MIRF REPORT
Request:
Medical aid
Campus:
Vista
Location/Building:
[68]
Date of Incident:
May 11, 2019
Time of Incident:
5:30 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Charlotte Hege, 7 yo
Mother Rya Hege
Describe Medical Event:
Jump rope caught behind right ear. Area reddened but skin intact. Minimal edema.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Marie Girouard
John Haag
Brad Ducat (lead)
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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