Daisy Award Nomination Form 

Medical University of South Carolina participates in a nursing recognition program called The DAISY Award for Extraordinary Nurses. Nominations can be submitted by anyone - patients, visitors, as well as physicians, nurses and all MUSC staff and volunteers. Nominations received will be considered for the next DAISY Award selection.

The DAISY Award for Extraordinary Nurses recognizes the very special work nurses do every day. It was established by the DAISY Foundation – an organization for the elimination of diseases attacking the immune system – in memory of J. Patrick Barnes. Barnes’ parents established the foundation in their son’s memory because they had experienced firsthand the skills and compassionate care of many nurses. The award is given to outstanding nurses in more than 1700 hospitals in 13 countries. The DAISY Foundation asked if they could bring this national award program to our hospital.

DAISY Award Nominee: is an RN, LPN, or APN (Advanced Practice Nurse), and a deserving recipient of the DAISY Award. This nurse exemplifies the kind of nurse that patients and families, as well as MUSC staff, recognize as an outstanding role model.
Location Type
Nominee's Unit / Clinic:
This nurse exhibits the following highly valued qualities and attributes: (check all that apply) Job performance exemplifies the mission, vision, and value of MUSC
Demonstrates professionalism in the workplace
Collaborates with the health care team to meet patient's needs
Uses critical thinking skills in the delivery of extraordinary patient care
Demonstrates excellent interpersonal skills with peers and co-workers
Models empathy and demonstrates a caring attitude in all situations
Excellent educator of patients and their families
Consistent focus on meeting patient and family goals
Please summarize a situation involving the nurse you are nominating that clearly demonstrates that he or she meets the criteria for the DAISY award:
Submitted By:
Where did you learn about the DAISY Award? (check all that apply) at the hospital
patient survey
MUSC Health website
DAISY website
Your Role: RN
Family Member
Please check here if you do NOT want your name to be included when sharing the winning nomination.


MUSC Health

Julie Floyd / Donna Padgette 08/20/14