MIRF REPORT

Request:
Medical/Cardiac

Campus:
Vista

Location/Building:
[68]

Date of Incident:
June 26, 2022

Time of Incident:
10:10 AM

Number of Patients for this Incident:
[75]

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

81 Y/O Male
Vic Christep

Describe Medical Event:

Patient experiencing dizziness and collapsed from standing position. No loss of consciousness, no visible traumas. No allergies. Patient takes numerous medications but unable to name them. Patient took meds at 0800 with no food. History of triple bypass. Dizziness occurring without exertion. Dizziness slow on set and persistent. No chest pain. Pain scale 0 (1-10).
Witnesses: Richard Tovar
Rat Woodard MD, Heights Hailey MD

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Bianca Heyming
Lisa Roundtree
Bryan Hall

Was medical attention accepted?”:
Yes

Medical attention was refused by (name and relationship to… :

Was 911 emergency service called?:
Yes

Was patient transported via 911 emergency services?:
Yes

What hospital was victim transported to?:
Tri-City

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