Correct ConsentForms areAvailable,andStaff can Speakto all PartsALL LogsCompletedStaff CanSpeakto Processfor RoomTurnoverNOProtectedHealthInformation(PHI)VisibleALL RequiredEquipmenthas Up-to-Date PMStickersALL ElectricalPanels, EGRESS,Fire Extinguishersand Fire PullStations areUnobstructedALLMedicationsSecuredALL Specimensare TransportedAppropriatelyThrough the HallNO PorousItemsUnderSinksComputer(s)areSecured if Notin UseHandSanitizersare Full/NotEmptyNOCardboard inPatient CareAreasNOHighDustGrey PDIWipes –3MinutesBleachWipes –4MinutesALL Sharpsare Securedor inConstantSupervisionCeilingTiles arein GoodConditionHydrogenPeroxide(GreenTop)-5MinutesCLEARSeparation ofFull/Partialand EmptyOxygen TanksLinen isStored andCoveredAppropriatelyArea isClean andFree ofClutterNOBugs inLightsALLSprinklershave 18”ClearanceALLBathroomsare Cleanand StockedClearSeparationof Cleanand DirtyNO Food orUncoveredDrinks inPatient CareAreasSinks and IceMachines areFree ofCalciumBuild-upCurtains areClean and inGoodConditionNOSuppliesStored onFloorCorrect ConsentForms areAvailable,andStaff can Speakto all PartsALL LogsCompletedStaff CanSpeakto Processfor RoomTurnoverNOProtectedHealthInformation(PHI)VisibleALL RequiredEquipmenthas Up-to-Date PMStickersALL ElectricalPanels, EGRESS,Fire Extinguishersand Fire PullStations areUnobstructedALLMedicationsSecuredALL Specimensare TransportedAppropriatelyThrough the HallNO PorousItemsUnderSinksComputer(s)areSecured if Notin UseHandSanitizersare Full/NotEmptyNOCardboard inPatient CareAreasNOHighDustGrey PDIWipes –3MinutesBleachWipes –4MinutesALL Sharpsare Securedor inConstantSupervisionCeilingTiles arein GoodConditionHydrogenPeroxide(GreenTop)-5MinutesCLEARSeparation ofFull/Partialand EmptyOxygen TanksLinen isStored andCoveredAppropriatelyArea isClean andFree ofClutterNOBugs inLightsALLSprinklershave 18”ClearanceALLBathroomsare Cleanand StockedClearSeparationof Cleanand DirtyNO Food orUncoveredDrinks inPatient CareAreasSinks and IceMachines areFree ofCalciumBuild-upCurtains areClean and inGoodConditionNOSuppliesStored onFloor

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