MIRF REPORT
Request:
Fall
Campus:
Vista
Location/Building:
[68]
Date of Incident:
September 17, 2024
Time of Incident:
10:00 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Marks Smith (63)
Describe Medical Event:
Marks was working in Child Care for the Arise event and was inside Room #4. Marks tripped over a plastic toy container causing him to fall. As he fell, his right leg struck the plastic container causing the box to break and shards of plastic to cut his lower right leg.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Tim Moy
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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