RC Week Nominations for Respiratory Care Department

Respiratory Care Department- The “Professional Department of Commitment & Excellence” award recognizes a respiratory team who delivers respiratory care up to and beyond expectations while reaching throughout the continuum of care. This nomination needs to be supported and evidenced, for example: data, patient feedback story (do not include patient information), highlighting the difference made to the department’s practice and experience in respiratory care. Entries can be self-nominating, or from a member of the multidisciplinary team or manager.

Question Title

* 1. Nominator Information

Name

Position/Title

Employer

Phone

Question Title

* 2. RC Department Nominee Information

Department Name

Hospital/Organization Name

CSRC Region

Street Address

City

State

Zip

Phone

Number of RCP’s in the Department

Question Title

* 3. Professionalism*

Provide evidence as testimonials or other documentation/links that nominee is actively engaged or champion of professionalism within a respiratory care setting (i.e., data and analysis showing measured improvements to patient care, clinical outcomes and/or service delivery).

Question Title

* 4. Commitment Through Advocacy*

Provide evidence that the work of the department/team has contributed to the advancement of the respiratory care profession – locally/nationally/internationally?

Question Title

* 5. Strives for Excellence*

Provide evidence that the individual/team has made a significant difference to the lives of the people who use respiratory services, their staff’s careers, and/or other staff.

RC Week Nominations for Respiratory Care Department

Question Title

* 1. Nominator Information

Question Title

* 2. RC Department Nominee Information

Question Title

* 3. Professionalism* Provide evidence as testimonials or other documentation/links that nominee is actively engaged or champion of professionalism within a respiratory care setting (i.e., data and analysis showing measured improvements to patient care, clinical outcomes and/or service delivery).

Question Title

* 4. Commitment Through Advocacy* Provide evidence that the work of the department/team has contributed to the advancement of the respiratory care profession – locally/nationally/internationally?

Question Title

* 5. Strives for Excellence* Provide evidence that the individual/team has made a significant difference to the lives of the people who use respiratory services, their staff’s careers, and/or other staff.

* 3. Professionalism*

Provide evidence as testimonials or other documentation/links that nominee is actively engaged or champion of professionalism within a respiratory care setting (i.e., data and analysis showing measured improvements to patient care, clinical outcomes and/or service delivery).

* 4. Commitment Through Advocacy*

Provide evidence that the work of the department/team has contributed to the advancement of the respiratory care profession – locally/nationally/internationally?

* 5. Strives for Excellence*

Provide evidence that the individual/team has made a significant difference to the lives of the people who use respiratory services, their staff’s careers, and/or other staff.