MIRF REPORT
Request:
Fall
Campus:
Vista
Location/Building:
[68]
Date of Incident:
June 23, 2024
Time of Incident:
10:12 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Luke Dexter 23months Jackie Dexter 760 576 6969
Describe Medical Event:
Fell hit head on concrete redness quarter size hematoma no LOC crying. Pupils equal reactive all reflexes intact.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Gary
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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