Daisy Foundation

What is the DAISY Foundation?

An acronym for Diseases Attacking the Immune System, The DAISY Foundation was formed in November 1999, by the family of J. Patrick Barnes who died at age 33 of complications of Idiopathic Thrombocytopenic Purpura (ITP). The nursing care Patrick received when hospitalized profoundly touched his family.

The DAISY Award for Extraordinary Nurses Nomination Form

The DAISY Award is an international recognition program started in memory of J. Patrick Barnes. Pat’s family experienced first-hand the difference his nurses made in his care through clinical excellence and outstanding compassionate care. The family created The DAISY Award to express gratitude to nurses and to enable other patients, families, and staff to thank and honor their special nurses.

Please visit daisyfoundation.org to learn more about Pat’s story and how The DAISY Award recognizes extraordinary nurses.

Complete this form to share your story of how a nurse made a difference in your care or that of someone you know:

1. First name of the nurse you are nominating:(Required)

2. Last name of the nurse you are nominating:(Required)

3. If you would like to nominate multiple team members for The DAISY Team Award, please list each names separated by a comma e.g. Jane, Joe:(Required)

4. Name of organization where your nurse works:(Required)

5. Unit or clinic where this nurse works:(Required)

6. City where your nurse works:(Required)

7. State where your nurse works:(Required)

Please describe a specific situation or story that clearly demonstrates how this nurse made a meaningful difference in your care.

Note: If using a mobile device to enter this E-Nomination you can easily enter your story by selecting the microphone button on your device and dictating your story instead of typing.

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