New clinicianobservedyou usingSICUsedANDinstead ofDNROrderedpsych consultto determinedecisioncapacityUsed SICguide withspouseReceivedthanks frommember orfamily forSIC convUsedprognosisstatementObservedpeerusing SICguideMade recbase onSIC convExplainedSIC convto MSWUsed SICguideover thephoneRespondedto emotionTransferredmember toHS due toSIC convUsed ethicscommitteefor ethicaldilemmaUsed SICguide withmemberPresentedSIC/ACPinfo at teammeetingUsed "Iwish butI worry" Discusseddecisionalcapacitywith PCPExplainedadvancedirectivesto memberUsed peerreviewfeedbackformUsed SICguide withmember'sson or dtrUsed SICguide forCOVIDExplainedSIC convto PCPExplainedSIC convto staffnurseUsed"Some/Other"techniqueNew clinicianobservedyou usingSICUsedANDinstead ofDNROrderedpsych consultto determinedecisioncapacityUsed SICguide withspouseReceivedthanks frommember orfamily forSIC convUsedprognosisstatementObservedpeerusing SICguideMade recbase onSIC convExplainedSIC convto MSWUsed SICguideover thephoneRespondedto emotionTransferredmember toHS due toSIC convUsed ethicscommitteefor ethicaldilemmaUsed SICguide withmemberPresentedSIC/ACPinfo at teammeetingUsed "Iwish butI worry" Discusseddecisionalcapacitywith PCPExplainedadvancedirectivesto memberUsed peerreviewfeedbackformUsed SICguide withmember'sson or dtrUsed SICguide forCOVIDExplainedSIC convto PCPExplainedSIC convto staffnurseUsed"Some/Other"technique

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