Observedpeerusing SICguideUsed SICguide forCOVIDUsed SICguide withmember'sson or dtrUsedprognosisstatementUsed SICguideover thephoneUsed "Iwish butI worry" Receivedthanks frommember orfamily forSIC convExplainedSIC convto PCPExplainedadvancedirectivesto memberUsed SICguide withmemberNew clinicianobservedyou usingSICRespondedto emotionDiscusseddecisionalcapacitywith PCPUsed peerreviewfeedbackformPresentedSIC/ACPinfo at teammeetingUsed ethicscommitteefor ethicaldilemmaUsed SICguide withspouseExplainedSIC convto MSWExplainedSIC convto staffnurseUsed"Some/Other"techniqueOrderedpsych consultto determinedecisioncapacityMade recbase onSIC convTransferredmember toHS due toSIC convUsedANDinstead ofDNRObservedpeerusing SICguideUsed SICguide forCOVIDUsed SICguide withmember'sson or dtrUsedprognosisstatementUsed SICguideover thephoneUsed "Iwish butI worry" Receivedthanks frommember orfamily forSIC convExplainedSIC convto PCPExplainedadvancedirectivesto memberUsed SICguide withmemberNew clinicianobservedyou usingSICRespondedto emotionDiscusseddecisionalcapacitywith PCPUsed peerreviewfeedbackformPresentedSIC/ACPinfo at teammeetingUsed ethicscommitteefor ethicaldilemmaUsed SICguide withspouseExplainedSIC convto MSWExplainedSIC convto staffnurseUsed"Some/Other"techniqueOrderedpsych consultto determinedecisioncapacityMade recbase onSIC convTransferredmember toHS due toSIC convUsedANDinstead ofDNR

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