Consent BINGO

Consent BINGO Card
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This bingo card has a free space and 24 words: physician name incomplete, abbreviated procedure, reason for procedure missing, blood administration missing initials, blood recirculation missing initials, patient signature missing, witness signature missing, date missing, time missing, Medical Disclosure Panel box initials, Blood Administration risks, Fluoroscopy risk, Lung biopsy risk, Bronchoscopy risk, Upper GI addendum missing, Lower GI addendum missing, Dementia in medical history and pt signed consent, Alzheimer's in medical history and pt signed consent, Pt AOx4 but family signed consent, PEG risk not initialed, ERCP risk not initialed, Banding risk not initialed, Addendum not witnessed and Patient signed consent after given narcotics.

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