I've been a nurse since before you were born, and a hospice nurse for 7 years. My concern/peeve is this:Ativan is sometimes ordered and given for agitation, with no Haldol or other antipsychotic available. This drives me to. . . psychosis.In my book, benzos are for insomnia and/or anxiety, in pts who still have their marbles. In pts who have delirium and delusions, especially paranoid delusions, I think benzos frequently make them worse. AND make them fall - the confusion and restlessness are no better, and they're more unsteady.I often use the two in concert, but I NEVER choose to use a benzodiazepine as first line in someone who is striking out, confused, and especially paranoid.When I rule the world, I'll be sure that every admission has a kit containing a little Haldol, Ativan, OMS, and atropine drops. Oh, and a stunning array of bowel meds.Thoughts?