UsedprognosisstatementMade recbase onSIC convRespondedto emotionUsed SICguideover thephoneObservedpeerusing SICguideUsed"Some/Other"techniqueUsed SICguide withmember'sson or dtrExplainedadvancedirectivesto memberReceivedthanks frommember orfamily forSIC convExplainedSIC convto MSWTransferredmember toHS due toSIC convOrderedpsych consultto determinedecisioncapacityUsed "Iwish butI worry" Used SICguide forCOVIDExplainedSIC convto PCPUsed ethicscommitteefor ethicaldilemmaUsed SICguide withmemberUsed SICguide withspouseNew clinicianobservedyou usingSICUsedANDinstead ofDNRPresentedSIC/ACPinfo at teammeetingDiscusseddecisionalcapacitywith PCPExplainedSIC convto staffnurseUsed peerreviewfeedbackformUsedprognosisstatementMade recbase onSIC convRespondedto emotionUsed SICguideover thephoneObservedpeerusing SICguideUsed"Some/Other"techniqueUsed SICguide withmember'sson or dtrExplainedadvancedirectivesto memberReceivedthanks frommember orfamily forSIC convExplainedSIC convto MSWTransferredmember toHS due toSIC convOrderedpsych consultto determinedecisioncapacityUsed "Iwish butI worry" Used SICguide forCOVIDExplainedSIC convto PCPUsed ethicscommitteefor ethicaldilemmaUsed SICguide withmemberUsed SICguide withspouseNew clinicianobservedyou usingSICUsedANDinstead ofDNRPresentedSIC/ACPinfo at teammeetingDiscusseddecisionalcapacitywith PCPExplainedSIC convto staffnurseUsed peerreviewfeedbackform

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