Form - Daisy Award Nomination

The DAISY Award is given monthly to an outstanding nurse at WakeMed.

This award recognizes the super-human work that nurses do every day. Please nominate nurses who have demonstrated superior clinical skill and compassionate care so they can be recognized as an outstanding role model.

DAISY is an acronym for Diseases Attacking the Immune SYstem. The DAISY Foundation was formed in January 2000 by the family of J. Patrick Barnes who died at age 33 of complications related to Idiopathic Thrombocytopenic Purpura (ITP), an auto-immune disease. Patrick Barnes’ family vividly recalled the skillful and compassionate care from his nurses and wanted to say “thank you” to nurses everywhere by establishing The DAISY Award.

Thank you for nominating an outstanding WakeMed nurse!

First Name & Last Name or Initial (if you know) of the Nurse You Are Nominating^*

Unit/Floor Where Care Received^*

Location of Your Care

Date(s) of Hospitalization/Care^*

Patient's Name^*

First Name^*

Last Name^*

I am a/an

Email Address^*

Your Relationship to the Patient

Describe how the nominee provided outstanding care^*

Care & Services

Patients & Visitors

WakeMed Physician Practices

Form - Daisy Award Nomination