Ombudsmanshared infoon ResidentRights withresidentOmbudsmansought helpfrom DoN orChargeNurseAll complaintsin Descriptionwereaddressed(either resolvedor withdrawn)Ombudsmanspoke withmaintenanceOmbudsmandated allentries onthe CaseFormComplainantis theOmbudsmanComplainantis theresidentOmbudsmanmet withresident faceto faceOmbudsmanfollowed up withcomplainant onresolution beforeclosing the caseOmbudsmanasked complainantif they hadpreviously spokenwith staff abouttheir concernOmbudsmanspoke withfacility adminOmbudsmanempoweredcomplainant toresolve theirown complaintResolutionis clearand time-limitedOmbudsmanclosed casein 30 days orlessComplainantis a familymember ofthe residentMultiplecomplaints werebulleted on theCase Form inthe DescriptionsectionOmbudsman'scasedocumentationwas clear anddid not rambleComplaint isa "MultipleResidents"complaintCare planwasscheduledand heldOmbudsmanaskedresident forpermissionto actOmbudsmansoughtassistance fromProgramCoordinator(Katie)Documentationincluded "who,when, andwhat" in theActions sectionComplaintwas resolvedtocomplainant'ssatisfactionComplaintwaswithdrawnOmbudsmanshared infoon ResidentRights withresidentOmbudsmansought helpfrom DoN orChargeNurseAll complaintsin Descriptionwereaddressed(either resolvedor withdrawn)Ombudsmanspoke withmaintenanceOmbudsmandated allentries onthe CaseFormComplainantis theOmbudsmanComplainantis theresidentOmbudsmanmet withresident faceto faceOmbudsmanfollowed up withcomplainant onresolution beforeclosing the caseOmbudsmanasked complainantif they hadpreviously spokenwith staff abouttheir concernOmbudsmanspoke withfacility adminOmbudsmanempoweredcomplainant toresolve theirown complaintResolutionis clearand time-limitedOmbudsmanclosed casein 30 days orlessComplainantis a familymember ofthe residentMultiplecomplaints werebulleted on theCase Form inthe DescriptionsectionOmbudsman'scasedocumentationwas clear anddid not rambleComplaint isa "MultipleResidents"complaintCare planwasscheduledand heldOmbudsmanaskedresident forpermissionto actOmbudsmansoughtassistance fromProgramCoordinator(Katie)Documentationincluded "who,when, andwhat" in theActions sectionComplaintwas resolvedtocomplainant'ssatisfactionComplaintwaswithdrawn

CASE DOCUMENTATION - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Ombudsman shared info on Resident Rights with resident
  2. Ombudsman sought help from DoN or Charge Nurse
  3. All complaints in Description were addressed (either resolved or withdrawn)
  4. Ombudsman spoke with maintenance
  5. Ombudsman dated all entries on the Case Form
  6. Complainant is the Ombudsman
  7. Complainant is the resident
  8. Ombudsman met with resident face to face
  9. Ombudsman followed up with complainant on resolution before closing the case
  10. Ombudsman asked complainant if they had previously spoken with staff about their concern
  11. Ombudsman spoke with facility admin
  12. Ombudsman empowered complainant to resolve their own complaint
  13. Resolution is clear and time-limited
  14. Ombudsman closed case in 30 days or less
  15. Complainant is a family member of the resident
  16. Multiple complaints were bulleted on the Case Form in the Description section
  17. Ombudsman's case documentation was clear and did not ramble
  18. Complaint is a "Multiple Residents" complaint
  19. Care plan was scheduled and held
  20. Ombudsman asked resident for permission to act
  21. Ombudsman sought assistance from Program Coordinator (Katie)
  22. Documentation included "who, when, and what" in the Actions section
  23. Complaint was resolved to complainant's satisfaction
  24. Complaint was withdrawn