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Daisy award graphic

DAISY Award Nomination

Thank you for taking a few moments to nominate a deserving Registered Nurse for the DAISY Award.

Salem Health Values

Excellence | Caring | Integrity | Accountability | Teamwork


Daisy Nomination Form

Nominee Information

Nominee First Name
Nominee Last Name
Where did you encounter the nominee? (Department, unit, hospital area, etc.)
Your nominee must excel in four qualities to be considered for the award: Clinical Skills, Compassionate Care, Exemplary Service and Continued Commitment to Excellence. In each of the sections below, please briefly describe examples of why your nominee deserves the Daisy Award.
Clinical Skills
Compassionate Care
Exemplary Service
Continued Commitment

Your Information

Your Name
Your Phone
Your Email

Which best describes you ?

If Other, please explain