Daisy Award Nomination Form

Help CalvertHealth Recognize Nurses Who Make A Difference.

DAISY Award recipients personify CalvertHealth’s remarkable patient experience. These individuals demonstrate excellence through extraordinary service and compassionate care and are recognized as outstanding role models in the nursing community. She/he may demonstrate any of the following criteria:

Compassionate care
- Demonstrates exceptional compassion, empathy, and kindness in patient care.
Clinical excellence
- Consistently applies advanced clinical knowledge, critical thinking, and skills to provide high-quality care.
Collaboration and teamwork
- Actively contributes to a collaborative work environment.
Advocacy
- Exemplifies professionalism in all aspects of care. Demonstrates leadership skills by mentoring, advocating, and supporting improvements in care.

Nominee's First Name *

Nominee's Last Name *

Nominee's Department/Unit

Please describe a situation involving the nurse you are nominating that clearly demonstrates how she/he meets the criteria for The DAISY Award: *

Your First Name *

Your Last Name *

Your Email Address

Your Department/Unit

Phone Number