Bandingrisk notinitialedLungbiopsyriskBloodAdministrationrisksdatemissingPt AOx4but familysignedconsentreason forproceduremissingDementia inmedicalhistory andpt signedconsentLower GIaddendummissingAddendumnotwitnessedPatientsignedconsent aftergivennarcoticsbloodrecirculationmissinginitialsERCPrisk notinitialedBronchoscopyriskAlzheimer'sin medicalhistory andpt signedconsentbloodadministrationmissinginitialsabbreviatedprocedurePEGrisk notinitialedphysiciannameincompleteUpper GIaddendummissingtimemissingFluoroscopyriskpatientsignaturemissingwitnesssignaturemissingMedicalDisclosurePanel boxinitialsBandingrisk notinitialedLungbiopsyriskBloodAdministrationrisksdatemissingPt AOx4but familysignedconsentreason forproceduremissingDementia inmedicalhistory andpt signedconsentLower GIaddendummissingAddendumnotwitnessedPatientsignedconsent aftergivennarcoticsbloodrecirculationmissinginitialsERCPrisk notinitialedBronchoscopyriskAlzheimer'sin medicalhistory andpt signedconsentbloodadministrationmissinginitialsabbreviatedprocedurePEGrisk notinitialedphysiciannameincompleteUpper GIaddendummissingtimemissingFluoroscopyriskpatientsignaturemissingwitnesssignaturemissingMedicalDisclosurePanel boxinitials

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