T34 – ECT Keywords HISO PRIMHD description Additional comments Inpatient activity Electro Convulsive Therapy The service prescribing team type may be community or inpatient (ie, where the ECT was user’s setting prescribed), but the activity setting for ECT is always inpatient (IP). Record under the Community service users are usually given a set time for their ECT treatment and require 2 hours’ prescribing clinician monitoring after the procedure before returning to the community. They need to be in the company of their significant other or another person for the following day. family/whānau, Requires inpatient admission to theatre Inpatient service users return to the ward after leaving the recovery area for ongoing monitoring. Each ECT session should be recorded separately (eg, 12 sessions are recorded as 12 ECT activities). Is the service user example Case scenario PRIMHD activity Relevant business rules or a direct recipient? type code rationale Activity purpose A service user is prescribed Yes IP A service user is prescribed ECT. The service user is T34 The prescribing clinician ECT taken into theatre with the ECT nurse, the ECT records T34 ECT. – prescribing doctor and the anaesthetist. Following treatment the service user is moved into the recovery ward. Once the service user is ready to leave, they return home (community service user) or back into the mental health inpatient unit (inpatient service user). Community care worker Yes IP or CM The service community care worker brings the T43 Community support user’s – brings service user to ward service user to the ward prior to ECT. contact Community care worker Yes CM The service community care worker comes to Report T43. user’s picks up service user after pick the service user up to take them home, with the If the family members are ECT service family, after ECT. user’s actively involved in discussions about the service user’s wellbeing, report as T36.
T34 – ECT Keywords HISO PRIMHD description Additional comments Inpatient activity setting Record under the prescribing clinician Requires inpatient admission to theatre Electro Convulsive Therapy The service user’s prescribing team type may be community or inpatient (ie, where the ECT was prescribed), but the activity setting for ECT is always inpatient (IP). Community service users are usually given a set time for their ECT treatment and require 2 hours’ monitoring after the procedure before returning to the community. They need to be in the company of their family/whānau, significant other or another person for the following day. Inpatient service users return to the ward after leaving the recovery area for ongoing monitoring. Each ECT session should be recorded separately (eg, 12 sessions are recorded as 12 ECT activities). Activity purpose Is the service user a direct recipient? example Case scenario PRIMHD activity type code Relevant business rules or rationale A service user is prescribed ECT Yes IP A service user is prescribed ECT. The service user is taken into theatre with the ECT nurse, the ECT prescribing doctor and the anaesthetist. Following treatment the service user is moved into the recovery ward. Once the service user is ready to leave, they return home (community service user) or back into the mental health inpatient unit (inpatient service user). T34 The prescribing clinician records T34 – ECT. Community care worker brings service user to ward Yes IP or CM The service user’s community care worker brings the service user to the ward prior to ECT. T43 – Community support contact Community care worker picks up service user after ECT Yes CM The service user’s community care worker comes to pick the service user up to take them home, with the service user’s family, after ECT. Report T43. If the family members are actively involved in discussions about the service user’s wellbeing, report as T36.