Diarrheawithin last10 days_____Palemucousmembranes_____Traveledoutside thecountry inlast 3 months_____Last BM=today_____Wearinga red shirt_____Visiblescar_____Exercisesregularly (3+times perweek)_____Large skinlesion (>6mm)_____Requiresvisualcorrectivedevice_____Hasbirthmark_____GCS lessthan 15_____History ofasthma_____Hasseriousallergy_____Pastsurgicalhistory_____Visiblebruise_____Lump/mass onskin_____History ofbrokenbone_____Takes aprescribedmedication_____Skin coldto touch_____Non-intact skin_____Abnormal skincolor (pallor,cyanosis,mottling)_____Respiratoryillness withinlast 30 days_____Hazeleyes_____Frequentheadaches/migraines_____Has stairsin home_____PERRLA_____Cranialnerves I-XII intact_____Skinwarm totouch_____Blueeyes_____Diarrheawithin last10 days_____Palemucousmembranes_____Traveledoutside thecountry inlast 3 months_____Last BM=today_____Wearinga red shirt_____Visiblescar_____Exercisesregularly (3+times perweek)_____Large skinlesion (>6mm)_____Requiresvisualcorrectivedevice_____Hasbirthmark_____GCS lessthan 15_____History ofasthma_____Hasseriousallergy_____Pastsurgicalhistory_____Visiblebruise_____Lump/mass onskin_____History ofbrokenbone_____Takes aprescribedmedication_____Skin coldto touch_____Non-intact skin_____Abnormal skincolor (pallor,cyanosis,mottling)_____Respiratoryillness withinlast 30 days_____Hazeleyes_____Frequentheadaches/migraines_____Has stairsin home_____PERRLA_____Cranialnerves I-XII intact_____Skinwarm totouch_____Blueeyes_____

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