Used SICguide withmember'sson or dtrUsed SICguide forCOVIDUsed SICguideover thephoneUsed peerreviewfeedbackformRespondedto emotionExplainedSIC convto PCPExplainedSIC convto staffnursePresentedSIC/ACPinfo at teammeetingUsed"Some/Other"techniqueObservedpeerusing SICguideNew clinicianobservedyou usingSICExplainedSIC convto MSWUsed ethicscommitteefor ethicaldilemmaExplainedadvancedirectivesto memberTransferredmember toHS due toSIC convUsed SICguide withspouseUsed SICguide withmemberUsedprognosisstatementMade recbase onSIC convUsedANDinstead ofDNRUsed "Iwish butI worry" Discusseddecisionalcapacitywith PCPOrderedpsych consultto determinedecisioncapacityReceivedthanks frommember orfamily forSIC convUsed SICguide withmember'sson or dtrUsed SICguide forCOVIDUsed SICguideover thephoneUsed peerreviewfeedbackformRespondedto emotionExplainedSIC convto PCPExplainedSIC convto staffnursePresentedSIC/ACPinfo at teammeetingUsed"Some/Other"techniqueObservedpeerusing SICguideNew clinicianobservedyou usingSICExplainedSIC convto MSWUsed ethicscommitteefor ethicaldilemmaExplainedadvancedirectivesto memberTransferredmember toHS due toSIC convUsed SICguide withspouseUsed SICguide withmemberUsedprognosisstatementMade recbase onSIC convUsedANDinstead ofDNRUsed "Iwish butI worry" Discusseddecisionalcapacitywith PCPOrderedpsych consultto determinedecisioncapacityReceivedthanks frommember orfamily forSIC conv

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