Online Survey Software | Qualtrics Survey Solutions

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.

The DAISY Team Award is designed to honor collaboration by two or more people, led by a direct-care nurse, who identify and meet patient and/or patient family needs by going above and beyond the traditional role of Nursing.

1. Please provide us with some information about yourself. If the Nurse-led Team 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. The Nurse-led Team I would like to nominate is a deserving recipient of the DAISY Team Award. The Team Award meets the following criteria:

Team must be led by a nurse or group of nurses
Team must be comprised of 2 or more individuals
Team exemplifies UCI Health’s values and embodies our mission
Team members are role models of collaboration and teamwork made a difference in the lives of patients, families, employees or community

Nurse-led Team Nominee's name

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

3. Please describe a situation involving the team you are nominating that clearly demonstrates how they met the criteria for the DAISY Team 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 Team Award, please return to the link and open a new nomination form. You may nominate as many Team Awards 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