2021 Clinical Excellence Award Nomination Form

DUE September 15, 2020

This award recognizes an outstanding STN member whose contributions to nursing fulfill the mission, vision and core values of STN. The nominee demonstrates outstanding clinical qualities by:

  • Consistently exhibiting compassion and commitment to advancing trauma nursing
  • Routinely goes above and beyond, demonstrating excellence in their role
  • Functions as an integral and contributing member of the healthcare team
  • Participates in practice standard development and/or decision making processes with in their organization that influence positive outcomes for the trauma patient (ie. Committee membership, development of guideline)
  • Demonstrates breadth of knowledge in clinical nursing practice
  • Participates in mentorship, advocacy, community affairs, public education or volunteers for organizations that affect nursing practice
  • Inspires peers in their practice through demonstrating excellence in nursing practice.
Nominees for this award must be an RN, a STN member for one year by nomination date, have a minimum of 5 years of experience in trauma nursing and provides direct patient care approximately 850 hours a year.

To nominate a nurse, submit a letter of nomination with supporting data to address the award criteria. Include a copy of the nominee’s CV. Additional letters of support which describe the nominees contributions are encouraged.

Current members of the Board of Directors of STN, Committee Chairs and Awards Committee are not eligible for this award.

Nominations must include a current CV and one letter of recommendation to be considered. Please have documents ready to upload before completing the form.


Nominee Information

I recommend the following individual for the STN Clinical Excellence Award:


*First Name:
*Last Name:
*Credentials:
Title:
Company/Facility:

*Address 1:
Address 2:
*City:
*State:
*Zip:

*E-Mail Address:
*Phone:

*Is the candidate an STN member?
*Candidate's approximate number of years' experience in trauma:

*Why should this candidate be selected to receive the Clinical Excellence Award?

Nominator Information

Please tell us about yourself.

*First Name:
*Last Name:
Title:
Company/Facility:

*Address 1:
Address 2:
*City:
*State:
*Zip:

*E-Mail Address:
*Phone:


Include copies of recommendation letters and CV with the nomination. (doc, docx, pdf)

Upload additional letter (optional):