MIRF REPORT
Request:
Medical
Campus:
Fallbrook
Location/Building:
[68]
Date of Incident:
August 8, 2021
Time of Incident:
10:15 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Meagan Williams (Mother)
Describe Medical Event:
Jumbo-size Jenga block tower fell and block impacted PT on left temple. Evaluated by MED (Chris) and ice pack was administered. No further medical care required.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Ivan (TL), Ben (SEC), Chris & Chuck (MED)
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]
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