Want to Say Thank You To Your Nurse or Midwife? Share Your Story!

The DAISY (Diseases Attacking the Immune System) Award is an international recognition program that honors and celebrates the skillful, compassionate care nurses provide every day. The DAISY Foundation was established by the family of J. Patrick Barnes after he died from complications of the auto-immune disease, Idiopathic Thrombocytopenic Purpura 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. To learn more, visit DAISYFoundation.org Please say thank you by sharing your story of how a nurse made a difference you will never forget!

Your Information

Full Name *

Phone Number*

Email Address*

Please contact me if my nurse is chosen so that I may attend the celebration if available.*

Date of nomination*

If you have any questions, please contact nurses in your unit.

Sample Nomination Story:

Our 88-year-old mother was a patient for 2 weeks. Mom was on a roller coaster, we never knew what to expect. Everything was new and frightening to us as we watched her struggle to live. Through it all, Tami was there, working tirelessly, diligently, helping Mom and us understand issues and ramifications. She patiently explained things to us, sometimes more than once, until we got it. Of utmost importance to her was Mom’s comfort. Tami was also concerned about each of us as we went through our own emotional and exhausting roller coaster rides. We looked forward each day to seeing Tami. She obviously cared deeply for Mom. Tami became like family. I wanted to hug her hello and goodbye. Everyday her knowledge and skills were evident. Such as, for 1 tiny example, the day 02 saturation was dropping, chest tubes were in-Tami analyzed the best position to put mom into with those tubes in order to maximize 02 saturation. It worked. Tami’s tireless, devoted, and skilled passion for our mother’s well being made a huge impression on us. She stood out as a nurse willing and able to go beyond the normal call of duty.

To Nominate an Extraordinary Nurse or Midwife:

Anyone may thank a deserving nurse by filling out this form and submitting it in the DAISY Award nomination Box.

Name of the nurse you are nominating:*

Unit where this nurse or midwife works:*

Please share your story of why your nurse is so special, providing as much detail as possible.*