Used SICguide forCOVIDUsedANDinstead ofDNRTransferredmember toHS due toSIC convUsed SICguide withspouseUsed "Iwish butI worry" Used ethicscommitteefor ethicaldilemmaNew clinicianobservedyou usingSICMade recbase onSIC convUsed SICguide withmemberObservedpeerusing SICguideExplainedSIC convto MSWExplainedSIC convto PCPUsed SICguide withmember'sson or dtrExplainedSIC convto staffnurseUsed peerreviewfeedbackformOrderedpsych consultto determinedecisioncapacityUsedprognosisstatementDiscusseddecisionalcapacitywith PCPUsed"Some/Other"techniqueReceivedthanks frommember orfamily forSIC convRespondedto emotionPresentedSIC/ACPinfo at teammeetingUsed SICguideover thephoneExplainedadvancedirectivesto memberUsed SICguide forCOVIDUsedANDinstead ofDNRTransferredmember toHS due toSIC convUsed SICguide withspouseUsed "Iwish butI worry" Used ethicscommitteefor ethicaldilemmaNew clinicianobservedyou usingSICMade recbase onSIC convUsed SICguide withmemberObservedpeerusing SICguideExplainedSIC convto MSWExplainedSIC convto PCPUsed SICguide withmember'sson or dtrExplainedSIC convto staffnurseUsed peerreviewfeedbackformOrderedpsych consultto determinedecisioncapacityUsedprognosisstatementDiscusseddecisionalcapacitywith PCPUsed"Some/Other"techniqueReceivedthanks frommember orfamily forSIC convRespondedto emotionPresentedSIC/ACPinfo at teammeetingUsed SICguideover thephoneExplainedadvancedirectivesto member

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