Pt AOx4but familysignedconsentAlzheimer'sin medicalhistory andpt signedconsentBronchoscopyriskdatemissingAddendumnotwitnessedBloodAdministrationriskswitnesssignaturemissingUpper GIaddendummissingMedicalDisclosurePanel boxinitialsERCPrisk notinitialedLower GIaddendummissingBandingrisk notinitialedtimemissingPEGrisk notinitialedabbreviatedprocedureLungbiopsyriskDementia inmedicalhistory andpt signedconsentbloodrecirculationmissinginitialsbloodadministrationmissinginitialsphysiciannameincompletereason forproceduremissingpatientsignaturemissingFluoroscopyriskPatientsignedconsent aftergivennarcoticsPt AOx4but familysignedconsentAlzheimer'sin medicalhistory andpt signedconsentBronchoscopyriskdatemissingAddendumnotwitnessedBloodAdministrationriskswitnesssignaturemissingUpper GIaddendummissingMedicalDisclosurePanel boxinitialsERCPrisk notinitialedLower GIaddendummissingBandingrisk notinitialedtimemissingPEGrisk notinitialedabbreviatedprocedureLungbiopsyriskDementia inmedicalhistory andpt signedconsentbloodrecirculationmissinginitialsbloodadministrationmissinginitialsphysiciannameincompletereason forproceduremissingpatientsignaturemissingFluoroscopyriskPatientsignedconsent aftergivennarcotics

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