Award Nomination Form

RM_Stats
Nomination Award Form
Recognition Type^*
Daisy Award (Nurses)

Daisy Award (Nurse Managers)

Ho'okipa (Clerks, Secretaries, Support Staff)

Sunshine (Aides, Techs)

Nominee
Department/Floor
The nominee consistently meets all of the following criteria:

Attentive Approachable Courteous Empathetic

Compassionate Responsive Respectful Enthusiastic

Please describe a situation involving the nurse you are nominating that clearly demonstrates he/she meets the criteria for the award

Thank you for taking the time to nominate an extraordinary person 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.

Email^*
Name:
Unit/Dept (If applicable)
Phone
I am a (please check one)
RN

Patient

Family/Visitor

MD

Staff

Volunteer

Award Nomination Form

Nomination Award Form

Keyword Search Field

Quick Links

Follow us online:

HMC Links

Quick Links

News Categories

Recent Articles

Keyword Search Field