Team Nomination Form

The DAISY Team Award is designed to honor collaboration by two or more people, led by a nurse, who identify and meet patient and/or family needs by going above and beyond the traditional role of nursing.

Nomination criteria:

• Teams must be led by a nurse or a group of nurses.
• Teams must be comprised of two or more individuals (not necessarily all nurses).
• Team members exemplify Capital Health’s values and embody the mission.
• Team members are role models of collaboration and teamwork that make a difference in the lives of patients, family, employees, and/or the community.
• The Team’s project is described in detail, including outcomes.

Examples of extraordinary collaborations that may be honored with the DAISY Team Award include:

• A “Prom” organized for a patient who is unable to attend his/her own.
• An ED team dealing with multiple accident victims.
• A wedding for a patient who is unable to attend his/her own outside of the health care facility.
• A fund to provide haircuts to patients who will lose their hair during treatment. Then donating the hair to a charitable organization that can put the hair to good use.
• A process for creating mementos of patients to be given to family members.

Questions? Contact Capital Health Nursing Administration (Capital Health Medical Center - Hopewell: 609-303-4150, Capital Health Regional Medical Center: 609-394-6033).