datemissingreason forproceduremissingFluoroscopyriskLungbiopsyriskBloodAdministrationrisksphysiciannameincompletePatientsignedconsent aftergivennarcoticsAddendumnotwitnessedPt AOx4but familysignedconsentBandingrisk notinitialedPEGrisk notinitialedBronchoscopyriskabbreviatedprocedurebloodrecirculationmissinginitialspatientsignaturemissingwitnesssignaturemissingLower GIaddendummissingAlzheimer'sin medicalhistory andpt signedconsentDementia inmedicalhistory andpt signedconsentMedicalDisclosurePanel boxinitialsbloodadministrationmissinginitialsUpper GIaddendummissingERCPrisk notinitialedtimemissingdatemissingreason forproceduremissingFluoroscopyriskLungbiopsyriskBloodAdministrationrisksphysiciannameincompletePatientsignedconsent aftergivennarcoticsAddendumnotwitnessedPt AOx4but familysignedconsentBandingrisk notinitialedPEGrisk notinitialedBronchoscopyriskabbreviatedprocedurebloodrecirculationmissinginitialspatientsignaturemissingwitnesssignaturemissingLower GIaddendummissingAlzheimer'sin medicalhistory andpt signedconsentDementia inmedicalhistory andpt signedconsentMedicalDisclosurePanel boxinitialsbloodadministrationmissinginitialsUpper GIaddendummissingERCPrisk notinitialedtimemissing

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