments per year. Currently ECT consultants provide dosage recommendations after each ECT treatment to the Responsible Medical Officer (RMO) who prescribes treatment and completes the T5 paperwork. Scottish ECT Audit Network (SEAN) ECT standards state that a T5 should be completed after at least every second treatment. In some cases, dose recommendations are not adhered to and T5 forms are not completed. Aim(s): To determine whether adherence to advice regarding dosage given by electroconvulsive therapy (ECT) consultants and T5 post treatment evaluation completion rates improved after the introduction of an “ECT sticker”. We hypothesised that a standardised approach to communication would improve adherence. Approach/Method(s): A retrospective case notes audit was undertaken 6 months before and 6 months after the “ECT sticker” was introduced. Information regarding T5 completion and adherence to ECT dose recommendations was gathered. Patients undergoing maintenance ECT were excluded. Discussion/Findings: Cycle 1 (October 2017-March 2018): 13 patients had 14 episodes of ECT resulting in 155 ECT treatments. 2.6% (N=4) were delivered at a dose that varied from the recommendation. For T5’s, 59.3% (38/64) were completed. One of the 14 episodes had no T5 forms completed (7.1%). Cycle 2 (April 2018-November 2018) – 10 patients had 11 episodes of ECT resulting in 110 ECT treatments. 2.7% (N=3) were delivered at an alternative dose to that recommended by the ECT consultant. Over 70% (71.1%, 32/45) of T5 forms were completed. None of the 11 episodes had no forms completed. Conclusions: The introduction of the “ECT sticker” had minimal effect on adherence to the prescribing recommendation. However, T5 completion improved. Further work is required to ensure T5 completion continues to improve.

Item Type:Conference or Workshop Item
Glasgow Author(s) Enlighten ID:Martin, Dr Daniel and Langan-Martin, Dr Julie
Authors: Kelly, S., Garry, A., Saggar, M., Martin, D., and Langan-Martin, J.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Copyright Holders:Copyright © 2020 The Authors
Publisher Policy:Reproduced with the permission of the Author

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