History ofbrokenbone_____Blueeyes_____Last BM=today_____Traveledoutside thecountry inlast 3 months_____Frequentheadaches/migraines_____History ofasthma_____Pastsurgicalhistory_____Lump/mass onskin_____Hazeleyes_____Non-intact skin_____Requiresvisualcorrectivedevice_____Skin coldto touch_____Exercisesregularly (3+times perweek)_____Abnormal skincolor (pallor,cyanosis,mottling)_____Visiblescar_____Large skinlesion (>6mm)_____Takes aprescribedmedication_____Hasbirthmark_____Palemucousmembranes_____Skinwarm totouch_____Diarrheawithin last10 days_____Has stairsin home_____Respiratoryillness withinlast 30 days_____Cranialnerves I-XII intact_____PERRLA_____GCS lessthan 15_____Visiblebruise_____Hasseriousallergy_____Wearinga red shirt_____History ofbrokenbone_____Blueeyes_____Last BM=today_____Traveledoutside thecountry inlast 3 months_____Frequentheadaches/migraines_____History ofasthma_____Pastsurgicalhistory_____Lump/mass onskin_____Hazeleyes_____Non-intact skin_____Requiresvisualcorrectivedevice_____Skin coldto touch_____Exercisesregularly (3+times perweek)_____Abnormal skincolor (pallor,cyanosis,mottling)_____Visiblescar_____Large skinlesion (>6mm)_____Takes aprescribedmedication_____Hasbirthmark_____Palemucousmembranes_____Skinwarm totouch_____Diarrheawithin last10 days_____Has stairsin home_____Respiratoryillness withinlast 30 days_____Cranialnerves I-XII intact_____PERRLA_____GCS lessthan 15_____Visiblebruise_____Hasseriousallergy_____Wearinga red shirt_____

H2T Assessment 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. History of broken bone _____
  2. Blue eyes _____
  3. Last BM= today _____
  4. Traveled outside the country in last 3 months _____
  5. Frequent headaches/ migraines _____
  6. History of asthma _____
  7. Past surgical history _____
  8. Lump/ mass on skin _____
  9. Hazel eyes _____
  10. Non-intact skin _____
  11. Requires visual corrective device _____
  12. Skin cold to touch _____
  13. Exercises regularly (3+ times per week) _____
  14. Abnormal skin color (pallor, cyanosis, mottling) _____
  15. Visible scar _____
  16. Large skin lesion (>6 mm) _____
  17. Takes a prescribed medication _____
  18. Has birthmark _____
  19. Pale mucous membranes _____
  20. Skin warm to touch _____
  21. Diarrhea within last 10 days _____
  22. Has stairs in home _____
  23. Respiratory illness within last 30 days _____
  24. Cranial nerves I-XII intact _____
  25. PERRLA _____
  26. GCS less than 15 _____
  27. Visible bruise _____
  28. Has serious allergy _____
  29. Wearing a red shirt _____