MIRF REPORT
Request:
Dizziness light headed
Campus:
Carlsbad
Location/Building:
[68]
Date of Incident:
November 28, 2021
Time of Incident:
10:30 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
92 years old
Describe Medical Event:
Felt light headed. Had to lay down briefly. Was given apple juice by family members
She rested then left the property with son and another woman after the service
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Jeff Clao
Greg cantor
Was medical attention accepted?”:
No
Medical attention was refused by (name and relationship to… :
Not required
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