Used SICguide withspouseUsed peerreviewfeedbackformNew clinicianobservedyou usingSICExplainedadvancedirectivesto memberUsed SICguide withmember'sson or dtrUsed "Iwish butI worry" Receivedthanks frommember orfamily forSIC convOrderedpsych consultto determinedecisioncapacityExplainedSIC convto staffnurseExplainedSIC convto PCPExplainedSIC convto MSWUsedprognosisstatementUsed ethicscommitteefor ethicaldilemmaUsed SICguideover thephoneTransferredmember toHS due toSIC convUsed SICguide forCOVIDUsed SICguide withmemberMade recbase onSIC convDiscusseddecisionalcapacitywith PCPUsed"Some/Other"techniqueRespondedto emotionPresentedSIC/ACPinfo at teammeetingUsedANDinstead ofDNRObservedpeerusing SICguideUsed SICguide withspouseUsed peerreviewfeedbackformNew clinicianobservedyou usingSICExplainedadvancedirectivesto memberUsed SICguide withmember'sson or dtrUsed "Iwish butI worry" Receivedthanks frommember orfamily forSIC convOrderedpsych consultto determinedecisioncapacityExplainedSIC convto staffnurseExplainedSIC convto PCPExplainedSIC convto MSWUsedprognosisstatementUsed ethicscommitteefor ethicaldilemmaUsed SICguideover thephoneTransferredmember toHS due toSIC convUsed SICguide forCOVIDUsed SICguide withmemberMade recbase onSIC convDiscusseddecisionalcapacitywith PCPUsed"Some/Other"techniqueRespondedto emotionPresentedSIC/ACPinfo at teammeetingUsedANDinstead ofDNRObservedpeerusing SICguide

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