MIRF REPORT
Request:
laceration of lip
Campus:
San Marcos/Escondido
Location/Building:
[68]
Date of Incident:
February 20, 2022
Time of Incident:
10:15 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Cardin Highhouse, 2yrs, Samantha Highhouse 858-527-5861
Describe Medical Event:
Patient was playing on slide outside, unwitnessed but volunteer close by thinks he fell off step and fell biting down on upper lip causing some laceration. mild bleeding observed. pressure applied with paper towel until bleeding minimized. No damage or injury to gums or dentition. Spoke with parent, reassurance provided.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Melissa L.
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]
If any revisions or updates are needed to be made to this incident, complete the form below.
Please select a valid form