Please describe a situation involving the nurse you are nominating that clearly demonstrates he/she meets the criteria for The DAISY Award:
______
About The DAISY Foundation
The DAISY Foundation was established in 1999 by the family of J. PatrickBarnes who died of complications of the auto-immune disease IdiopathicThrombocytopenia Purpura (ITP) at the age of 33. (DAISY is an acronym for diseases attacking the immune system.) During Pat’s 8 week hospitalization,his family was awestruck by the care and compassion his nurses provided not only to Pat but to everyone in his family. So one of the goals they set in creatinga Foundation in Pat’s memory was to recognize extraordinary nurseseverywhere who make an enormous difference in the lives of so many peopleby the super-human work they do everyday.
What Is The DAISY Award?
The DAISY Award is an international program that rewards and celebrates the extraordinary clinical skill and compassionate care given by nurses everyday. Fox Chase Cancer Center is proud to be a DAISY Award Partner, recognizingone of our nurses with this special honor every three months.
Each DAISY Award Honoree will be recognized at a public ceremony in
his/her unit and will receive: a beautiful certificate, a DAISY Award pin, anda hand-carved stone sculpture entitled A Healer’s Touch. Additionally, everyone in the unit will celebrate with Cinnabon® cinnamon rolls – a favorite of Patrick’s during his illness. The Barnes Family asks that whenever andwherever nurses smell that wonderful cinnamon aroma, they stop for amoment and think about how special they are.
How to Nominate An Extraordinary Nurse
Patients, visitors, nurses, physicians, employees and volunteers may nominate a deserving nurse by filling out this form and submitting it to Mickey Mullin, Office H4-139. An electronic version for hospital employees is available on MyPortal.
NOMINATION FORM
I would like to nominate______from the ______unit/department as a deserving recipient of The DAISY Award. This nurse serves as a role model for professional nursing through his/her demonstration of a commitment to excellence in clinical skill, compassionate care, communication and exemplary service.
Please answer the following and provide a description
on the next page to complete your nomination.
Thank you for taking the time to nominate an extraordinary nurse for this award. Please tell us about yourself, so that we may include you in the celebration of this award if the nurse you nominated is chosen.
Your Name ______
Phone ______Email ______Unit/Dept ______
Date of nomination ______
Patient ____ Family/Visitor ____ MD ____ RN____ Staff ____ Volunteer ____
DEADLINE: Nominations must be received by the last Friday in February, May, August and November. Please submit this nomination via internal Fox Chase mail to Mickey Mullin, H4-139. If you have any questions, call 215-728-3411.