Used SICguideover thephoneUsedANDinstead ofDNRUsed"Some/Other"techniqueExplainedadvancedirectivesto memberPresentedSIC/ACPinfo at teammeetingObservedpeerusing SICguideMade recbase onSIC convUsed "Iwish butI worry" Transferredmember toHS due toSIC convNew clinicianobservedyou usingSICOrderedpsych consultto determinedecisioncapacityUsed peerreviewfeedbackformDiscusseddecisionalcapacitywith PCPExplainedSIC convto staffnurseUsedprognosisstatementExplainedSIC convto PCPReceivedthanks frommember orfamily forSIC convUsed SICguide withmemberExplainedSIC convto MSWRespondedto emotionUsed SICguide withmember'sson or dtrUsed ethicscommitteefor ethicaldilemmaUsed SICguide forCOVIDUsed SICguide withspouseUsed SICguideover thephoneUsedANDinstead ofDNRUsed"Some/Other"techniqueExplainedadvancedirectivesto memberPresentedSIC/ACPinfo at teammeetingObservedpeerusing SICguideMade recbase onSIC convUsed "Iwish butI worry" Transferredmember toHS due toSIC convNew clinicianobservedyou usingSICOrderedpsych consultto determinedecisioncapacityUsed peerreviewfeedbackformDiscusseddecisionalcapacitywith PCPExplainedSIC convto staffnurseUsedprognosisstatementExplainedSIC convto PCPReceivedthanks frommember orfamily forSIC convUsed SICguide withmemberExplainedSIC convto MSWRespondedto emotionUsed SICguide withmember'sson or dtrUsed ethicscommitteefor ethicaldilemmaUsed SICguide forCOVIDUsed SICguide withspouse

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