SVPHM VIP Nomination Form - St Vincent`s Private Hospital

Our values act as a point of reference
for our decision-making.
They provide direction as to the type of
organisation we aspire to be and the kind
of behaviours we regard as appropriate.
Our values underpin all that we do.
Our values are demonstrated through
our everyday actions, giving our mission
and vision life.
The Values in Practice (VIP) Employee Recognition
Program provides an opportunity for our staff and
volunteers to build a positive and healthy culture.
It’s who we are and what we do that makes St Vincent’s
Private Hospital Melbourne such a great hospital.
It is essential that every day we notice each other’s
positive actions. This strengthens us and our workplace.
The VIP Program invites you to nominate someone
whom you believe has exceeded expectations and
deserves to be recognised. The nomination form
identifies the core Values in Practice – compassion,
justice, integrity and excellence demonstrated by
the staff member or volunteer.
Nomination Details
1. For your nomination to be valid – please
ensure you include your payroll number.
2. Complete, scan and email your completed
form to: Julie.Wain@svha.org.au OR place
the completed form in the VIP box located
in the Executive Offices of each Hospital.
All nomination forms will be collected
by the first Friday of each month.
3. All nominations will be reviewed by the
Senior Leadership Team at their monthly
meeting.
4. Each month, the VIP will be rewarded
with a Coles/Myer voucher.
5. Names of all nominees and monthly
VIPs will be published in CareNews/Glimpse.
6. The VIP’s photograph will be displayed
in each Hospital foyer and in the Winner’s
Department.
Further information and nomination forms are
available on our intranet. To access, go to the top
left hand side of the intranet main screen and click
on “OUR MISSION” then “SVPHM/VIP Program”.
NOMINATION FORM
The name of the person I am nominating is:
from Department:
My name:
My payroll number:
My Department:
Date:
NOMINATION CRITERIA: Values in Practice
Please tick the applicable criteria below. Please ensure you add your comments.
COMPASSION – Caring for others with
an openness that affirms life and healing
JUSTICE – Acting with courage and fairness
in pursuit of what is right and just
£
Reach out to the most vulnerable in our community
£
Recognise the dignity and worth of every person,
treating them fairly and without being judgemental
£
Welcome all people to our services and facility
£
Provide holistic care that meets the unique needs
of each person
£
Are open to one another in times of joy and
in times of need
£
Treat others as we would wish to be treated
ourselves
INTEGRITY – Ensuring our actions and decisions
are grounded in our values, reflecting both
honesty and authenticity
EXCELLENCE – Demonstrating a passionate
commitment to continuous improvement
and innovation
£
Are truthful and principled, with ourselves and
with others, in all we say and do
£
Embrace learning and we are open to change
£
Foster teamwork and collaboration, joined in
a common purpose, in a spirit of harmony
£
Take responsibility for our actions and exercise
good stewardship of the resources entrusted to us
£
Consider our actions, behaviour and decisions
in light of our mission
£
Create a climate of confidence and trust ensuring
that we act in a manner that prevents harm
Please provide an example of the behaviours that support the values you have selected above.
OFFICE USE ONLY
Reviewed:
Date:
Please complete, scan and email this form to: Julie.Wain@svha.org.au
or print out and drop into the VIP box located in the Executive Offices of each Hospital.