Receivedthanks frommember orfamily forSIC convObservedpeerusing SICguideNew clinicianobservedyou usingSICUsed "Iwish butI worry" PresentedSIC/ACPinfo at teammeetingRespondedto emotionUsed SICguide withmemberUsed SICguideover thephoneUsedANDinstead ofDNRTransferredmember toHS due toSIC convExplainedSIC convto staffnurseUsed SICguide forCOVIDDiscusseddecisionalcapacitywith PCPMade recbase onSIC convOrderedpsych consultto determinedecisioncapacityUsed peerreviewfeedbackformExplainedSIC convto PCPUsed"Some/Other"techniqueExplainedadvancedirectivesto memberUsed ethicscommitteefor ethicaldilemmaUsed SICguide withspouseExplainedSIC convto MSWUsed SICguide withmember'sson or dtrUsedprognosisstatementReceivedthanks frommember orfamily forSIC convObservedpeerusing SICguideNew clinicianobservedyou usingSICUsed "Iwish butI worry" PresentedSIC/ACPinfo at teammeetingRespondedto emotionUsed SICguide withmemberUsed SICguideover thephoneUsedANDinstead ofDNRTransferredmember toHS due toSIC convExplainedSIC convto staffnurseUsed SICguide forCOVIDDiscusseddecisionalcapacitywith PCPMade recbase onSIC convOrderedpsych consultto determinedecisioncapacityUsed peerreviewfeedbackformExplainedSIC convto PCPUsed"Some/Other"techniqueExplainedadvancedirectivesto memberUsed ethicscommitteefor ethicaldilemmaUsed SICguide withspouseExplainedSIC convto MSWUsed SICguide withmember'sson or dtrUsedprognosisstatement

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