Northern Nevada Health System DAISY Award Nurse Nomination
Please fill the form below as accurately as possible. We appreciate your nomination and recognition of our outstanding nurses.
Nurses Name (Include first and last, if known)
*
Unit/Floor/Department (e.g. MedSurg, ER, Surgical, ICU, MedTele)
*
Name
First Name
Last Name
Your Email Address
*
example@example.com
Date of Visit (if known)
*
-
Month
-
Day
Year
Date
I am (please check one)
*
Patient
Visitor
Nurse
Physician
Staff Member
Volunteer
Which facility applies? (select one)
*
Northern Nevada Medical Center (Sparks)
Sierra Medical Center (Reno)
ER at McCarran NW
ER at Spanish Springs
ER at Damonte Ranch
Thank A Nurse
Please describe a situation in which the nurse demonstrated compassionate care and how it impacted you. Please provide as much detail as possible.
Nomination Here
*
0/500
Insert an attachment here (e.g. printed nomination form)
Browse Files
Cancel
of
Submit
Should be Empty: