Canadian Association of Hepatology Nurses

Award Type*

Your Name*

First Last

Your Phone #*

Your Email

Nominee's Name*

First Last

Nominee's Place of Employment*

How long has this nurse been working in the Hepatology field?*

Please enter a number from 1 to 3.

Must be <3 years

How has this nurse acquired new learning and incorporated it into their practice environment?*

How has this nurse demonstrated commitment to Hepatology nursing?*

How has this nurse demonstrated leadership qualities?*

Briefly describe how does this nurse's practice reflect CAHN's Standards & Competencies*

What, above all, motivated you to nominate this person as a Rising Star in the field of Hepatology nursing?*

Describe this nurse's contribution to CAHN and list some of the committees / roles they have held*

How has this member gone "above and beyond" to help CAHN flourish?*

How has this nurse contributed to the field of Hepatology Nursing over the course of his/her career*

Describe how Hepatology Nursing has changed as a result of this nurse's work.*

Is there anything you'd like to add (e.g. letters of support from clients or colleagues; other documents)?

Please scan all documents into one file.

What makes this nurse's practice exceptional?*

How has this nurse contributed to the growth of CAHN?*

Demonstrates excellence in the application of Canadian Association of Hepatology Nurses (CAHN) Standards.
Displays efforts to improve hepatology healthcare.
Demonstrates an expert level of competency in the delivery of holistic hepatology care.
Advances and promotes the practice of nursing through sustained nursing leadership.
Influences change and provides leadership within the hepatology nursing profession through active participation at the local, provincial and/or national level.

Describe how the nurse has demonstrated the options you chose.*

Is there anything you'd like to add (e.g. letters of support from clients or colleagues; other documents)?

Please scan all documents into one file.

Describe the type of work this nurse or team does (ie, role or job description):*

What is unique and inspiring about their work?*

Give some examples of how this nurse/team works "out of the box" to advance Hepatology nursing*

Award Nomination Form