MIRF REPORT
Request:
Mechanical fall
Campus:
Vista
Location/Building:
[68]
Date of Incident:
March 19, 2023
Time of Incident:
10:25 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Connie Burton
Describe Medical Event:
The patient attempted to stand from her chair using her walker. The patient sustained a ground level fall onto her right side. Patient complained of lumbar discomfort radiating to the right pelvic crest. No loss of consciousness reported. Vital signs stable.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
John LeFata
Jeani Naylor
Gabriel Robinson
Was medical attention accepted?”:
Yes
Medical attention was refused by (name and relationship to… :
Was 911 emergency service called?:
Yes
Was patient transported via 911 emergency services?:
Yes
What hospital was victim transported to?:
Tri-City
NCS team lead:
[249]
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