MIRF REPORT

Request:
Medical

Campus:
Vista

Location/Building:
[68]

Date of Incident:
May 7, 2023

Time of Incident:
12:00 PM

Number of Patients for this Incident:
[75]

List Patient(s) Name, Age, Parent/Guardian (if under 18),… :

Tina Sawyer 62

Describe Medical Event:

Patient began complaining of chest pain while sitting outside. The patient described the pain as a 7/10 substernal burning sensation that radiated to her jaw.
Vital signs:
BP:150/90
HR: 80
RR: 16
SpO2:98

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Gabriel Robinson
Ryan Bennett
Gary Horn

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]


If any revisions or updates are needed to be made to this incident, complete the form below.
Please select a valid form