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