DAISY nomination

DAISY nurses are recognized for the extraordinary acts of compassionate care and clinical excellence they demonstrate every day in their work with patients. They are not only a trusted caregiver but also an emotional support for patients and families. They possess excellent clinical and critical thinking skills, are committed to the highest standards of professional nursing practice and always keep the patient and their family at the center of care.

If you have any questions, please call 541-706-3795 or email: thankanurse@stcharleshealthcare.org

Thank you for taking the time to thank your nurse!

First Name	Last Name


Email Address

Please contact me if my nurse is chosen as a DAISY Honoree so that I may attend the celebration.

Yes

I am (please check one):*

Patient

Family/Visitor

Staff

Volunteer

Date of nomination*

Name of nurse you're nominating:

City and location where this nurse works (please include as much info as possible - city, clinic/hospital, dept/floor):*

I would like to thank my nurse. Below is my story of the particular act of compassion that caused me to submit this nomination. (Please provide as much detail as possible in your story.)*