Shared Accountability Practice Council - Nomination Form

Please fill out the appropriate areas for your department
Name: 


  1. Registry/Nurse Liasions: Please nominate up to 2 employees


  1. Education/IT: Please nominate up to 2 employees


  1. Access: Please nominate up to 4 employees


  1. Nights/Evenings/Weekends: Please nominate up to 3 employees


  1. Field Admission Nurses: Please nominate up to 3 employees


  1. PI: Please nominate 1 employee


  1. Pavilion: Please nominate up to 8 employees


  1. NCH Suite: Please nominate up to 6 employees


  1. Team 1: Please nominate up to 3 employees


  1. Team 2: Please nominate up to 3 employees


  1. Team 3: Please nominate up to 3 employees


  1. Team 4: Please nominate up to 4 employees


  1. Team 5: Please nominate up to 3 employees





Abbe Leffel
IL