Origin Author Kesey stated that he based Ratched on the head nurse of the psychiatric ward where he worked. He later ran into her at an aquarium, realizing "She was much smaller than I remembered, and a whole lot more human." The 1940s
pageboy hairstyle was, according to Louise Fletcher, "a symbol that life had stopped for her (Ratched) a long time ago".
Appearance In Ken Kesey's novel, Ratched "the Big Nurse" is described by Chief Bromden according to him: "She had a face that is smooth, calculated, and precision-made, like an expensive baby doll, skin like flesh-colored enamel which is a blend of white and cream, with baby-blue eyes, and a small nose with pink little nostrils. The only features that does not match Ratched's appearance are her lips and fingernails that are both an "odd" or "funny" red-orange, like the tip of a soldering iron, a color that looks so hot or so cold that if she touches someone with it, no one could tell which." Her breasts are described as either "massive" or "over-sized". She wears a white, heavily starched nurse's uniform that she uses to conceal her top-heavy bosom as she is ashamed and embittered of them. She wears her hair in a tight bun and high heels where she walks stiffly everywhere she goes, and sometimes carries a woven wicker bag that contains pills, needles, wire, and forceps. To everyone else, she is a dull-looking middle-aged woman and is mainly an intimidating nurse who comes off as a twisted maternal figure to her patients. Milos Forman's depiction of the character, who is played by Louise Fletcher, however, is based on the stage-play performances of the character in Broadway, New York. ==Character biography==