MIRF REPORT
Request:
Head injury
Campus:
San Marcos/Escondido
Location/Building:
[68]
Date of Incident:
December 22, 2024
Time of Incident:
11:48 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Bette Pinzon
Describe Medical Event:
Child sitting on edge of carpet, leaned forward for toy, had witnessed fall from sitting position and right forehead hit floor. Volunteer worker Grace observed fall and big child up and immediately called me to evaluate her. Grace reports Child cried a bit for 30 to 60 seconds, then was readily consulted.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Grace
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]
If any revisions or updates are needed to be made to this incident, complete the form below.
Please select a valid form