Recognize an Employee – Form - Boundary Community Hospital

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Recognize an Employee – Form

Your Name *

First

Last

Phone

Your Email *

Who are you nominating?

Name *

First, Last (if known)

Is this employee a nurse? *

Department *

Does this involve patient or staff safety? *

Please describe the safety situation and how this individual’s actions helped prevent harm or improve safety. *

Which value did the employee demonstrate?

Respect - We treat everyone with courtesy, politeness, and kindness without regard to our apparent differences.
Compassion - We treat every patient with compassion by taking the time to listen, explain each step clearly, and ensure they feel safe, respected, and supported throughout their care.
Accountability - We have an obligation to accept responsibility for our own actions and to expect others to do the same.
Integrity - We adhere to ethical and moral principles and act in an honest and authentic manner.
Professionalism - We perform our jobs with genuine earnestness and sincerity while maintaining professional etiquette and ethics.
Stewardship - We maintain a careful and responsible management of the assets and responsibilities entrusted to our care.
Knowledge - We maintain our professional expertise to serve our patients to the best of our ability.

Why are you nominating this employee?

Please include as much detail as possible.

How did this make a difference for you or someone else? *

I understand this message may be shared with the employee and their leader for recognition purposes. *