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The DAISY (Diseases Attacking the Immune SYstem) Award is an international recognition program that honors and celebrates the skillful, compassionate care nurses provide every day. The DAISY Foundation was established by the family of J. Patrick Barnes after he died from complications of the auto-immune disease ITP in 1999. During his hospitalization, they deeply appreciated the care and compassion shown to Patrick and his entire family. When he died, they felt compelled to say “thank you” to nurses in a very public way. Please say thank you by sharing your story of how a nurse made a difference you will never forget!

1. Please provide us with some information about yourself. If the Clinical Nurse you nominate is chosen, we would like to include you in the celebration.

My Name

My Work unit, clinic, or floor

My Phone #

My Email

My Pager

I am a (RN, MD, Staff, Volunteer)

2. This nurse’s clinical skill and especially her/his compassionate care exemplify the kind of nurse that our patients, their families, and our staff recognize as an outstanding role model. She/he consistently meets all of the following criteria:

Demonstrates a caring attitude.
Listens with her/his heart.
Significantly makes a difference in the life of a patient.
Consistently focuses on meeting the needs of patients and families.
Good assessment and critical thinking skills.
Consistently brings enthusiasm and energy to her/his daily work.

Nurse Nominee's name

Where the nominee works (name of unit, clinic, or floor)

3. Please describe a situation involving the clinical nurse you are nominating that clearly demonstrates how she/he meets the criteria for the DAISY Award.

Thank you for your time and commitment to the DAISY Award Program!
Once you click on "DONE" this nomination will be submitted for review. If you would like to nominate another nurse, please return to the link in your original email and open a new nomination form. You may nominate as many nurses as you would like.
DAISY Award recipients will be honored at a special celebration held at their workplace during their shift. If you have any questions, please contact:

Caitlin Heberer
Caitlino@hs.uci.edu
(714) 456 - 5921