MIRF REPORT
Request:
Medical
Campus:
Vista
Location/Building:
[68]
Date of Incident:
June 18, 2023
Time of Incident:
11:55 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Athena Xavier 01/11/2019
Danielle Xavier (619)772-9416
Describe Medical Event:
Safety was called out to the pre-school playground for a 4 year old female who fell. Patient was on a playground structure about 2ft high and fell to a dirt surface causing bruising to her forehead. Patient presents sitting upright , ABC intact and calm. Patient was AAOx 4. No reported LOC. Physical exam shows bruising and abrasions to her fore head. No other outward/palpable signs of trauma. Mother was on scene and denied any HAM. Mother does not wish for the patient to be transported and will monitor the daughter for any changes.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Pinson, Nick
Fraker, Marcela
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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