MIRF REPORT

Request:
Fall

Campus:
San Marcos/Escondido

Location/Building:
[68]

Date of Incident:
October 19, 2025

Time of Incident:
12:00 PM

Number of Patients for this Incident:
[75]

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

Mina Price
3 y/o
Corl Price
760-594-6185

Describe Medical Event:

Staff states that patient fell down on the floor, but did not witness the patient strike her head or any other body part. Staff members are concerned because the patient vomited one time.

Upon assessment, patient is a three-year-old female showing no obvious signs of distress and acting appropriate for her age. When asked if she fell down, patient said “yes”When asked if she hit her head or face patient said “no”. When I asked if she threw up, patient said.”yes”. When asked if she still felt sick, patient said “no”.

Patient left in the care of staff members and parents were notified of the incident. No other care was needed or rendered.

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Via, Fernandez

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]


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