Takes aprescribedmedication_____Last BM=today_____Visiblebruise_____Skinwarm totouch_____Abnormal skincolor (pallor,cyanosis,mottling)_____Palemucousmembranes_____Blueeyes_____Hasseriousallergy_____Lump/mass onskin_____Hasbirthmark_____Requiresvisualcorrectivedevice_____Diarrheawithin last10 days_____Skin coldto touch_____GCS lessthan 15_____Pastsurgicalhistory_____Non-intact skin_____Traveledoutside thecountry inlast 3 months_____Hazeleyes_____History ofasthma_____Exercisesregularly (3+times perweek)_____Visiblescar_____History ofbrokenbone_____Cranialnerves I-XII intact_____Frequentheadaches/migraines_____PERRLA_____Respiratoryillness withinlast 30 days_____Wearinga red shirt_____Large skinlesion (>6mm)_____Has stairsin home_____Takes aprescribedmedication_____Last BM=today_____Visiblebruise_____Skinwarm totouch_____Abnormal skincolor (pallor,cyanosis,mottling)_____Palemucousmembranes_____Blueeyes_____Hasseriousallergy_____Lump/mass onskin_____Hasbirthmark_____Requiresvisualcorrectivedevice_____Diarrheawithin last10 days_____Skin coldto touch_____GCS lessthan 15_____Pastsurgicalhistory_____Non-intact skin_____Traveledoutside thecountry inlast 3 months_____Hazeleyes_____History ofasthma_____Exercisesregularly (3+times perweek)_____Visiblescar_____History ofbrokenbone_____Cranialnerves I-XII intact_____Frequentheadaches/migraines_____PERRLA_____Respiratoryillness withinlast 30 days_____Wearinga red shirt_____Large skinlesion (>6mm)_____Has stairsin home_____

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