MIRF REPORT
Request:
Injury
Campus:
Vista
Location/Building:
[68]
Date of Incident:
April 23, 2022
Time of Incident:
6:20 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Banks Ratz (2y/o)
Taylor Ratz (mom) (760) 908-9261
Describe Medical Event:
In coffee shop Pt pulled shelving unit, unit impacted R shoulder and R flank area. Aunt present and contacted mother, described event to mother. Aunt given direction of things to evaluate for and to seek out medical attention for any changes to condition or concerns.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Beth Klopfenstein
Marie Girouard
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]
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