Get Medical Incident Report Form

This guide will help you navigate the online Medical Incident Report Form, ensuring that you complete it accurately and efficiently. Follow these steps to provide the necessary details related to the medical incident with clarity and precision.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date of the incident in the provided section. Format the date as day/month/year.
3. In the patient details section, fill in the patient's name, sex, age, and home address. Also, complete the flight number, origin, destination, and seat number.
4. Indicate whether the patient is a frequent flyer member by selecting 'Yes' or 'No'.
5. Describe the details of the illness or accident, specifying the time and date of onset in GMT, the location where the incident occurred, and provide a description of the events leading up to the incident.
6. In the symptoms and signs section, indicate any pain by specifying the site, character, severity, and pattern. Also, check any applicable symptoms boxes such as nausea, bleeding, or fainting.
7. For any injuries, describe the body parts affected and any observable conditions, including pulse, temperature, blood pressure, and respiration.
8. Fill in the section regarding the transfer of care to ground medical services by providing the name of the casualty, date/time of onset, and brief details of the incident.
9. Document any medical actions taken, such as oxygen or medication administration, as well as any equipment used during the incident.
10. Provide information about the patient's medical history and indicate whether any previous issues, medications, or allergies exist.
11. Complete the cabin crew action section by recording actions taken, including any communication with medical control or professionals on board.
12. At the end, select the outcome that best describes the incident and document any treatments administered. Ensure to include your staff ID, signature, and name.
13. Once filled out, save changes, download the form, or print it for submission as needed.

Complete your Medical Incident Report Form online today to ensure a clear record of the incident.