MIRF REPORT
Request:
Fall
Campus:
Vista
Location/Building:
[68]
Date of Incident:
October 6, 2022
Time of Incident:
1:10 PM
Number of Patients for this Incident:
[75]
List Patient(s) Name, Age, Parent/Guardian (if under 18),… :
Susan Hudson
Describe Medical Event:
Fell getting out of passenger side of van, complaining of pain to her head and hip
Actions Taken by Team Members:
[79]
Number of NCSM Team Members Involved:
[81]
List Name(s) of NCSM Team Members Involved:
Tim Moy
Micah Weenier
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?:
Yes
What hospital was victim transported to?:
Palomar
NCS team lead:
[249]
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