UsedANDinstead ofDNRExplainedSIC convto staffnurseMade recbase onSIC convExplainedSIC convto MSWUsed SICguide withspouseUsed SICguide forCOVIDPresentedSIC/ACPinfo at teammeetingUsed"Some/Other"techniqueRespondedto emotionUsed ethicscommitteefor ethicaldilemmaUsed SICguide withmember'sson or dtrUsed peerreviewfeedbackformNew clinicianobservedyou usingSICExplainedSIC convto PCPOrderedpsych consultto determinedecisioncapacityExplainedadvancedirectivesto memberUsed "Iwish butI worry" Transferredmember toHS due toSIC convUsed SICguide withmemberUsedprognosisstatementReceivedthanks frommember orfamily forSIC convObservedpeerusing SICguideDiscusseddecisionalcapacitywith PCPUsed SICguideover thephoneUsedANDinstead ofDNRExplainedSIC convto staffnurseMade recbase onSIC convExplainedSIC convto MSWUsed SICguide withspouseUsed SICguide forCOVIDPresentedSIC/ACPinfo at teammeetingUsed"Some/Other"techniqueRespondedto emotionUsed ethicscommitteefor ethicaldilemmaUsed SICguide withmember'sson or dtrUsed peerreviewfeedbackformNew clinicianobservedyou usingSICExplainedSIC convto PCPOrderedpsych consultto determinedecisioncapacityExplainedadvancedirectivesto memberUsed "Iwish butI worry" Transferredmember toHS due toSIC convUsed SICguide withmemberUsedprognosisstatementReceivedthanks frommember orfamily forSIC convObservedpeerusing SICguideDiscusseddecisionalcapacitywith PCPUsed SICguideover thephone

CCM SIC 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. Used AND instead of DNR
  2. Explained SIC conv to staff nurse
  3. Made rec base on SIC conv
  4. Explained SIC conv to MSW
  5. Used SIC guide with spouse
  6. Used SIC guide for COVID
  7. Presented SIC/ACP info at team meeting
  8. Used "Some/Other" technique
  9. Responded to emotion
  10. Used ethics committee for ethical dilemma
  11. Used SIC guide with member's son or dtr
  12. Used peer review feedback form
  13. New clinician observed you using SIC
  14. Explained SIC conv to PCP
  15. Ordered psych consult to determine decision capacity
  16. Explained advance directives to member
  17. Used "I wish but I worry"
  18. Transferred member to HS due to SIC conv
  19. Used SIC guide with member
  20. Used prognosis statement
  21. Received thanks from member or family for SIC conv
  22. Observed peer using SIC guide
  23. Discussed decisional capacity with PCP
  24. Used SIC guide over the phone