DAISY Award Nomination Form
Please complete this form to nominate an excellent nurse for the DAISY Award.
Your Unit or Department
Your Phone Number
I am a/an:
I would like to nominate (name):
By nominating this person for the DAISY Award, I believe this nurse’s clinical skill—and especially his or her compassionate care—exemplifies the kind of nurse that our patients, their families, and our staff recognize as outstanding. This nurse consistently meets all of the following criteria:
•Demonstrates critical thinking and decision making skills
•Offers compassionate care to patient and families
•Establishes a special connection with families through trust and emotional support
•Focuses on meeting patient and family goals
•Educates patients and families
•Is committed to the profession of nursing
Please share why this nurse is so special.
Please share a specific story that illustrates why this nurse deserves the DAISY award:
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