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DAISY Award for Extraordinary Nurses

Colleague Nomination Form

The DAISY Award For Extraordinary Nurses recognizes the compassionate care of extraordinary Registered Nurses (RN). It was established by the DAISY Foundation– a foundation for the elimination of Diseases Attacking the Immune System in memory of J. Patrick Barnes. The Barnes family established the foundation in their son Patrick’s memory because they had experienced first hand the skills, caring and compassion of many nurses. The award is given to recognize outstanding nurses at Arkansas Children’s Hospital.

Nominations received by the 15th of the month will be considered as a nominee for the following month’s award.

I nominate (First Name) (Last Name) , RN from (Department) as a deserving recipient of the DAISY Award. This person consistently meets all of the following criteria (review criteria and enter comments where required).

Compassionate, Quality, Family-Centered Care

Quality of Care

  • Provides high-quality, family-centered, and compassionate care while upholding the ACH safety and behavioral standards
  • Supports evidence-based practice while promoting achievement of positive patient outcomes
  • Develops and supports an environment in which high quality care is provided

Interdisciplinary Relationships

  • Promotes positive interdisciplinary relationships and views them as essential to exceptional
    patient care
  • Collaborates with health care team members and promotes a sense of mutual respect among all disciplines

Nurse as Teacher

  • Incorporates teaching into all aspects of patient care and recognizes its importance in the
    development of other nurses as well as in the provision of quality family-centered care
  • Models excellent interpersonal skills, has a positive attitude and exhibits outstanding customer service skills
  • Encourages and values feedback

Describe how the nurse meets the above criteria:



  • Displays independent clinical judgment within the context of an interdisciplinary approach to care and consistent with professional practice standards

Nursing Leadership

  • A leader who is knowledgeable and a risk taker who exudes the ACH mission on giving care, love and hope
  • Takes initiative and conveys a strong sense of advocacy in supporting the staff, patients and families Quality Improvement
  • Participates in the quality improvement process and perceives the process as one that is essential in improving the quality of patient care

Achievement of Departmental and Organizational Goals

  • Promotes the achievement of departmental and organizational goals in delivering excellent care
  • Abides by ACH principles and values, is in good standing, and has no disciplinary action

Describe how the nurse meets the above criteria:


Image of Nursing

  • Serves as a role model by representing the profession of nursing and upholding excellence in standards of practice
  • Demonstrates that caring and compassion are integral to providing patient care

Professional Development

  • Values personal and professional growth and development. For example, mentors/precepts fellow staff, teaches others, participates in research activities, publications and presentations, or continues formal education
  • Strives for clinical advancement and maintains clinical competency

Describe how the nurse meets the above criteria:

Your Name:
Relationship to Nominee:
Arkansas Children's Hospital
1 Children's Way
Little Rock, AR 72202-3591

Call: 501-364-1100


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