FluoroscopyriskBronchoscopyriskDementia inmedicalhistory andpt signedconsentabbreviatedprocedurePEGrisk notinitialedLower GIaddendummissingUpper GIaddendummissingdatemissingBloodAdministrationrisksreason forproceduremissingPt AOx4but familysignedconsentAddendumnotwitnessedphysiciannameincompletebloodadministrationmissinginitialstimemissingMedicalDisclosurePanel boxinitialsBandingrisk notinitialedERCPrisk notinitialedbloodrecirculationmissinginitialspatientsignaturemissingwitnesssignaturemissingPatientsignedconsent aftergivennarcoticsLungbiopsyriskAlzheimer'sin medicalhistory andpt signedconsentFluoroscopyriskBronchoscopyriskDementia inmedicalhistory andpt signedconsentabbreviatedprocedurePEGrisk notinitialedLower GIaddendummissingUpper GIaddendummissingdatemissingBloodAdministrationrisksreason forproceduremissingPt AOx4but familysignedconsentAddendumnotwitnessedphysiciannameincompletebloodadministrationmissinginitialstimemissingMedicalDisclosurePanel boxinitialsBandingrisk notinitialedERCPrisk notinitialedbloodrecirculationmissinginitialspatientsignaturemissingwitnesssignaturemissingPatientsignedconsent aftergivennarcoticsLungbiopsyriskAlzheimer'sin medicalhistory 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. Fluoroscopy risk
  2. Bronchoscopy risk
  3. Dementia in medical history and pt signed consent
  4. abbreviated procedure
  5. PEG risk not initialed
  6. Lower GI addendum missing
  7. Upper GI addendum missing
  8. date missing
  9. Blood Administration risks
  10. reason for procedure missing
  11. Pt AOx4 but family signed consent
  12. Addendum not witnessed
  13. physician name incomplete
  14. blood administration missing initials
  15. time missing
  16. Medical Disclosure Panel box initials
  17. Banding risk not initialed
  18. ERCP risk not initialed
  19. blood recirculation missing initials
  20. patient signature missing
  21. witness signature missing
  22. Patient signed consent after given narcotics
  23. Lung biopsy risk
  24. Alzheimer's in medical history and pt signed consent