BronchoscopyriskFluoroscopyriskAlzheimer'sin medicalhistory andpt signedconsentMedicalDisclosurePanel boxinitialsAddendumnotwitnessedbloodadministrationmissinginitialsbloodrecirculationmissinginitialswitnesssignaturemissingPEGrisk notinitialedBloodAdministrationrisksdatemissingtimemissingpatientsignaturemissingPatientsignedconsent aftergivennarcoticsDementia inmedicalhistory andpt signedconsentBandingrisk notinitialedPt AOx4but familysignedconsentreason forproceduremissingabbreviatedprocedureLungbiopsyriskLower GIaddendummissingphysiciannameincompleteUpper GIaddendummissingERCPrisk notinitialedBronchoscopyriskFluoroscopyriskAlzheimer'sin medicalhistory andpt signedconsentMedicalDisclosurePanel boxinitialsAddendumnotwitnessedbloodadministrationmissinginitialsbloodrecirculationmissinginitialswitnesssignaturemissingPEGrisk notinitialedBloodAdministrationrisksdatemissingtimemissingpatientsignaturemissingPatientsignedconsent aftergivennarcoticsDementia inmedicalhistory andpt signedconsentBandingrisk notinitialedPt AOx4but familysignedconsentreason forproceduremissingabbreviatedprocedureLungbiopsyriskLower GIaddendummissingphysiciannameincompleteUpper GIaddendummissingERCPrisk notinitialed

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