Nominee Questionnaire

HOW TO NOMINATE: An easy formula for writing a good nomination
Nominations Open June 1st thru August 31st
 *You must register to nominate and/or vote


What role does your nominee have in senior care and senior care issues?

  • Grew up in CA? Born elsewhere? A little history/background can often make a nomination much more interesting.
  • How long has nominee been in his/her field?
  • In what capacity/capacities. Example - Works for X hospital; Former Director, etc.
  • Degrees, other Awards, etc.


Why should this person be nominated?
TELL A STORY!!! Facts are important, but painting a picture of why this person is a hero to you or others is what will get them noticed.

  • Ask why this person holds this position – how did they come to be in senior care?
  • Ask about a specific patient or situation that stands out in the nominee’s mind- a favorite story about a patient/situation that would exemplify the “above & beyond” theme.
  • Ask staff/co-workers for stories and/or quotes from themselves or patients or patient families.


Example of a well-crafted nomination:
What role does your nominee have in senior care and senior care issues?
Kim has worked for Placentia-Linda Hospital for 24 years, and has been in the Emergency Department for 13 years. She is an incredible patient advocate who routinely gives her personal time to benefit those around her. Last year she was integral in the development and implementation of our new Senior Track, an area in the Emergency Department tailored to the comfort and unique accommodations of our senior population. She raised awareness of the program throughout the community, and encouraged GENE (Geriatric Emergency Nursing Education) certification among the ED staff. In 2011, she was awarded the Heroes with Heart Award for her exceptional kindness and sensitivity.

Why should this person be nominated?

Anyone who knows Kim can attest to her unending patience, kindness and personal integrity. She is constantly being complimented by her patients and families for her personal touch and dedication. She routinely calls her senior patients at home after discharge to "check in" and ensure not only that they received the care and attention they needed in the hospital, but that they have the resources to excel after discharge. For her more critically ill seniors, she even visits with the patients and families in the ICU and step down units. There is not one singular story that I can recount to describe the impact Kim has had on her co-workers and patients, but her impact is undeniable. The story I will never forget about her is when a senior patient on another unit was dying with no family around. Once her shift was finished, Kim quietly went to the patient's room, sat with her and held her hand until she peacefully passed away early the following morning. This was a woman Kim had never actually met, never treated, and had only heard about while transferring a patient to the floor, but still she refused to allow her to die alone. She is an exceptional nurse and advocate, and touches everyone who has the honor of meeting her.