MIRF REPORT
Request:
Medical
Campus:
Vista
Location/Building:
[68]
Date of Incident:
February 22, 2020
Time of Incident:
7:10 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Skylar Mason 18F
760-500-1248
Describe Medical Event:
Shelf from cabinet in Café fell on right hand across proximal phalanges. Minimal edema and bruising noted. Good perfusion, range of motion limited due to pain. Ice pack and elevation. Instructed to seek medical treatment if any changes.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Marie Girouard medic
Brad Ducat team leader
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?:
Palomar
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