Nominate a Nurse

Rho Omega Chapter

Sigma Theta Tau International Honor Society of Nursing

Nominate a NEMO Nurse!

Have you had an experience when a nurse made a difference in your life? Was that nurse a special person who took time to listen to you? Did the nurse make a difference in what happened to you during a visit to a doctor or hospital? Did the nurse make a difference during a visit to your home? Did you meet a nurse in the nursing home or the health department who really helped you out? Please nominate this nurse. The Rho Omega Chapter, Truman State University’s Nursing Honor Society, would like to hear your story of a compassionate experience with a nurse who made a difference in your life. (All candidates must be a registered nurse, working in Northeast Missouri’s counties of Adair, Knox, Lewis, Linn, Macon, Putnam, Schuyler, Scotland, or Sullivan.)

1. Nurse's Name

2. Facility or Agency (and community) where you nurse works:

3. Agency's telephone number

4. Please tell your story about how this nurse made a difference in your life:

5. How has this nurse exhibited compassionate care to those one serves?

6. How has this nurse demonstrated leadership within one's community?

7. How has this nurse encouraged new persons into the nursing profession?

8. How has this nurse promoted continuing education for nurses?

9. How has this nurse demonstrated professionalism?

10.Your name (person making nomination)

11. Your telephone number

12. Your e-mail address

Nominations submitted via this form must be submitted by April 17, 2009.

Last modified: 09/07/06