MIRF REPORT
Request:
Medical
Campus:
Fallbrook
Location/Building:
[68]
Date of Incident:
August 8, 2021
Time of Incident:
11:20 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Roren Schultz (4yr-old male). Tom and Lisa Hobbs (Grandparents)
Describe Medical Event:
Patient tripped and fell and impacted right shoulder and agitated an existing collar-bone break and tear. Medical evaluated and applied ice-pack and advised to monitor prior injury. Patient left with grandfather.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Chris Taft, MD (MED), Ivan (TL), Mikey (SEC)
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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