NURSE' S NAME AND UNIT
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THIS NURSE EXHIBITS THESE HIGHLY VALUED ATTRIBUTES
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Portrays a positive attitude in challenging situations
Exemplifies CoxHealth's mission/vision/values
Generates enthusiasm and energy toward meeting patient care goals
Demonstrates extraordinary critical thinking skills while delivering exceptional patient care
Goes above and beyond to ensure the comfort of patients & families
Establishes a special professional connection with patients & families through emotional support
Exhibits passion in the delivery of excellent nursing care
PLEASE WRITE A PARAGRAPH DESCRIBING THE SITUATION(S) INVOLVING THE NURSE YOU NOMINATED THAT ILLUSTRATES HOW HE OR SHE MEETS THE CRITERIA FOR THE DAISY AWARD. CRITERIA INCLUDES COMPASSION, AS WELL AS THE ATTRIBUTES NOTED ABOVE.
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YOUR NAME
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First Name
Last Name
WHAT'S YOUR ROLE?
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Employee
RN
LPN
Patient
Family/Visitor
MD/DO
Volunteer
IF YOU'RE AN EMPLOYEE OR PHYSICIAN, IN WHAT UNIT OR DEPARTMENT DO YOU WORK?
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YOUR PHONE NUMBER
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Enter your phone number without any spaces
Format: (000) 000-0000.
YOUR EMAIL ADDRESS
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example@example.com
DATE OF NOMINATION
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Month
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Day
Year
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