abbreviatedprocedureMedicalDisclosurePanel boxinitialsUpper GIaddendummissingERCPrisk notinitialedPatientsignedconsent aftergivennarcoticsPt AOx4but familysignedconsentFluoroscopyriskphysiciannameincompleteLungbiopsyriskAddendumnotwitnessedLower GIaddendummissingreason forproceduremissingBloodAdministrationrisksPEGrisk notinitialedbloodadministrationmissinginitialspatientsignaturemissingdatemissingwitnesssignaturemissingBronchoscopyriskAlzheimer'sin medicalhistory andpt signedconsentbloodrecirculationmissinginitialstimemissingBandingrisk notinitialedDementia inmedicalhistory andpt signedconsentabbreviatedprocedureMedicalDisclosurePanel boxinitialsUpper GIaddendummissingERCPrisk notinitialedPatientsignedconsent aftergivennarcoticsPt AOx4but familysignedconsentFluoroscopyriskphysiciannameincompleteLungbiopsyriskAddendumnotwitnessedLower GIaddendummissingreason forproceduremissingBloodAdministrationrisksPEGrisk notinitialedbloodadministrationmissinginitialspatientsignaturemissingdatemissingwitnesssignaturemissingBronchoscopyriskAlzheimer'sin medicalhistory andpt signedconsentbloodrecirculationmissinginitialstimemissingBandingrisk notinitialedDementia inmedicalhistory andpt signedconsent

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