To check ifadditionalcontrolledsubstancesDocumentintervention(all ofthem)DocumentHx of pain,substanceuse, mentalhealthPharm andrisks ofcontrolledsubstances5/15 CEhours onNCPMPatient'sfull nameandaddresswill agreeto urinedrugscreensDocumentriskassessmenteach visitTocheck ifdivertingwill agreeto pillcountsunderstandstreatmentplanNumberof refillsPrescribingfor patientswithout avisitQuantityprescribedNot datingfor dayscriptgivenwill notseek Rxfromothers> 90MEDUse apatientcontractIs anotherprovideralreadyprescribing?Filling inscript underanotherprovider'snameInadequatedocumen-tationAwarenessof abuse,addiction,diversionDEAregistrationnumberLook themup onstate'sPMPTo check ifadditionalcontrolledsubstancesDocumentintervention(all ofthem)DocumentHx of pain,substanceuse, mentalhealthPharm andrisks ofcontrolledsubstances5/15 CEhours onNCPMPatient'sfull nameandaddresswill agreeto urinedrugscreensDocumentriskassessmenteach visitTocheck ifdivertingwill agreeto pillcountsunderstandstreatmentplanNumberof refillsPrescribingfor patientswithout avisitQuantityprescribedNot datingfor dayscriptgivenwill notseek Rxfromothers> 90MEDUse apatientcontractIs anotherprovideralreadyprescribing?Filling inscript underanotherprovider'snameInadequatedocumen-tationAwarenessof abuse,addiction,diversionDEAregistrationnumberLook themup onstate'sPMP

Prescribing Controlled Substances - 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. To check if additional controlled substances
  2. Document intervention (all of them)
  3. Document Hx of pain, substance use, mental health
  4. Pharm and risks of controlled substances
  5. 5/15 CE hours on NCPM
  6. Patient's full name and address
  7. will agree to urine drug screens
  8. Document risk assessment each visit
  9. To check if diverting
  10. will agree to pill counts
  11. understands treatment plan
  12. Number of refills
  13. Prescribing for patients without a visit
  14. Quantity prescribed
  15. Not dating for day script given
  16. will not seek Rx from others
  17. > 90 MED
  18. Use a patient contract
  19. Is another provider already prescribing?
  20. Filling in script under another provider's name
  21. Inadequate documen-tation
  22. Awareness of abuse, addiction, diversion
  23. DEA registration number
  24. Look them up on state's PMP