Student Injury Incident Report
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Did the student stay overnight or longer in hospital Yes No If yes, how many days did he/she spend in hospital days Injury Report Details Narrative Analysis Describe how the injury/injuries happened Include any recommendations, suggestions and/or observations/patterns Follow up: Review of incident Possible physical contact with patient bodily fluid IF YES SEE THE FIRST AID COORDINATOR NOW Comments made or procedural/programme changes recommended No Yes Type Patient Report Form completed: No Yes Given to: Ambulance Doctor Parent Patient Time involved in treatment: minutes Signature: Follow up to: Date: Name: Name: Signature:.
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