Exercisesregularly (3+times perweek)_____Abnormal skincolor (pallor,cyanosis,mottling)_____Last BM=today_____Requiresvisualcorrectivedevice_____Hasseriousallergy_____Lump/mass onskin_____Palemucousmembranes_____GCS lessthan 15_____Hazeleyes_____Takes aprescribedmedication_____Visiblebruise_____History ofasthma_____Blueeyes_____Pastsurgicalhistory_____Diarrheawithin last10 days_____Visiblescar_____Wearinga red shirt_____History ofbrokenbone_____Large skinlesion (>6mm)_____Skinwarm totouch_____Respiratoryillness withinlast 30 days_____PERRLA_____Skin coldto touch_____Non-intact skin_____Cranialnerves I-XII intact_____Frequentheadaches/migraines_____Has stairsin home_____Traveledoutside thecountry inlast 3 months_____Hasbirthmark_____Exercisesregularly (3+times perweek)_____Abnormal skincolor (pallor,cyanosis,mottling)_____Last BM=today_____Requiresvisualcorrectivedevice_____Hasseriousallergy_____Lump/mass onskin_____Palemucousmembranes_____GCS lessthan 15_____Hazeleyes_____Takes aprescribedmedication_____Visiblebruise_____History ofasthma_____Blueeyes_____Pastsurgicalhistory_____Diarrheawithin last10 days_____Visiblescar_____Wearinga red shirt_____History ofbrokenbone_____Large skinlesion (>6mm)_____Skinwarm totouch_____Respiratoryillness withinlast 30 days_____PERRLA_____Skin coldto touch_____Non-intact skin_____Cranialnerves I-XII intact_____Frequentheadaches/migraines_____Has stairsin home_____Traveledoutside thecountry inlast 3 months_____Hasbirthmark_____

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