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 E-mail Address
Please indicate the hospital associated with this exemplar
Ronald Reagan UCLA Medical Center
Santa Monica UCLA Medical Center
Resnick Neuropsychiatric Hospital UCLA
Health System or Other
Unit/Area(s) of Exemplar
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.
Name of appropriate follow up contact (if not you)
Email of appropriate follow up contact (if not you)
Any other notes or contact people?
Should be Empty: