abbreviatedprocedurepatientsignaturemissingLungbiopsyriskLower GIaddendummissingPEGrisk notinitialedbloodrecirculationmissinginitialsMedicalDisclosurePanel boxinitialsreason forproceduremissingbloodadministrationmissinginitialsPatientsignedconsent aftergivennarcoticsAddendumnotwitnessedphysiciannameincompleteERCPrisk notinitialedBandingrisk notinitialedUpper GIaddendummissingtimemissingdatemissingwitnesssignaturemissingDementia inmedicalhistory andpt signedconsentBloodAdministrationrisksBronchoscopyriskAlzheimer'sin medicalhistory andpt signedconsentPt AOx4but familysignedconsentFluoroscopyriskabbreviatedprocedurepatientsignaturemissingLungbiopsyriskLower GIaddendummissingPEGrisk notinitialedbloodrecirculationmissinginitialsMedicalDisclosurePanel boxinitialsreason forproceduremissingbloodadministrationmissinginitialsPatientsignedconsent aftergivennarcoticsAddendumnotwitnessedphysiciannameincompleteERCPrisk notinitialedBandingrisk notinitialedUpper GIaddendummissingtimemissingdatemissingwitnesssignaturemissingDementia inmedicalhistory andpt signedconsentBloodAdministrationrisksBronchoscopyriskAlzheimer'sin medicalhistory andpt signedconsentPt AOx4but familysignedconsentFluoroscopyrisk

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