FluoroscopyriskbloodadministrationmissinginitialsabbreviatedprocedureBronchoscopyriskwitnesssignaturemissingUpper GIaddendummissingLower GIaddendummissingAddendumnotwitnessedreason forproceduremissingbloodrecirculationmissinginitialsBloodAdministrationrisksERCPrisk notinitialedDementia inmedicalhistory andpt signedconsentPatientsignedconsent aftergivennarcoticstimemissingdatemissingBandingrisk notinitialedMedicalDisclosurePanel boxinitialsphysiciannameincompletePEGrisk notinitialedAlzheimer'sin medicalhistory andpt signedconsentLungbiopsyriskPt AOx4but familysignedconsentpatientsignaturemissingFluoroscopyriskbloodadministrationmissinginitialsabbreviatedprocedureBronchoscopyriskwitnesssignaturemissingUpper GIaddendummissingLower GIaddendummissingAddendumnotwitnessedreason forproceduremissingbloodrecirculationmissinginitialsBloodAdministrationrisksERCPrisk notinitialedDementia inmedicalhistory andpt signedconsentPatientsignedconsent aftergivennarcoticstimemissingdatemissingBandingrisk notinitialedMedicalDisclosurePanel boxinitialsphysiciannameincompletePEGrisk notinitialedAlzheimer'sin medicalhistory andpt signedconsentLungbiopsyriskPt AOx4but familysignedconsentpatientsignaturemissing

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