Nurse Ratched looked over the hidden asylum underneath the Storybrooke hospital, and sat at a desk. When Regina Mills goes down there to check on Belle, she asks if anyone has come down to see her, to which Ratched replies that nobody ever does. Later, Jefferson drugs Nurse Ratched's tea which knocks her unconscious so that he can free Belle, and tells her to go to Rumplestiltskin and tell him Regina locked her up.
After Belle crosses the town line and loses her memories, she is sent back to the hospital. On one occasion, Belle starts questioning Ruby and Nurse Ratched sedates her, even though Belle says she doesn't need it. Later, when Rumplestiltskin goes to pick Belle up from the hospital, she is gone. Rumplestiltskin calls on the nurse, who says that Belle was there not long ago, to which Rumplestiltskin angrily tells her to find Belle.
She is sitting behind her desk, and watches as Regina takes her sister Zelena to one of the cells in the asylum.
Henry "accidentally" spills his drink on Nurse Ratched in order to create a distraction, allowing Captain Hook to free Zelena from her cell. After Zelena is returned to her cell, Ratched is ordered to only feed Zelena organic produce, much to Zelena's disdain. Eventually, Zelena's pregnancy progresses at an alarming rate due to Emma's dark magic, prompting Ratched to call Regina. She is present with Dr. Whale, who delivers Robyn.
In order to get information from patient Mr. Hyde, Ratched handles Regina's lasagna as an attempted bribery. Later, Regina returns to confront Isaac. Ratched notes that Isaac has not been visited since his imprisonment. Under the Black Fairy's curse, Ratched oversees the mental hospital that Emma Swan is incarcerated in.
- None known (family)
- She is based on Nurse Ratched from the story One Flew Over the Cuckoo's Nest.
- S1, E12: "Skin Deep"
- S1, E22: "A Land Without Magic"
- S2, E13: "Tiny"
- S2, E19: "Lacey"
- S4, E20: "Mother"
- S5, E01: "The Dark Swan"
- S5, E06: "The Bear and the Bow"
- S5, E08: "Birth"
- S5, E10: "Broken Heart"
- S6, E03: "The Other Shoe"
- S6, E16: "Mother's Little Helper"
- S6, E21: "The Final Battle, Part One"