Nominate a Magnet® Exemplar!
Please fill out this form and we will get in touch with you shortly. If you have any questions, please contact Isabelle Schenkel (ISchenkel@mednet.ucla.edu).
Your Name
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First Name
Last Name
Your E-mail Address
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Please indicate the hospital associated with this exemplar
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Please Select
Ronald Reagan UCLA Medical Center
Santa Monica UCLA Medical Center
Resnick Neuropsychiatric Hospital UCLA
Health System or Other
Unit/Area(s) of Exemplar
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Magnet Exemplar: Briefly describe the exemplar with any relevant information you have including: dates, outcomes and the names of leaders, clinical nurses and other participants as relevant.
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Name of appropriate follow up contact (if not you)
First Name
Last Name
Email of appropriate follow up contact (if not you)
Any other notes or contact people?
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