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Nurses The DAISY Award

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In collaboration with The American Organization of Nurse Executives

I would like to nominate the following nurse as a deserving recipient of The DAISY Award:

Name:
Unit/Dept:

This nurse’s clinical skill and especially her/his compassionate care exemplify the kind of nurse that our patients, their families, and our staff recognize as an outstanding role model. She/he consistently meets all of the following criteria:

Provides kind, nurturing and empathetic care to patients and their families
Utilizes nursing training and specialized skills in a competent and confident manner
Acts as an advocate for patients and their families

Please describe a situation involving the nurse you are nominating that clearly demonstrates he/she meets the criteria for The DAISY Award:

Thank you for taking the time to nominate an extraordinary nurse for this award. Please tell us about yourself, so that we may include you in the celebration of this award should the nurse you nominated be chosen.

Your Name:			Email:
Phone:			Date of nomination: