Dementia inmedicalhistory andpt signedconsentbloodrecirculationmissinginitialsMedicalDisclosurePanel boxinitialsERCPrisk notinitialedabbreviatedproceduretimemissingBronchoscopyriskpatientsignaturemissingreason forproceduremissingUpper GIaddendummissingLower GIaddendummissingbloodadministrationmissinginitialsPt AOx4but familysignedconsentBloodAdministrationriskswitnesssignaturemissingPatientsignedconsent aftergivennarcoticsAddendumnotwitnessedAlzheimer'sin medicalhistory andpt signedconsentPEGrisk notinitialedphysiciannameincompleteFluoroscopyriskBandingrisk notinitialeddatemissingLungbiopsyriskDementia inmedicalhistory andpt signedconsentbloodrecirculationmissinginitialsMedicalDisclosurePanel boxinitialsERCPrisk notinitialedabbreviatedproceduretimemissingBronchoscopyriskpatientsignaturemissingreason forproceduremissingUpper GIaddendummissingLower GIaddendummissingbloodadministrationmissinginitialsPt AOx4but familysignedconsentBloodAdministrationriskswitnesssignaturemissingPatientsignedconsent aftergivennarcoticsAddendumnotwitnessedAlzheimer'sin medicalhistory andpt signedconsentPEGrisk notinitialedphysiciannameincompleteFluoroscopyriskBandingrisk notinitialeddatemissingLungbiopsyrisk

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