Made recbase onSIC convExplainedSIC convto PCPExplainedSIC convto MSWUsed SICguide withmember'sson or dtrTransferredmember toHS due toSIC convUsed SICguide forCOVIDUsed"Some/Other"techniqueExplainedSIC convto staffnurseUsedANDinstead ofDNRRespondedto emotionExplainedadvancedirectivesto memberUsed SICguide withmemberUsed peerreviewfeedbackformDiscusseddecisionalcapacitywith PCPUsed SICguideover thephoneOrderedpsych consultto determinedecisioncapacityPresentedSIC/ACPinfo at teammeetingUsed ethicscommitteefor ethicaldilemmaUsed SICguide withspouseUsedprognosisstatementUsed "Iwish butI worry" New clinicianobservedyou usingSICReceivedthanks frommember orfamily forSIC convObservedpeerusing SICguideMade recbase onSIC convExplainedSIC convto PCPExplainedSIC convto MSWUsed SICguide withmember'sson or dtrTransferredmember toHS due toSIC convUsed SICguide forCOVIDUsed"Some/Other"techniqueExplainedSIC convto staffnurseUsedANDinstead ofDNRRespondedto emotionExplainedadvancedirectivesto memberUsed SICguide withmemberUsed peerreviewfeedbackformDiscusseddecisionalcapacitywith PCPUsed SICguideover thephoneOrderedpsych consultto determinedecisioncapacityPresentedSIC/ACPinfo at teammeetingUsed ethicscommitteefor ethicaldilemmaUsed SICguide withspouseUsedprognosisstatementUsed "Iwish butI worry" New clinicianobservedyou usingSICReceivedthanks frommember orfamily forSIC convObservedpeerusing 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. Made rec base on SIC conv
  2. Explained SIC conv to PCP
  3. Explained SIC conv to MSW
  4. Used SIC guide with member's son or dtr
  5. Transferred member to HS due to SIC conv
  6. Used SIC guide for COVID
  7. Used "Some/Other" technique
  8. Explained SIC conv to staff nurse
  9. Used AND instead of DNR
  10. Responded to emotion
  11. Explained advance directives to member
  12. Used SIC guide with member
  13. Used peer review feedback form
  14. Discussed decisional capacity with PCP
  15. Used SIC guide over the phone
  16. Ordered psych consult to determine decision capacity
  17. Presented SIC/ACP info at team meeting
  18. Used ethics committee for ethical dilemma
  19. Used SIC guide with spouse
  20. Used prognosis statement
  21. Used "I wish but I worry"
  22. New clinician observed you using SIC
  23. Received thanks from member or family for SIC conv
  24. Observed peer using SIC guide