Correct ConsentForms areAvailable,andStaff can Speakto all PartsLinen isStored andCoveredAppropriatelyComputer(s)areSecured if Notin UseALL ElectricalPanels, EGRESS,Fire Extinguishersand Fire PullStations areUnobstructedNO PorousItemsUnderSinksSinks and IceMachines areFree ofCalciumBuild-upNOCardboard inPatient CareAreasHandSanitizersare Full/NotEmptyStaff CanSpeakto Processfor RoomTurnoverCLEARSeparation ofFull/Partialand EmptyOxygen TanksArea isClean andFree ofClutterNOHighDustALLSprinklershave 18”ClearanceALL Sharpsare Securedor inConstantSupervisionNOProtectedHealthInformation(PHI)VisibleNOBugs inLightsCurtains areClean and inGoodConditionALLBathroomsare Cleanand StockedALLMedicationsSecuredCeilingTiles arein GoodConditionALL LogsCompletedClearSeparationof Cleanand DirtyHydrogenPeroxide(GreenTop)-5MinutesNOSuppliesStored onFloorBleachWipes –4MinutesALL Specimensare TransportedAppropriatelyThrough the HallNO Food orUncoveredDrinks inPatient CareAreasALL RequiredEquipmenthas Up-to-Date PMStickersGrey PDIWipes –3MinutesCorrect ConsentForms areAvailable,andStaff can Speakto all PartsLinen isStored andCoveredAppropriatelyComputer(s)areSecured if Notin UseALL ElectricalPanels, EGRESS,Fire Extinguishersand Fire PullStations areUnobstructedNO PorousItemsUnderSinksSinks and IceMachines areFree ofCalciumBuild-upNOCardboard inPatient CareAreasHandSanitizersare Full/NotEmptyStaff CanSpeakto Processfor RoomTurnoverCLEARSeparation ofFull/Partialand EmptyOxygen TanksArea isClean andFree ofClutterNOHighDustALLSprinklershave 18”ClearanceALL Sharpsare Securedor inConstantSupervisionNOProtectedHealthInformation(PHI)VisibleNOBugs inLightsCurtains areClean and inGoodConditionALLBathroomsare Cleanand StockedALLMedicationsSecuredCeilingTiles arein GoodConditionALL LogsCompletedClearSeparationof Cleanand DirtyHydrogenPeroxide(GreenTop)-5MinutesNOSuppliesStored onFloorBleachWipes –4MinutesALL Specimensare TransportedAppropriatelyThrough the HallNO Food orUncoveredDrinks inPatient CareAreasALL RequiredEquipmenthas Up-to-Date PMStickersGrey PDIWipes –3Minutes

SMART BINGO - 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. Correct Consent Forms are Available,and Staff can Speak to all Parts
  2. Linen is Stored and Covered Appropriately
  3. Computer(s)are Secured if Not in Use
  4. ALL Electrical Panels, EGRESS, Fire Extinguishers and Fire Pull Stations are Unobstructed
  5. NO Porous Items Under Sinks
  6. Sinks and Ice Machines are Free of Calcium Build-up
  7. NO Cardboard in Patient Care Areas
  8. Hand Sanitizers are Full/Not Empty
  9. Staff Can Speak to Process for Room Turnover
  10. CLEAR Separation of Full/Partial and Empty Oxygen Tanks
  11. Area is Clean and Free of Clutter
  12. NO High Dust
  13. ALL Sprinklers have 18” Clearance
  14. ALL Sharps are Secured or in Constant Supervision
  15. NO Protected Health Information (PHI)Visible
  16. NO Bugs in Lights
  17. Curtains are Clean and in Good Condition
  18. ALL Bathrooms are Clean and Stocked
  19. ALL Medications Secured
  20. Ceiling Tiles are in Good Condition
  21. ALL Logs Completed
  22. Clear Separation of Clean and Dirty
  23. Hydrogen Peroxide (Green Top)-5 Minutes
  24. NO Supplies Stored on Floor
  25. Bleach Wipes –4 Minutes
  26. ALL Specimens are Transported Appropriately Through the Hall
  27. NO Food or Uncovered Drinks in Patient Care Areas
  28. ALL Required Equipment has Up-to-Date PM Stickers
  29. Grey PDI Wipes –3 Minutes