Thank an Employee DAISY Award Nomination Form - Springfield Staff Thank you for nominating a CoxHealth nurse for a DAISY Award. Nominated nurses should provide compassionate care that exemplifies the kind of nurse patients, families and CoxHealth professionals recognize as an outstanding role model. * Required Fields Nurse' s name and unit * This nurse exhibits these highly valued attributes * Please check all that apply. 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. * Your name * What's your role? * Employee RN LPN Patient Family/Visitor MD/DO Volunteer If you're an employee or physician, in what unit or department do you work? * Your phone number * Your email address * Date of nomination * Example Format: MM/DD/YYYY leave this field blank to prove your humanity