Louisiana Association of Occupational Health Nurses

MEDIQUE  UNIQUE  LEADER  AWARD

Committee:

A.   Purpose:

                        To select an occupational health nurse for recognition by LAOHN as the

outstanding nurse for the award.

B.    Composition:

1.     The committee will consist of three (3) immediate past recipients of

       previous state awards           (Medique, Schering)              

2.     The Chairman will be the senior award winner of the committee.

            C.        Functions and Responsibilities:

1.     Notify LAOHN members and local constituencies of nomination deadline.

D.   Correspondence:

1.     Chairman will write letter of recognition to winner’s management as soon as possible after award presentation.

E.    Meetings:

                        Will be held at the discretion of the Chairman

F.     Reports:

                        As specified in Committee General Expenses.

                                                                        27

EXHIBIT “A”

Information regarding the Medique Award

For Winner’s Employer

The Medique Unique Leader Award

The Medique Unique Leader Award is presented annually in 30 states by Medique Pharmaceuticals to recognize the leadership of an outstanding Occupational Health Nurse at the state level.  Medique and the Louisiana Association of Occupational Health Nurses have been active in this presentation since 1992.  The purposes of the award are: to encourage the development of leadership skills in occupational health nursing, to increase awareness of the role of  the Occupational Health Nurse to both the recipient’s employer and the community, and to assist the educational efforts of state and local associations.

The Medique Unique Leader Award winner is nominated from and selected by his/her peers and exemplifies the qualities of leadership in occupational health nursing.  This award, the only award given, is presented annually at the Louisiana Occupational Health Conference, and is equivalent to the “Nurse of the Year” for the Louisiana Association of Occupational Health Nurses (LAOHN).  The recipient of the award receives a plaque, and the LAOHN receives a cash award from Medique Pharmaceuticals to be dedicated to nurses’ continuing education programs.

Nominees for the award are assessed in the following categories of leadership qualities: Initiative, Motivation, Productivity, Creativity and Commitment.  In addition, a broader scope of the nurse’s involvement in professional and community affairs is evaluated in the following areas: professional association affiliations (offices/positions held, award, citations, honors received); job and other professional responsibilities (teaching, workshops, professional writing, original research, presentations, etc.); involvement in community affairs; community service; educational and employment background and additional contributions to occupational health nursing.

1.        The nominee must be a registered nurse actively employed in Occupational Health Nursing

2.        The nominee must have a minimum AOHN participation of no less than three (3) years

3.        The nominee must have held two (2) positions (an elected office, committee chairman, chairman of a position at a LOHC, teller, etc) at the state level

4.        The nominee must have held two (2) positions (an elected office, committee chairman, chairman of a position at a LOHC, teller, etc) at the local level

5.        A chapter may nominate an occupational health nurse from any Louisiana Chapter including State members

6.        Applications, in triplicate, must be received by the date determined by the Award Committee – late arrivals will not be considered

7.        Nominations must follow the format of the criteria and application put out by Medique and LAOHN, and must contain the full name and address of both the nominee and nominator

A.      To help give a broader picture of the nurse’s involvement in professional and community affairs please include:

1.              involvement in community affairs

2.              work experience is a consideration if all other qualifications are equal

B.       The application should show:

1.              educational background

2.              research/presentations

3.              awards/citations

8.        The Award Selection Committee will select the winner

9.        A person may be nominated several times, but may be awarded this honor only once

every five (5) years.

1.     To recognize leadership of Occupational Health Nurses at a state level.

2.     To encourage development of leadership skills by members of your association.

3.     To increase awareness of the role in the Occupational Health Nurse to both employers and the community.

4.     To assist the educational efforts of the state association through a Medique award.

27A (Medique)

MEDIQUE  UNIQUE  LEADER  AWARD

                        (Please complete the following information about the nominee.  Print or

information is included.

Nominee Name & Address:    ________________________________________________

                                                ________________________________________________

Position/Title—Company:      ________________________________________________

                                                ________________________________________________

Synopsis of OHN Responsibilities:  __________________________________________

Professional association affiliations and offices held (committees, chairmanships, etc.):

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Describe leadership qualities in each of the following categories with specific examples:

Initiative:   ______________________________________________________________

________________________________________________________________________

Nominating Constituency/Member & Address:  _________________________________

                                                                        ____________________________________

27B (Medique)

Medique Unique Leader Award

Point Tally Sheet

Nominee:                                                                                                                                

Committee Member:                                                                                                              

Date:                                                                                                                                      

27C