MIRF REPORT
Request:
Chest pain
Campus:
Carlsbad
Location/Building:
[68]
Date of Incident:
February 16, 2020
Time of Incident:
9:45 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Deborah Mauldin age 63
Describe Medical Event:
Chest pain and anxiety. Patient taken to Tracie‘s office in a wheelchair and monitored until 911 arrived
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Terry Jeff Billy
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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