MIRF REPORT
Request:
Bite
Campus:
Fallbrook
Location/Building:
[68]
Date of Incident:
April 16, 2022
Time of Incident:
5:50 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Adonis Elliott, 14 months but
Madelynn McGinness on her right under arm shoulder area.
All parents notified.
Wound site is red, swollen, but unbroken skin.
Laurel Nardeen washed, and tried the wound, child seemed fine, and stayed in the nursery with caregivers.
Describe Medical Event:
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Vince called me.
Amelia gave me this,430945 to fill out.
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