MIRF REPORT
Request:
Toddler fell bumping head
Campus:
Vista
Location/Building:
[68]
Date of Incident:
February 10, 2019
Time of Incident:
11:00 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Melissa Maldanado 14 months
Paula Perez grandmlther
Describe Medical Event:
Bump on forehead slight bruising and redness noted. Patient alert and feeding at the time of assessment. Equal eye movement bilaterally. Worker stated no loss of consciousness.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Jepsen Hardy
Was medical attention accepted?”:
Yes
Medical attention was refused by (name and relationship to… :
Was 911 emergency service called?:
No
Was patient transported via 911 emergency services?:
No
What hospital was victim transported to?:
Palomar
NCS team lead:
[249]
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