MIRF REPORT
Request:
Medical / Head bump
Campus:
Vista
Location/Building:
[68]
Date of Incident:
January 18, 2020
Time of Incident:
6:25 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Saylor Coutteau is 14 months old.
Parents are Adam and Brooke Coutteau
Describe Medical Event:
Saylor fell off of her chair (while seated). Medical was contacted to evaluate Saylors condition and recommend any further treatment. Upon arrival Saylor was alert and well oriented (age considered). Her pupils were equal and reactive to light indicating no serious head trauma. Upon palpating the head only a slight (if any) bump was felt on the left side. When Adam and Brooke arrived on scene they were told to monitor Saylor to see if she presented with “unusual” behavior as the evening progressed.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Michael and Brad (team lead).
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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