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DAISY Nomination Form

* Nominator Name / Nombre del nominador

* Nominator Type - Are you a? / Tipo de nominador: ¿Usted es...?

Parkland Employee / Empleado de Parkland

Provider / Proveedor

Family/Visitor / Familiar/ Visitante

Volunteer / Voluntario

* Nominee Name (Insert Full Name Please) / Nombre del candidato (Inserte el nombre completo)

* Nominee Job Title / Puesto de trabajo del candidato

RN / RN

LVN / LVN

* Nominee Floor or Unit / Piso o unidad del candidato

* Nominee Setting / Entorno en que se encuentra el candidato

In patient / Hospital

Out patient (Including Correctional Health, COPCs, OPCs, 9 OBS, ED, OGES)/ Ambulatorio (incluida la salud en prision, COPC, OPC, 9 OBS, ED, OGES)

* Please provide a narrative of 150 words or more about why this nominee is deserving of the DAISY recognition and how this person exhibits one of the ICARE values listed below. Please provide specific examples of how your nominee demonstrates attributes of being a DAISY Nurse at Parkland. Share your story about your nominee.

DO NOT use the nominee name or unit in this narrative.

I - Integrity
C - Compassion and Collaboration
A - Accountability
R - Respect
E - Equity

* Proporcione una descripción de 150 palabras o más sobre por qué este candidato merece el reconocimiento DAISY y cómo exhibe uno de los valores ICARE que se enumeran a continuación. Dé ejemplos específicos de cómo su candidato demuestra los atributos de ser un enfermero DAISY en Parkland. Comparta su historia sobre el candidato.
NO mencione el nombre ni la unidad del candidato en su escrito.

I - Integrity (integridad)
C - Compassion and Collaboration (compasión y colaboración)
A - Accountability (responsabilidad)
R - Respect (respeto)
E - Equity (equidad)