Nurse Leader Nomination

Nurse Leader of the Year 2018
Do you know a full time RN who is a nurse leader who exemplifies the essential elements of a Magnet culture, by consistently demonstrating examples of the following?
- Leads and encourages shared decision making.
- Promotes patient and staff safety in all activities.
- Reflects a positive image of nursing at MedStar Georgetown University Hospital and in the community.
- Demonstrates a strong sense of inquiry by participating in and promoting nursing research, evidence-based nursing practice, and quality outcomes.
- Mentors and advocates on the behalf of nursing.
- Works collaboratively with the interdisciplinary team within the organization.
Then you should nominate them for this prestigious award!

Please complete the attached nomination form.

The deadline for nominations is Tuesday, March 27, 2018.

If you have any questions, please call 202-444-6508 or email at [email protected]

The winner will be recognized at the Awards Luncheon during Nurses Week and will receive a monetary award!
Eligibility to Receive the Award
Any RN who is employed by MGUH, and meets the selection criteria, may be nominated. The candidate must be in good standing and not in the disciplinary process.
Name of Nurse Nominated*
First Last
Manager*
Has the nominee been employed at MGUH for at least one year?*
- Yes
- No
Nominator's Information
Nominated by*
First Last
Unit*
Email*
Phone*
Date
Date Format: MM slash DD slash YYYY
Specific Examples
Please provide specific examples. Use the questions below as a guide for your stories to validate how the nominee demonstrates the following criteria. Reminder: Please omit the nominees name and unit number as you submit these specific examples.
Tell a story about the way the nominee leads and encourages shared decision making.*
Describe and provide specific examples about how the nominee promotes patient and staff safety in all activities.*
Provide at least one example about how the nominee reflects a positive image of nursing at MedStar Georgetown University Hospital and in the community.*
Describe and provide specific examples about how the nominee demonstrates a strong sense of inquiry by participating in and promoting nursing research, evidence-based nursing practice and quality outcomes.*
Describe and provide specific examples about how the nominee mentors and advocates on behalf of nursing.*
Provide at least one example of how the nominee works collaboratively with the interdisciplinary team within the organization.*

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Nurse Leader Nomination

Nurse Leader of the Year 2018

Eligibility to Receive the Award

Nominator's Information

Specific ExamplesPlease provide specific examples. Use the questions below as a guide for your stories to validate how the nominee demonstrates the following criteria. Reminder: Please omit the nominees name and unit number as you submit these specific examples.

Please provide specific examples. Use the questions below as a guide for your stories to validate how the nominee demonstrates the following criteria. Reminder: Please omit the nominees name and unit number as you submit these specific examples.

Specific Examples
Please provide specific examples. Use the questions below as a guide for your stories to validate how the nominee demonstrates the following criteria. Reminder: Please omit the nominees name and unit number as you submit these specific examples.