Daisy Award Nomination
I am a ...
Choose the facility where you received care:
Northwest Medical Center
Name of nurse you are nominating
Where does this nurse work? (Example: department, unit or area of the hospital)
This nurse exhibits the following highly valued qualities and attributes (check all that apply):
Demonstrates professionalism in the work environment
Job performance exemplifies the mission, vision and value of Northwest Healthcare
Collaborates with the health care team to meet patient needs
Uses critical thinking skills in the delivery of extraordinary patient care
Demonstrates excellent interpersonal skills with peers and co-workers
Models empathy and demonstrates a caring attitude in all situations
Excellent educator of patients and their families
Consistent focus on meeting patient and family goals
Please briefly tell us about your experience with the nurse you feel went above and beyond to make things better for you, your family member or a friend.
I agree that part or all of my nomination form may be published on this page. My name and any protected health information will not be included, but comments I provide as to why this person should by a Daisy Award winner may be published.
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