MIRF REPORT
Request:
Fall
Campus:
Vista
Location/Building:
[68]
Date of Incident:
November 3, 2019
Time of Incident:
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Johnathan Auen
Describe Medical Event:
Fell backward however sustained slight bloody nares. Minimal bleeding noted. Medical team cleaned nose. No active bleeding. No noted pain to back of head on palpation
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Angelic
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?:
Other
NCS team lead:
[249]
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