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Nominee Information
Nominee
Nominee Unit or Department
Criteria Met
Courteous
Compassionate
Attentive
Approachable
Responsive
Respectful
Empathetic
Enthusiastic
Nominee Situation
Please describe a situation involving the nurse you are nominating that clearly demonstrates he/she meets the criteria for The DAISY Award.
Your Information
Your name
Your Unit
Your Phone
Your Pager
I am a
RN
Patient
Family/Visitor
MD
Staff
Volunteer
Your email address
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