Made recbase onSIC convUsed SICguide withspouseNew clinicianobservedyou usingSICDiscusseddecisionalcapacitywith PCPUsed SICguideover thephoneUsedANDinstead ofDNRObservedpeerusing SICguideUsed SICguide forCOVIDUsed SICguide withmember'sson or dtrExplainedSIC convto staffnurseUsed ethicscommitteefor ethicaldilemmaRespondedto emotionUsed "Iwish butI worry" UsedprognosisstatementUsed SICguide withmemberOrderedpsych consultto determinedecisioncapacityExplainedSIC convto PCPUsed"Some/Other"techniqueUsed peerreviewfeedbackformPresentedSIC/ACPinfo at teammeetingReceivedthanks frommember orfamily forSIC convExplainedadvancedirectivesto memberTransferredmember toHS due toSIC convExplainedSIC convto MSWMade recbase onSIC convUsed SICguide withspouseNew clinicianobservedyou usingSICDiscusseddecisionalcapacitywith PCPUsed SICguideover thephoneUsedANDinstead ofDNRObservedpeerusing SICguideUsed SICguide forCOVIDUsed SICguide withmember'sson or dtrExplainedSIC convto staffnurseUsed ethicscommitteefor ethicaldilemmaRespondedto emotionUsed "Iwish butI worry" UsedprognosisstatementUsed SICguide withmemberOrderedpsych consultto determinedecisioncapacityExplainedSIC convto PCPUsed"Some/Other"techniqueUsed peerreviewfeedbackformPresentedSIC/ACPinfo at teammeetingReceivedthanks frommember orfamily forSIC convExplainedadvancedirectivesto memberTransferredmember toHS due toSIC convExplainedSIC convto MSW

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