MIRF REPORT
Request:
Medical
Campus:
San Marcos/Escondido
Location/Building:
[68]
Date of Incident:
December 5, 2021
Time of Incident:
12:00 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Charlotte Jarett (2 years old)
Mom- Leigh Jarrett (619) 886-5008
Describe Medical Event:
Child fell and had a minor cut to her chin. Sterile strips applied to stop the bleeding
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Beckie La Carte
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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