MIRF REPORT

Request:
Medical

Campus:
Carlsbad

Location/Building:
[68]

Date of Incident:
May 24, 2025

Time of Incident:
7:00 PM

Number of Patients for this Incident:
[75]

List Patient(s) Name, Age, Parent/Guardian (if under 18),… :

Sofia Mosichuk 4/7/2018

Olho Mosichuk- Mother -858-220-1706

Describe Medical Event:

Patient was a young female attempting to get drinking water, but instead filled her plastic glass with hot water for tea. Upon feeling the heat through the cup, she dropped it, causing the hot water to splash onto her right forearm. Patient was taken to the bathroom by her mother where they played water and scented lotion. Patient did not seem to be in any distress and reported mild pain.

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Tim Moy

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