MIRF REPORT
Request:
Elderly fall
Campus:
Vista
Location/Building:
[68]
Date of Incident:
October 1, 2026
Time of Incident:
12:03 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Judith Crane 09-14-1940
Describe Medical Event:
Mrs. Crane was sitting in her walker on the sidewalk outside the 4th/5th grade classroom waiting on her ride to pull up to the sidewalk. She shifted her weight in the walker causing the wheel to fall off and tip towards the road. Mrs. Crane fell out of the chair and onto the road hitting her head onto a vehicle on her way down.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Jon Fecteau
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?:
No
What hospital was victim transported to?:
NCS team lead:
[249]
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