MIRF REPORT
Request:
Medical – trip, fall, bumped head
Campus:
Vista
Location/Building:
[68]
Date of Incident:
May 28, 2023
Time of Incident:
9:25 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Brea Liuchan – 5 yo
Mom: Carolyn Liuchan (760) 803-8434
Describe Medical Event:
Tripped on carpet, fell and bumped her head on wooden rv.
Slight scratch and bruise.
AOx3.
Children’s ministry already provided ice pack. No further Tx required.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Bryan Hall
Ethan
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?:
NCS team lead:
[249]
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