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DISCUSSION QUESTION:
Discussion Board Question #3
Ketamine Infusion Clinics – Risks for Practitioners
Advances in psychopharmacology research has opened the door for use of novel drugs for treatment resistant disorders including ketamine, psylocibin, and marijuana. Recently there has been a rapid increase in Ketamine Infusion clinics, specifically for treatment resistant depression (TRD), since its FDA approval in 2019. Ketamine is a highly controlled substance that can induce significant central nervous system (CNS) depression and therefore carries many risks for those willing to provide these types of therapy. Medical providers, more specifically nurse practitioners, face high risk of litigation related to adverse drug reactions and negative effects from prescribed treatments. Prudent nurse practitioners can protect themselves by ensuring they are fully informed regarding the legalities, expectations, and potential ramifications of practice.
Read the attached articles regarding legal considerations for ketamine treatment centers. Considering this information, as a future psychiatric mental health nurse practitioner, what requirements, licensing, credentialing, and precautions would you need in place prior to prescribing intranasal or infused Ketamine? Be sure to consider aspects of practice including federal and state practice requirements, scope of practice limitations, autonomy, and protective documents like controlled substance contracts. Provide at least one evidence based article reflecting on use of ketamine for patient populations, practice guidelines, and/or legal considerations for the advanced nurse practitioner. Also support your information with links to state, federal, and informative websites where you sourced your licensing/credentialing/educational requirements for practice.
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