Used SICguide withmemberMade recbase onSIC convUsedprognosisstatementUsed peerreviewfeedbackformUsed SICguide forCOVIDUsed ethicscommitteefor ethicaldilemmaTransferredmember toHS due toSIC convUsed SICguide withmember'sson or dtrUsed"Some/Other"techniqueExplainedSIC convto MSWOrderedpsych consultto determinedecisioncapacityDiscusseddecisionalcapacitywith PCPUsed SICguide withspouseObservedpeerusing SICguideUsedANDinstead ofDNRReceivedthanks frommember orfamily forSIC convExplainedSIC convto PCPPresentedSIC/ACPinfo at teammeetingUsed SICguideover thephoneNew clinicianobservedyou usingSICExplainedadvancedirectivesto memberRespondedto emotionExplainedSIC convto staffnurseUsed "Iwish butI worry" Used SICguide withmemberMade recbase onSIC convUsedprognosisstatementUsed peerreviewfeedbackformUsed SICguide forCOVIDUsed ethicscommitteefor ethicaldilemmaTransferredmember toHS due toSIC convUsed SICguide withmember'sson or dtrUsed"Some/Other"techniqueExplainedSIC convto MSWOrderedpsych consultto determinedecisioncapacityDiscusseddecisionalcapacitywith PCPUsed SICguide withspouseObservedpeerusing SICguideUsedANDinstead ofDNRReceivedthanks frommember orfamily forSIC convExplainedSIC convto PCPPresentedSIC/ACPinfo at teammeetingUsed SICguideover thephoneNew clinicianobservedyou usingSICExplainedadvancedirectivesto memberRespondedto emotionExplainedSIC convto staffnurseUsed "Iwish butI worry" 

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