Patientsignedconsent aftergivennarcoticsMedicalDisclosurePanel boxinitialsERCPrisk notinitialedPt AOx4but familysignedconsentdatemissingUpper GIaddendummissingDementia inmedicalhistory andpt signedconsentpatientsignaturemissingtimemissingbloodadministrationmissinginitialsphysiciannameincompleteBandingrisk notinitialedreason forproceduremissingabbreviatedprocedureFluoroscopyriskAlzheimer'sin medicalhistory andpt signedconsentBronchoscopyriskbloodrecirculationmissinginitialsAddendumnotwitnessedBloodAdministrationrisksLungbiopsyriskLower GIaddendummissingwitnesssignaturemissingPEGrisk notinitialedPatientsignedconsent aftergivennarcoticsMedicalDisclosurePanel boxinitialsERCPrisk notinitialedPt AOx4but familysignedconsentdatemissingUpper GIaddendummissingDementia inmedicalhistory andpt signedconsentpatientsignaturemissingtimemissingbloodadministrationmissinginitialsphysiciannameincompleteBandingrisk notinitialedreason forproceduremissingabbreviatedprocedureFluoroscopyriskAlzheimer'sin medicalhistory andpt signedconsentBronchoscopyriskbloodrecirculationmissinginitialsAddendumnotwitnessedBloodAdministrationrisksLungbiopsyriskLower GIaddendummissingwitnesssignaturemissingPEGrisk notinitialed

Consent 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. Patient signed consent after given narcotics
  2. Medical Disclosure Panel box initials
  3. ERCP risk not initialed
  4. Pt AOx4 but family signed consent
  5. date missing
  6. Upper GI addendum missing
  7. Dementia in medical history and pt signed consent
  8. patient signature missing
  9. time missing
  10. blood administration missing initials
  11. physician name incomplete
  12. Banding risk not initialed
  13. reason for procedure missing
  14. abbreviated procedure
  15. Fluoroscopy risk
  16. Alzheimer's in medical history and pt signed consent
  17. Bronchoscopy risk
  18. blood recirculation missing initials
  19. Addendum not witnessed
  20. Blood Administration risks
  21. Lung biopsy risk
  22. Lower GI addendum missing
  23. witness signature missing
  24. PEG risk not initialed