MIRF REPORT
Request:
Adult fall
Campus:
Vista
Location/Building:
[68]
Date of Incident:
June 18, 2023
Time of Incident:
12:12 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Nate Alexanian, 20 yrs old- 03/08/2003
760-623-5869 his number.
Parent Andre 760-498-5868
Describe Medical Event:
Fainted out from coffee shop, pale, responsive,. He’s on Prosac 80mg x1/ day for OcD.
Dizzy, nauseous
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Nick and Marcela, others from safety
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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