Electroconvulsive therapy Steps of application summarised. Step-1:  Preparing the patient Obtain consent, pass intravenous line, perform a physical examination. Get the patient nil -by-mouth at midnight. Before shifting the patient to the electroconvulsive therapy room, Check case notes including the medication chart for medications that affect seizure threshold or interact with anaesthesia, the outcome of earlier electroconvulsive treatments, especially seizure duration and complications. Check for the placement—whether unilateral or bilateral—agreed. Confirm there is a valid consent form.  The nursing staff checks vital signs, have the patient void, remove dentures, jewelry, hairpins, eyeglasses, and change into a gown.  Step-2: Pre-p rocedure When the patient enters the treatment room, introduce yourself, put the patient at the ease, and confirm their identity. Also, confirm the patient has been nil-by-mouth for at least 5-hours. Confirm the patient continues to consent. Check vital