The DAISY Award for Extraordinary Nurses Nomination Form

The DAISY Award recognizes nurses who provide extraordinary, compassionate care to patients and families. We invite you to nominate a nurse who made a meaningful difference in your experience. Please share your story and tell us why this nurse deserves recognition. Learn more at DAISYFoundation.org.

About the Nurse

Your Nomination Story

Example Story: "Our 88 year old mother was a patient for 2 weeks. Mom was on a roller coaster, we never knew what to expect. Everything was new and frightening to us as we watched her struggle to live. Through it all, Tami was there, working tirelessly, diligently, helping Mom and us understand issues and ramifications. She patiently explained things to us, sometimes more than once, until we got it. Of utmost importance to her was Mom's comfort. Tami was also concerned-expressed repeatedly-about each of us, Mom's family, as we went through our own emotional and exhausting roller coaster rides. We looked forward each day to seeing Tami. She obviously cared deeply for Mom. Tami became like family to us. I wanted to hug her hello and goodbye. Everyday her knowledge and skills were evident. Such as, for one tiny example, the day 02 saturation was dropping, chest tubes were in, Tami analyzed the best position to put mom into with those tubes in order to maximize 02 saturation. It worked. Tami's tireless, devoted, and skilled passion for our mother's well being made a huge impression on us. She stood out as a nurse willing and able to go beyond the normal call of duty."

About You

Providing your contact information is optional. The hospital may use it to follow up if additional details are needed about your nomination.

Additional Information & Consent