DAISY Award Nomination Form



The DAISY Award is given to one special nurse each month. If you would like to nominate a nurse for the DAISY Award, please complete the form below.

All DAISY Award recipients will be recognized at the annual awards presentation in May. The award recipient and the nominating person will be notified of the award presentations, provided enough contact information is given.


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as a deserving recipient of the DAISY Award for Extraordinary Nurses.


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

  • Provides the highest quality, compassionate care and services to patient, families, and other guests.
  • Has a positive attitute and outstanding customer service skills.
  • Provides safe, reliable, care.
  • Has a strong sense of advocacy in supporting patients and families.
  • Strives to make every patient and family member’s experience exceptional.
  • Serves as a role model by representing the profession of nursing and upholding excellence in standards of practice.
  • Displays integrity, collaboration, professionalism, individual growth and synergy.
  • Embraces cultural diversity, integrating the patient’s personal preferences and beliefs.
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    Thank you for taking the time to nominate an extraodinary nurse for the DAISY 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.

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