Orchid Award Nomination

The Orchid Award is a monthly recognition program that honors extraordinary clinical staff members for the compassionate and skillful care they provide to patients and families. The Orchid Award Program recognizes Nurses (RNs, LPNs, APRNs, CNAs, any clinical staff) who go above and beyond in their clinical skill, empathy, and commitment to patient care.

NOMINEE INFORMATION

Full Name of Nominee(Required)

Job Title / Role(Required)

Example: RN, CNA, LPN, APRN

Department / Unit / Floor(Required)

Length of time working at Meadowbrook

NOMINATOR INFORMATION

Your Name(Required)

Your Relationship to the Nominee(Required)

Phone Number

NOMINATION DETAILS

Please describe a specific example of how this individual went above and beyond in patient care.(Required)

Encourage details: actions, compassion, skill, impact on patient or family

What qualities does this person demonstrate that make them exceptional?(Required)

Empathy, professionalism, teamwork, etc.

Additional comments