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What actions were taken as a result of this event? (Please check) <br /> _911 Called Vital Signs: P R BP <br /> _Admitted to Acute Care Unit(Hospital) <br /> Condition: <br /> Admitted to ER for treatment <br /> Disposition of Patient: <br /> Admitted to isolation unit <br /> Admitted to observation Time: <br /> _ Advanced Cardiac Life Support(ACLS)initiated <br /> _Airway established/patient ventilated <br /> _CPR performed <br /> Cardiac defibrillation <br /> First aid administered <br /> Minor first aid administered <br /> _Oxygen administered <br /> _Refused treatment required <br /> Other action taken; <br /> Was treatment provided? _yes_no if YES specify: <br /> Reporter Information <br /> Reporter name:Last ,First <br /> Reporter title: <br /> How often do you think events like this happen?_frequently,_occasionally,_remotely,_uncommonly <br /> In your opinion,could this event have been prevented? _yes_no <br /> Who was this reported to&on what date? <br /> Medical Director Recommendations: <br /> Page 2 of 2 <br />