MIRF REPORT
Request:
Medical
Campus:
Carlsbad
Location/Building:
[68]
Date of Incident:
October 19, 2024
Time of Incident:
7:00 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Caleb-6th grader
Describe Medical Event:
Per Caleb-His brother was playing with a golf club when his brother took a swing, striking him in the bridge of his nose with the golf club. The brother reported this was an accident. He has full recall of the event, and there is no loss of consciousness. He states his nose immediately started to bleed and medical personnel was requested by church staff member.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Jacob Mansy
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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