MIRF REPORT

Request:
Bee sting

Campus:
Vista

Location/Building:
[68]

Date of Incident:
June 13, 2021

Time of Incident:
9:45 AM

Number of Patients for this Incident:
[75]

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

Avery Sanchez (11 years)

Describe Medical Event:

Bee sting
Observation and ice pack

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Larry & Gina Cowles
Chris Neufeld

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?:
Tri-City

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