Verificationofconsent(s)Fire riskassessmentDone inOR beforeanesthesiaImmediatelybeforeincisionAllergiesverified anddocumentedMidlineLeft,right,bilateralAnticipatedspecimensEBLFree!Done inholdingareaPsychologicalsafetySingleusemarker5partsLife/Limbexception2 ptidentifiersAbxUpdatedH&P inlast 24hours  Site markexceptionsVerifyprocedurew/consentApplicableto alloperativeproceduresLPElectronicchecklistAll activitysuspendedduring TOVerificationofconsent(s)Fire riskassessmentDone inOR beforeanesthesiaImmediatelybeforeincisionAllergiesverified anddocumentedMidlineLeft,right,bilateralAnticipatedspecimensEBLFree!Done inholdingareaPsychologicalsafetySingleusemarker5partsLife/Limbexception2 ptidentifiersAbxUpdatedH&P inlast 24hours  Site markexceptionsVerifyprocedurew/consentApplicableto alloperativeproceduresLPElectronicchecklistAll activitysuspendedduring TO

Timeout 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. Verification of consent(s)
  2. Fire risk assessment
  3. Done in OR before anesthesia
  4. Immediately before incision
  5. Allergies verified and documented
  6. Midline
  7. Left, right, bilateral
  8. Anticipated specimens
  9. EBL
  10. Free!
  11. Done in holding area
  12. Psychological safety
  13. Single use marker
  14. 5 parts
  15. Life/Limb exception
  16. 2 pt identifiers
  17. Abx
  18. Updated H&P in last 24 hours
  20. Site mark exceptions
  21. Verify procedure w/consent
  22. Applicable to all operative procedures
  23. LP
  24. Electronic checklist
  25. All activity suspended during TO