In one instance, a patient experienced a severe psychotic episode combined with aggressive behavior. I immediately called for backup and ensured the safety of both the patient and the staff. I then engaged the patient in a calm, reassuring manner, using therapeutic communication techniques to de-escalate the situation. Once the patient was stable, I coordinated with the psychiatrist to adjust the medication plan and provided ongoing support to prevent future episodes.

I prioritize tasks by assessing the immediate needs of each patient and the overall unit dynamics. I start with life-threatening situations, then move to stabilizing patients with severe psychiatric symptoms. I also ensure that routine care, such as medication administration and documentation, is maintained. Effective communication with the team helps in distributing tasks efficiently, ensuring that no critical aspect is overlooked.

Building trust involves active listening, empathy, and consistency in care. I make a conscious effort to understand each patient's unique background and experiences. I maintain a non-judgmental attitude and validate their feelings. By consistently showing respect and concern, I create a safe space where patients feel heard and understood, which is crucial for effective treatment and recovery.

Ethical dilemmas are approached with a focus on patient autonomy, beneficence, and non-maleficence. I consult with colleagues and seek guidance from ethical guidelines and policies. Open communication with the patient and their family, when appropriate, helps in making informed decisions. I also document all discussions and decisions to ensure transparency and accountability.

I have extensive experience with crisis intervention techniques, including de-escalation strategies and the use of seclusion and restraint when necessary. I prioritize verbal de-escalation through active listening and empathy. When physical intervention is required, I follow strict protocols to ensure the safety of all involved. Post-crisis, I conduct debriefing sessions with the team and provide support to the patient to prevent future crises.