That post seeking information on psych nursing was prompted by—well by a lot of things, I have a lot of feelings when I’m on that floor, chief amongst them being “I didn’t become a nurse to become a cop”—but in particular, a bit ago I was having a long conversation with a patient because they were feeling super nauseated but didn’t feel comfortable taking anti-nausea medication. And this patient was going through a lot (I’m gonna keep this pretty vague) and was fixated on this idea that someone at the hospital was poisoning their food for reasons explained to me in-depth. Okay, no meds then, we try some other stuff and I make them tea and we walk around, and they start feeling better thankfully, and even agree to take the nausea meds.
It’s been a good conversation and we’re really getting on, I think, so I talk with them a while longer, and we get back on the subject of the hospital, and the patient tells me a delusional thought they have about the hospital that was both impossible to be true and would be horrible if it was.
(This isn’t the delusion, but imagine it’s something equivalent to something like “the hospital gives out deadly nanotechnology to the nurses so that we can kill whatever patients we find annoying.” Something that is both evil and logistically impossible. We got a sternly worded email about too many employees using patient blankets for warmth and it was driving up the laundry bill, you know? Our unit is excited because we’re finally gonna get our own work phones instead of having to borrow everyone else’s. They aren’t giving us CIA murdertech and a license to kill. Also the vast majority of healthcare workers do not want to kill their patients. But again, just pragmatically, it’s not the budget.)
And I said something like, “For what it’s worth, I have never seen any evidence of that in my work. I know the hospital is a flawed institution, but if it was doing the thing you say it is doing, I could never work here.”
And the patient said, “if they’re doing what I say they’re doing, you have an obligation to keep working here so you could stop it.”
And god I’ve been thinking about that ethical argument ever since.