MIRF REPORT
Request:
Medical
Campus:
Vista
Location/Building:
[68]
Date of Incident:
June 9, 2019
Time of Incident:
11:50 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Emma Willson age 3
Alyssa and Patrick Willson
682-215-3747
Describe Medical Event:
Arrived on scene to preschool building for a child that fell. C/C head pain. Staff state pt was running and fell striking her head on the wooden half door at the entrance of the room. Staff state there was no LOC. Neg bleeding. Pt noticed to have a golf ball sized hematoma to the right side of her forehead. Pt able to stop crying and answer some simple question. Ice pack applied prior to safety team arrival.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Adrian Valdez
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?:
No transport.
NCS team lead:
[249]
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