MIRF REPORT

Request:
Trip & Fall

Campus:
Vista

Location/Building:
[68]

Date of Incident:
November 9, 2025

Time of Incident:
12:30 PM

Number of Patients for this Incident:
[75]

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

Feather Staight, 74 yo, female. Has past medical hx. Of hypertension, COPD, Depression (MDD); she’s on medication for all above. She tripped with her walker while entering the office. Walker left handle was loose missing a screw. Contact info:
760-310-3539 & roommate is Jay Lees 442-375-9212.

Describe Medical Event:

See above notes. As she leaned falling & being forward, another adult with her, who was assisting her, held her head and body & both fell to the ground. She didn’t hit her head. She was conscious & actively responding to questions. She stated that she had recently been discharged from hospital on Thursday due to disorientation. She also loss her husband last week & was here to meet with pastor Gary to discuss funeral arrangements.

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Alice B. ;Marcela F; Zoe (assistant); safety team present

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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