Canadian Association of Hepatology Nurses

Award Nomination Form

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*

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