Visiblebruise_____Frequentheadaches/migraines_____Takes aprescribedmedication_____Large skinlesion (>6mm)_____Non-intact skin_____History ofasthma_____Palemucousmembranes_____Requiresvisualcorrectivedevice_____PERRLA_____GCS lessthan 15_____Hazeleyes_____Blueeyes_____Traveledoutside thecountry inlast 3 months_____Visiblescar_____Cranialnerves I-XII intact_____Respiratoryillness withinlast 30 days_____Hasbirthmark_____History ofbrokenbone_____Last BM=today_____Abnormal skincolor (pallor,cyanosis,mottling)_____Skin coldto touch_____Wearinga red shirt_____Diarrheawithin last10 days_____Skinwarm totouch_____Pastsurgicalhistory_____Has stairsin home_____Exercisesregularly (3+times perweek)_____Lump/mass onskin_____Hasseriousallergy_____Visiblebruise_____Frequentheadaches/migraines_____Takes aprescribedmedication_____Large skinlesion (>6mm)_____Non-intact skin_____History ofasthma_____Palemucousmembranes_____Requiresvisualcorrectivedevice_____PERRLA_____GCS lessthan 15_____Hazeleyes_____Blueeyes_____Traveledoutside thecountry inlast 3 months_____Visiblescar_____Cranialnerves I-XII intact_____Respiratoryillness withinlast 30 days_____Hasbirthmark_____History ofbrokenbone_____Last BM=today_____Abnormal skincolor (pallor,cyanosis,mottling)_____Skin coldto touch_____Wearinga red shirt_____Diarrheawithin last10 days_____Skinwarm totouch_____Pastsurgicalhistory_____Has stairsin home_____Exercisesregularly (3+times perweek)_____Lump/mass onskin_____Hasseriousallergy_____

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.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
  1. Visible bruise _____
  2. Frequent headaches/ migraines _____
  3. Takes a prescribed medication _____
  4. Large skin lesion (>6 mm) _____
  5. Non-intact skin _____
  6. History of asthma _____
  7. Pale mucous membranes _____
  8. Requires visual corrective device _____
  9. PERRLA _____
  10. GCS less than 15 _____
  11. Hazel eyes _____
  12. Blue eyes _____
  13. Traveled outside the country in last 3 months _____
  14. Visible scar _____
  15. Cranial nerves I-XII intact _____
  16. Respiratory illness within last 30 days _____
  17. Has birthmark _____
  18. History of broken bone _____
  19. Last BM= today _____
  20. Abnormal skin color (pallor, cyanosis, mottling) _____
  21. Skin cold to touch _____
  22. Wearing a red shirt _____
  23. Diarrhea within last 10 days _____
  24. Skin warm to touch _____
  25. Past surgical history _____
  26. Has stairs in home _____
  27. Exercises regularly (3+ times per week) _____
  28. Lump/ mass on skin _____
  29. Has serious allergy _____