€¦ · Web viewThis will be awarded to a Registered Nurse who is recognised by their peers as a...
Transcript of €¦ · Web viewThis will be awarded to a Registered Nurse who is recognised by their peers as a...
NOMINATION FORMJudith Philipson Excellence Award
This will be awarded to a Registered Nurse who is recognised by their peers as a nurse who demonstrates inspired child health nursing care delivery at the bedside.
Please complete ALL sections of the nomination form.
Nomination forms must be submitted on or before Thursday 24 March 2016
Completed nominations should be emailed to [email protected]
NOMINEE DETAILS (Their details)
Full name:
Current role:
Service area:
Email address:
NOMINATOR DETAILS (Your details)
Full name:
Service area:
Contact phone number:
Tell us why you are nominating the nurse, please include something in each of the appropriate sections.
Value based, compassionate nursing care delivery
Respectful partnerships with families and children
Excellent standards of clinical nursing
Supports their nursing colleagues and has a team approach to care
Upholds professional nursing standards
Any other comments
(Maximum word count: 200 words for each section)