Patient Incident Report Edited

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Joan Smith

55 Lake Drive
Canadore College Hospital 123

(555) 555-5555

7/08/1965 Female
11/02/2022 16:15 208 Med Surg

Dr. Brownrigg 16:20

Patient fell while walking to the washroom. The patient was found lying on the ground, and sustained pain in her arm and
a hematoma on the right side of her head. Proper fall protocol was followed, and the patient was lifted back into bed with
no other issues.

(647) 261 3321


Mikhayla Alarie 11/02/2022

Darren Brownrigg 11/02/2022

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