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DAISY Nomination Form

The DAISY (Diseases Attacking the Immune System) Award is an international recognition program that honors and celebrates the skillful, compassionate care that nurses provide everyday. The DAISY Foundation was established by the family of J. Patrick Barnes after he died from complications of the auto-immune disease ITP in 1999. During his hospitalization, they deeply appreciated the care and compassion shown to Patrick and his entire family. When he died, they felt compelled to say “thank you” to nurses in a very public way. Heartland Regional Medical Center is proud to be a DAISY Award partner.

Nominate a Nurse for the DAISY Award

What Is the DAISY Award?

The DAISY Award is an international program that rewards and celebrates the extraordinary clinical skill and compassionate care given by nurses every day. Heartland Regional Medical Center is proud to be a DAISY Award partner, recognizing one of our nurses with this special honor every quarter.

To find out more about the program, including the growing list of partners, visit DAISYfoundation.org.

Who can nominate a nurse for the DAISY Award?

Patients, families, or visitors may nominate a deserving nurse by filling out a nomination form and submitting it in one of the nomination boxes around the hospital. 


The DAISY Award for Extraordinary Nurses Nomination Form

Please tell us about yourself…

Thank you for taking the time to nominate an extraordinary nurse for this award. Please tell us about yourself so we may notify you if the nurse you nominated is chosen.

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DAISY Award winners are chosen and honored quarterly. Nominations are collected from online submissions and collection boxes before the last day of each quarter.

I would like to nominate the following person as a deserving recipient of The DAISY Award.

The nominee consistently meets all of the following criteria:
  • Always has a positive attitude and demonstrates professionalism in the work environment.
  • Establishes a special professional connection with patients and families through trust, compassion and emotional support.
  • Excellent critical thinking and decision-making skills.
  • Works as a member of the interdisciplinary health care team to meet the needs of patients and families.
  • Significantly affected the life of a patient/family by going above and beyond.
  • Passionate about their job as a Heartland Regional Medical Center nurse.