DAISY Award Nomination

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Name of Nominee:

Department Nominee works in:

Name of Nominator:

Describe how your Nominee has contributed to the delivery of quality patient care:

How would you describe how this nominee demonstrates compassion to those he/she serves?:

Was there a specific event or situation that prompted or inspired you to nominate this outstanding nurse? Please share your story:

WEB DEVELOPMENT BY

Van Diest Medical Center