MIRF REPORT
Request:
Medical
Campus:
Vista
Location/Building:
[68]
Date of Incident:
July 20, 2019
Time of Incident:
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
DUKE WALDON, 60 y/ o male with history of PTSD. Complais on numbers in head. stroke scale negative. BP 130/80, heart rate 84, RR16 , oxygen level 96 percent on room air. PT will get a ride home with friend and call 911 if needed
Describe Medical Event:
. as above,, time 1900
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Mary Moore, Joni Short. Ron Hardy
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?:
Other
NCS team lead:
[249]
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