Ombudsmandated allentries onthe CaseFormComplaintwas resolvedtocomplainant'ssatisfactionOmbudsmanasked complainantif they hadpreviously spokenwith staff abouttheir concernResolutionis clearand time-limitedCare planwasscheduledand heldOmbudsmanaskedresident forpermissionto actComplainantis a familymember ofthe residentOmbudsmanspoke withfacility adminOmbudsmanspoke withmaintenanceComplaintwaswithdrawnComplainantis theOmbudsmanOmbudsmanfollowed up withcomplainant onresolution beforeclosing the caseComplaint isa "MultipleResidents"complaintOmbudsmansoughtassistance fromProgramCoordinator(Katie)Ombudsmansought helpfrom DoN orChargeNurseComplainantis theresidentOmbudsmanempoweredcomplainant toresolve theirown complaintOmbudsman'scasedocumentationwas clear anddid not rambleOmbudsmanshared infoon ResidentRights withresidentDocumentationincluded "who,when, andwhat" in theActions sectionMultiplecomplaints werebulleted on theCase Form inthe DescriptionsectionAll complaintsin Descriptionwereaddressed(either resolvedor withdrawn)Ombudsmanmet withresident faceto faceOmbudsmanclosed casein 30 days orlessOmbudsmandated allentries onthe CaseFormComplaintwas resolvedtocomplainant'ssatisfactionOmbudsmanasked complainantif they hadpreviously spokenwith staff abouttheir concernResolutionis clearand time-limitedCare planwasscheduledand heldOmbudsmanaskedresident forpermissionto actComplainantis a familymember ofthe residentOmbudsmanspoke withfacility adminOmbudsmanspoke withmaintenanceComplaintwaswithdrawnComplainantis theOmbudsmanOmbudsmanfollowed up withcomplainant onresolution beforeclosing the caseComplaint isa "MultipleResidents"complaintOmbudsmansoughtassistance fromProgramCoordinator(Katie)Ombudsmansought helpfrom DoN orChargeNurseComplainantis theresidentOmbudsmanempoweredcomplainant toresolve theirown complaintOmbudsman'scasedocumentationwas clear anddid not rambleOmbudsmanshared infoon ResidentRights withresidentDocumentationincluded "who,when, andwhat" in theActions sectionMultiplecomplaints werebulleted on theCase Form inthe DescriptionsectionAll complaintsin Descriptionwereaddressed(either resolvedor withdrawn)Ombudsmanmet withresident faceto faceOmbudsmanclosed casein 30 days orless

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