Outstanding WOC (ET) Nurse of the Year Application
The South Central Region of the WOCN invites nominations for the award of Outstanding WOC (ET) Nurse of the Year. The recipient of this coveted award will be honored at the next Annual SCR Conference.
PRE-REQUISITES
Nominee must be an active member, in good standing, of the South Central Region for a minimum of two years.
Nominee must be Board certified.
Nominee shall not have received this award within last five years.
CRITERIA - NOMINEE MUST MEET AT LEAST 80% OF THE CRITERIA LISTED
Demonstrates excellent expertise in current scope of practice for WOC (ET) Nursing (i.e. keeps abreast of new procedures, theories, treatment modalities utilizing the nursing process, etc.)
Demonstrates the ability to share professional skills with peers and paraprofessionals.
Actively participates in organizations to promote WOC (ET) Nursing. (i.e. community groups, other nursing specialties, regional and national committees.)
Is active in precepting and supporting WOC (ET) nurses in their roles. Encourages other nurses to become WOC (ET) nurse or associate members of WOCN.
The selection committee is not apprised of the names of the candidates or agency affiliation until the process is complete. The committee is comprised of WOC (ET) Nurses from a cross section of the member states. Nominations are accepted from colleagues, employers, patients, and self.
(If ballot received after the deadline, the ballot will be returned to the submitter.)
NOMINATION FOR THE SOUTH CENTRAL REGION OUTSTANDING WOC (ET) NURSE OF THE YEAR
NOMINEE:
Name
Address
City
State
Zip
Position
Education Background
SUBMITTED BY:
Name
Address
City
State
Zip
Phone
Email
Briefly describe nominee qualifications for the award and provide examples of the criteria:
1. Demonstrates excellence in WOC (ET) Nursing
a. Clinical practice
b. Nursing process
c. Education
d. Research
e. New technology
2. Demonstrates/shares with peers and other health professionals:
3. Actively participates in peer/community organizations: