MIRF REPORT
Request:
Fall/hit R side of mouth on table
Campus:
Vista
Location/Building:
[68]
Date of Incident:
April 12, 2026
Time of Incident:
9:33 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Logan Ibarra, 2 yes, 2 Mos old, Father: William Ibarra, 360-471-5303
Describe Medical Event:
Fell into table outside of preschool classroom. Inside of mouth was bleeding before medical arrived.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Bryan Hall, Dan Morsch
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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