MIRF REPORT
Request:
Trip and fall
Campus:
Fallbrook
Location/Building:
[68]
Date of Incident:
February 12, 2022
Time of Incident:
5:15 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Shaina 760-224-8254
Iorek
Describe Medical Event:
Report from mom Shaina young boy with “Heely” shoes in hallway stopped abruptly and fell on hands reopening a small circular cut on right hand. Small amount of blood was cleaned with soap and water. Bandaid applied. No further bleeding observed.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Zachary Heinemann
Was medical attention accepted?”:
Yes
Medical attention was refused by (name and relationship to… :
N/A
Was 911 emergency service called?:
No
Was patient transported via 911 emergency services?:
No
What hospital was victim transported to?:
N/A
NCS team lead:
[249]
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