MIRF REPORT
Request:
Medical
Campus:
San Marcos/Escondido
Location/Building:
[68]
Date of Incident:
September 12, 2021
Time of Incident:
9:05 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Patient: Archer Allen age 7
Parents : Michelle and Ryan Allen
Phone: (858) 354-2740
Describe Medical Event:
Pt c/o bloody nose/ facial pain s/p slip and fall in camp 2-3 room while playing. Pt assessed by Honda McFadden. Bleeding stopped, ice pack given for pain. Pt reassessed and released back to class.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Honda McFadden ( Medical)
Chris McFadden (Medical)
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?:
N/A
NCS team lead:
[249]
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