MIRF REPORT

Request:
Medical

Campus:
Vista

Location/Building:
[68]

Date of Incident:
May 26, 2024

Time of Incident:
10:00 AM

Number of Patients for this Incident:
[75]

List Patient(s) Name, Age, Parent/Guardian (if under 18),… :

Alessandra 4 Y/O
Mom: Karen sorla 760 715 1414
Dad: Blake Monroe 764 843 8815

Describe Medical Event:

Patient had bite mark on patient left upper chest below collarbone. Per Angela at Little coasters patient was bitten by another student, patient bike. Mark did not break Skin and resulted in bruising.

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Angela Little coasters

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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