Nurse with Contribution to EMS

Nurse with Contribution to EMS

Award Nomination Form


AWARD CRITERIA: A nurse who exemplifies outstanding service in emergency medical services; knowledge and performance of EMS nursing skills; and high standards of cooperation and leadership with other EMS personnel and agencies. Highest consideration is given to performing a nursing role in a hospital or clinical setting such as precepting or quality assurance programs. Nurses who have demonstrated excellence as a pre-hospital provider or instructor should be nominated for those categories.

ELIGIBILITY: Any Virginia licensed nurse serving in an active position.

Nominee Information

Do your best to provide as much information as possible to assure the individual qualifies for the nomination.

Nominee's Qualifications & Award Justification


Describe the nominee’s contributions (local, regional and state) to EMS and emergency nursing in Virginia.

Does this nominee perform a nursing role in a hospital or clinical setting, such as precepting or quality assurance programs?

Does this nominee demonstrate excellence as a pre-hospital provider or instructor? If so, then would this nominee be better suited for one of those categories?

Nominator Contact Information

This information is required to process the nomination.

Guidelines


-Anyone may submit nominations for the Regional EMS Awards.
-For all categories the nomination may be based on a pattern of conduct/activities that has culminated in an exceptional improvement of the emergency medical services system in the locality, region or state.
-The nomination may also be based on a single unusual event that was beyond ordinary duty.
-The person making the nomination should have extensive knowledge of the nominee’s qualifications and carefully select the category that most appropriately matches the nominee’s accomplishments.
-The nominee must have current licensure or certification in the category in which he or she has been nominated.
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