(Add DAISY logo)
Thank you for recognizing one of our exceptional nurses! (or something like this)
Before you complete the brief nomination form below, here are a few thoughts to consider:
- How did this nurse make a special connection with you?
- How did this nurse go above and beyond to provide support and care?
- Did this nurse show compassion, kindness or empathy?
- What meant the most to you about your interaction(s) with this nurse?
Sample nomination story:
“Our 88-year-old mother was a patient for 2 weeks. Mom was on a roller coaster, we never knew what to expect. Everything was new and frightening to us as we watched her struggle to live. Through it all, Tami was there, working tirelessly, diligently, helping Mom and us understand issues and ramifications. She patiently explained things to us, sometimes more than once, until we got it. Of utmost importance to her was Mom’s comfort. Tami was also concerned about each of us as we went through our own emotional and exhausting roller coaster rides. We looked forward each day to seeing Tami. She obviously cared deeply for Mom. Tami became like family. I wanted to hug her hello and goodbye. Everyday her knowledge and skills were evident. Such as, for 1 tiny example, the day 02 saturation was dropping, chest tubes were in-Tami analyzed the best position to put mom into with those tubes in order to maximize 02 saturation. It worked. Tami’s tireless, devoted, and skilled passion for our mother’s well being made a huge impression on us. She stood out as a nurse willing and able to go beyond the normal call of duty.”
Nomination
If you want to thank your nurse for exceptional care, please complete the DAISY Award nomination form below!
If you have any questions, problems with this form or would like to request a printed copy of the nomination form, please call (designated contact person?) 336.889.8446.