MIRF REPORT
Request:
Children’s staff
Campus:
Carlsbad
Location/Building:
[68]
Date of Incident:
July 21, 2019
Time of Incident:
9:50 AM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Patient: Isla Wilson DOB 6/10/16
Parents: Casie & Will Wilson
Phone: 760-703-5967 or 760-703-1528
Describe Medical Event:
Isla had a bandage on right big toe status post medical procedure. Bandage fell off while in class, no noted additional trauma or exacerbation of existing wound.
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
William Styers
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?:
Palomar
NCS team lead:
[249]
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