Pt AOx4but familysignedconsentBandingrisk notinitialedUpper GIaddendummissingdatemissingpatientsignaturemissingAlzheimer'sin medicalhistory andpt signedconsentAddendumnotwitnessedbloodadministrationmissinginitialsBloodAdministrationrisksreason forproceduremissingLungbiopsyriskMedicalDisclosurePanel boxinitialsLower GIaddendummissingBronchoscopyriskPEGrisk notinitialedwitnesssignaturemissingERCPrisk notinitialedphysiciannameincompleteabbreviatedprocedureFluoroscopyriskPatientsignedconsent aftergivennarcoticsbloodrecirculationmissinginitialsDementia inmedicalhistory andpt signedconsenttimemissingPt AOx4but familysignedconsentBandingrisk notinitialedUpper GIaddendummissingdatemissingpatientsignaturemissingAlzheimer'sin medicalhistory andpt signedconsentAddendumnotwitnessedbloodadministrationmissinginitialsBloodAdministrationrisksreason forproceduremissingLungbiopsyriskMedicalDisclosurePanel boxinitialsLower GIaddendummissingBronchoscopyriskPEGrisk notinitialedwitnesssignaturemissingERCPrisk notinitialedphysiciannameincompleteabbreviatedprocedureFluoroscopyriskPatientsignedconsent aftergivennarcoticsbloodrecirculationmissinginitialsDementia inmedicalhistory andpt signedconsenttimemissing

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.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
  1. Pt AOx4 but family signed consent
  2. Banding risk not initialed
  3. Upper GI addendum missing
  4. date missing
  5. patient signature missing
  6. Alzheimer's in medical history and pt signed consent
  7. Addendum not witnessed
  8. blood administration missing initials
  9. Blood Administration risks
  10. reason for procedure missing
  11. Lung biopsy risk
  12. Medical Disclosure Panel box initials
  13. Lower GI addendum missing
  14. Bronchoscopy risk
  15. PEG risk not initialed
  16. witness signature missing
  17. ERCP risk not initialed
  18. physician name incomplete
  19. abbreviated procedure
  20. Fluoroscopy risk
  21. Patient signed consent after given narcotics
  22. blood recirculation missing initials
  23. Dementia in medical history and pt signed consent
  24. time missing