DAISY Nurse Award Nomination Form

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What is the DAISY Award?

The DAISY Award is an international program, recognized nationwide and in 33 countries, which celebrates and rewards nurses, nurse leaders and nursing teams that exhibit extraordinary care, exemplified in compassionate care and excellent clinical skills.

The DAISY Foundation was created in 1999 by the Family of J. Patrick Barnes who died at the age of 33, due to complications of an autoimmune disease, Idiopathic Thrombocytopenia Purpura (ITP). DAISY is an acronym for Diseases Attacking the Auto Immune System.

Patrick received extraordinary care from his nurses and his family felt compelled to express their profound gratitude for the compassion and skill nurses bring to their patients and families every day. It was their goal, through the Foundation they created in Pat’s memory, to recognize extraordinary nurses everywhere who make a “difference” in the lives of their patients and their patients’ families.

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Nomination Form

I would like to nominate:

as a deserving recipient of The DAISY Award. This nurse’s clinical skills 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.
 
UK Location (please check one)
Please describe a specific situation or story that clearly demonstrates how this nurse made a meaningful difference in your care. To be eligible, you must write at least 75 words and give specific examples of outstanding care.  
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.
I am (please check one):
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