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Daisy Award Nomination Form

DAISY Award Nomination

PLEASE NOMINATE ONE NURSE PER SUBMISSION. THANK YOU!

The DAISY Award for Extraordinary Nurses recognizes the “super-human work nurses do every day.” It was established by the DAISY Foundation – a foundation for the elimination of Diseases Attacking the Immune System in memory of Patrick J. Barnes. Mr. Barnes’ parents established the foundation in Patrick’s memory because they had experienced first-hand the skills, the care and compassion of many nurses. To learn more about the DAISY Foundation, go to www.daisyfoundation.org.

The quarterly award is given to an outstanding RN/LPN at TriHealth.

TriHealth Hospital/Facility I visited:
I would like to nominate a nurse because he/she is a deserving recipient of the DAISY Award. This RN/LPN exemplifies the kind of nurse that patients and families, as well as nurses, physicians and other members of the healthcare team, recognize as an outstanding role model.
I am nominating:
Please specify the nominee's unit:
Your name:
I am a(n):
Phone Number:
Date: