MIRF REPORT
Request:
Medical
Campus:
San Marcos/Escondido
Location/Building:
[68]
Date of Incident:
September 26, 2021
Time of Incident:
5:30 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Peyton Stoneia
Michael/ Alexis Stoneia 949 922 5551
Describe Medical Event:
Peyton was running in sandals and her foot slid under the fence in Amped 4-5. The bottom of the fence cut her foot. It was a superficial.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Jerry and James were the medical experts who cleaned her wound with antiseptic and put Neosporin and bandaids on it. Erica Dory will notify parents and pickup.
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]
If any revisions or updates are needed to be made to this incident, complete the form below.
Please select a valid form