BleachWipes –4MinutesLinen isStored andCoveredAppropriatelyALL Specimensare TransportedAppropriatelyThrough the HallCLEARSeparation ofFull/Partialand EmptyOxygen TanksArea isClean andFree ofClutterALLMedicationsSecuredALL ElectricalPanels, EGRESS,Fire Extinguishersand Fire PullStations areUnobstructedNOBugs inLightsClearSeparationof Cleanand DirtyNO Food orUncoveredDrinks inPatient CareAreasCeilingTiles arein GoodConditionALLBathroomsare Cleanand StockedStaff CanSpeakto Processfor RoomTurnoverNOCardboard inPatient CareAreasNOSuppliesStored onFloorALL Sharpsare Securedor inConstantSupervisionCorrect ConsentForms areAvailable,andStaff can Speakto all PartsNOHighDustNOProtectedHealthInformation(PHI)VisibleHydrogenPeroxide(GreenTop)-5MinutesCurtains areClean and inGoodConditionALL LogsCompletedALLSprinklershave 18”ClearanceGrey PDIWipes –3MinutesALL RequiredEquipmenthas Up-to-Date PMStickersHandSanitizersare Full/NotEmptySinks and IceMachines areFree ofCalciumBuild-upNO PorousItemsUnderSinksComputer(s)areSecured if Notin UseBleachWipes –4MinutesLinen isStored andCoveredAppropriatelyALL Specimensare TransportedAppropriatelyThrough the HallCLEARSeparation ofFull/Partialand EmptyOxygen TanksArea isClean andFree ofClutterALLMedicationsSecuredALL ElectricalPanels, EGRESS,Fire Extinguishersand Fire PullStations areUnobstructedNOBugs inLightsClearSeparationof Cleanand DirtyNO Food orUncoveredDrinks inPatient CareAreasCeilingTiles arein GoodConditionALLBathroomsare Cleanand StockedStaff CanSpeakto Processfor RoomTurnoverNOCardboard inPatient CareAreasNOSuppliesStored onFloorALL Sharpsare Securedor inConstantSupervisionCorrect ConsentForms areAvailable,andStaff can Speakto all PartsNOHighDustNOProtectedHealthInformation(PHI)VisibleHydrogenPeroxide(GreenTop)-5MinutesCurtains areClean and inGoodConditionALL LogsCompletedALLSprinklershave 18”ClearanceGrey PDIWipes –3MinutesALL RequiredEquipmenthas Up-to-Date PMStickersHandSanitizersare Full/NotEmptySinks and IceMachines areFree ofCalciumBuild-upNO PorousItemsUnderSinksComputer(s)areSecured if Notin Use

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