MIRF REPORT

Request:
facial bump

Campus:
San Marcos/Escondido

Location/Building:
[68]

Date of Incident:
January 31, 2026

Time of Incident:
5:20 PM

Number of Patients for this Incident:
[75]

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

Jackson Myers DOB: 10/1/13
Dad- Anthony Myers, notified by phone, here with family friends.

Describe Medical Event:

While playing in the courtyard prior to service Jackson was hit “in the eye” with a basketball. It was an accident and the other young man was quite penitent.

Actions Taken by Team Members:
[79]

Number of NCSM Team Members Involved:
[81]

List Name(s) of NCSM Team Members Involved:

Chris Barber, Annelise Lorson, Virgil G.

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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