MIRF REPORT
Request:
Medical Aid-Slip & Fall
Campus:
Vista
Location/Building:
[68]
Date of Incident:
August 5, 2021
Time of Incident:
7:20 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Mike Hawkins (44 yrs)
Describe Medical Event:
Mike Hawkins suffers from Congestive Heart Failure and had a heart pump inserted on 8/4/21 at UCSD medical center. This evening, while attending the recovery group meeting in the 5th grade classroom, Mike lost consciousness while sitting in a chair. He did not fall to the ground but was slumped over unresponsive After about a minute he regained consciousness. Craig Knutsen leads the recovery group and they called 9-1-1 for emergency medical response. Paramedics arrived on scene, evaluated Mike and transported him to the hospital. Mike’s mother, Debra, was on campus and she responded to the classroom.
As the Team Lead at the Jordan, I was notified by Facilities that paramedics were en route due to a medical condition. I went over to the 5th grade classroom and noticed that Mike was sitting in a chair and appeared alert. I did not administer any medical aid to Mike as he did not appear in distress at the time and paramedics were on their way. Paramedics arrived shortly thereafter and treated Mike.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Tim Moy
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?:
USCD Medical Center
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