Ombudsmanempoweredcomplainant toresolve theirown complaintOmbudsmanfollowed up withcomplainant onresolution beforeclosing the caseComplainantis theresidentOmbudsman'scasedocumentationwas clear anddid not rambleOmbudsmansought helpfrom DoN orChargeNurseOmbudsmanspoke withfacility adminOmbudsmandated allentries onthe CaseFormComplainantis a familymember ofthe residentAll complaintsin Descriptionwereaddressed(either resolvedor withdrawn)Complaintwas resolvedtocomplainant'ssatisfactionOmbudsmanmet withresident faceto faceMultiplecomplaints werebulleted on theCase Form inthe DescriptionsectionResolutionis clearand time-limitedOmbudsmanshared infoon ResidentRights withresidentComplaintwaswithdrawnCare planwasscheduledand heldComplainantis theOmbudsmanOmbudsmanspoke withmaintenanceOmbudsmanclosed casein 30 days orlessOmbudsmanasked complainantif they hadpreviously spokenwith staff abouttheir concernOmbudsmansoughtassistance fromProgramCoordinator(Katie)Documentationincluded "who,when, andwhat" in theActions sectionOmbudsmanaskedresident forpermissionto actComplaint isa "MultipleResidents"complaintOmbudsmanempoweredcomplainant toresolve theirown complaintOmbudsmanfollowed up withcomplainant onresolution beforeclosing the caseComplainantis theresidentOmbudsman'scasedocumentationwas clear anddid not rambleOmbudsmansought helpfrom DoN orChargeNurseOmbudsmanspoke withfacility adminOmbudsmandated allentries onthe CaseFormComplainantis a familymember ofthe residentAll complaintsin Descriptionwereaddressed(either resolvedor withdrawn)Complaintwas resolvedtocomplainant'ssatisfactionOmbudsmanmet withresident faceto faceMultiplecomplaints werebulleted on theCase Form inthe DescriptionsectionResolutionis clearand time-limitedOmbudsmanshared infoon ResidentRights withresidentComplaintwaswithdrawnCare planwasscheduledand heldComplainantis theOmbudsmanOmbudsmanspoke withmaintenanceOmbudsmanclosed casein 30 days orlessOmbudsmanasked complainantif they hadpreviously spokenwith staff abouttheir concernOmbudsmansoughtassistance fromProgramCoordinator(Katie)Documentationincluded "who,when, andwhat" in theActions sectionOmbudsmanaskedresident forpermissionto actComplaint isa "MultipleResidents"complaint

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.


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