The DAISY Award Nomination
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1.
What is the name of the nurse you would like to nominate?
Please include their first and last name.
2.
What unit or department does this nurse work on?
For example, 11SW, Emergency Room, etc.
3.
On what campus or which location does this nurse work?
-- None --
Ballard
Cherry Hill
Edmonds
First Hill
Issaquah
Other
4.
If the location is "Other", please be specific here so that we can identify the nurse.
For example, West Seattle Clinic, Cancer Institute, etc.
5.
Please tell us your story about how your nurse clearly demonstrated our values of Compassion, Justice, Excellence, Dignity, Integrity and Safety.
6.
What is your relationship to the nurse you are nominating?
-- None --
Patient
Family / Visitor
Physician
Nurse
Employee
Volunteer
7.
Please provide us with your name.
8.
What is your email address, please?
9.
What is your phone number, including area code?
Don't forget to press the DONE button below to submit this nomination. Thank you!
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