MIRF REPORT
Request:
Medical
Campus:
Vista
Location/Building:
[68]
Date of Incident:
March 19, 2022
Time of Incident:
12:00 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Kimana Johnson 1-16-75
(760) 429-4533 (mom’s#)
Describe Medical Event:
Pt. Has airborne tomato allergy and thought she was having a reaction. She refused EPI-pen and ambulance. Her mother Shirley Mordon transported her via personal vehicle to the hospital.
Vitals taken:
1200 – BP 118/80, RR 18, P 89, O2 Sat 97
1215- BP 120/80, RR 20, P 80, O2 99
Pt. Alert and oriented x 3, shaky and weak with palor, C/O chest discomfort and nausea. States she took albuterol INH before calling medical and forgot to take her allergy medication before coming today. Diaphoresis noted. Vitals WNL, normal breath sounds. No AED needed. Pt. had a small emesis. Applied ice pack to neck for comfort and assisted patient to vehicle.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Naomi Roth
Shana Mezzanatto-Mc
Debbie Grady
Was medical attention accepted?”:
No
Medical attention was refused by (name and relationship to… :
Kimana Johnson -patient herself
Was 911 emergency service called?:
No
Was patient transported via 911 emergency services?:
No
What hospital was victim transported to?:
Other
NCS team lead:
[249]
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