Quote from chrissypsychRN09
I think it helps to be able to drink the kool-aid sometimes. You know, jump on the boat or the crazy train and accept things that you wouldn't normally accept outside of the psych ward.
Sometimes that is the answer. As long as the patient and the milieu are safe, sometimes the better option is the, shall we say, less-than-normal one. I had a freshly-arrived patient who would spend most of his day on the patio talking to the crows. Wasn't bothering the other patients at all, but my tech kept reporting this to me.
"Is he doing anything dangerous?" I asked.
"No," said the tech.
"Then let him get his bird on," I told her.
I knew that trying to redirect him from doing that, especially since he was agitated from the moment he was brought in to us, would just escalate him. The milieu was quiet, he was content...and subsequently a little more cooperative later on.
Is the "crazy" or less-than-normal option always the better one? No. Sometimes it is, sometimes it isn't. It's a true judgment call.
And you know you're a psych nurse when you can recognize most benzodiazepines and psychotropics by sight. Hand me a filled psych medicine cup and I can name almost of the medications in it without looking them up.