Used SICguide withmember'sson or dtrUsed ethicscommitteefor ethicaldilemmaRespondedto emotionMade recbase onSIC convUsedprognosisstatementExplainedSIC convto PCPUsed SICguide withspouseUsed SICguideover thephoneObservedpeerusing SICguideUsed peerreviewfeedbackformTransferredmember toHS due toSIC convReceivedthanks frommember orfamily forSIC convDiscusseddecisionalcapacitywith PCPUsed SICguide withmemberUsed SICguide forCOVIDPresentedSIC/ACPinfo at teammeetingNew clinicianobservedyou usingSICOrderedpsych consultto determinedecisioncapacityUsedANDinstead ofDNRExplainedSIC convto staffnurseExplainedadvancedirectivesto memberExplainedSIC convto MSWUsed "Iwish butI worry" Used"Some/Other"techniqueUsed SICguide withmember'sson or dtrUsed ethicscommitteefor ethicaldilemmaRespondedto emotionMade recbase onSIC convUsedprognosisstatementExplainedSIC convto PCPUsed SICguide withspouseUsed SICguideover thephoneObservedpeerusing SICguideUsed peerreviewfeedbackformTransferredmember toHS due toSIC convReceivedthanks frommember orfamily forSIC convDiscusseddecisionalcapacitywith PCPUsed SICguide withmemberUsed SICguide forCOVIDPresentedSIC/ACPinfo at teammeetingNew clinicianobservedyou usingSICOrderedpsych consultto determinedecisioncapacityUsedANDinstead ofDNRExplainedSIC convto staffnurseExplainedadvancedirectivesto memberExplainedSIC convto MSWUsed "Iwish butI worry" Used"Some/Other"technique

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