History ofbrokenbone_____Pastsurgicalhistory_____Skinwarm totouch_____Requiresvisualcorrectivedevice_____Hazeleyes_____GCS lessthan 15_____Palemucousmembranes_____Diarrheawithin last10 days_____Lump/mass onskin_____Visiblescar_____Hasbirthmark_____Has stairsin home_____Frequentheadaches/migraines_____Exercisesregularly (3+times perweek)_____Traveledoutside thecountry inlast 3 months_____Last BM=today_____Respiratoryillness withinlast 30 days_____Non-intact skin_____Cranialnerves I-XII intact_____Abnormal skincolor (pallor,cyanosis,mottling)_____Takes aprescribedmedication_____Blueeyes_____Skin coldto touch_____Wearinga red shirt_____Hasseriousallergy_____PERRLA_____History ofasthma_____Visiblebruise_____Large skinlesion (>6mm)_____History ofbrokenbone_____Pastsurgicalhistory_____Skinwarm totouch_____Requiresvisualcorrectivedevice_____Hazeleyes_____GCS lessthan 15_____Palemucousmembranes_____Diarrheawithin last10 days_____Lump/mass onskin_____Visiblescar_____Hasbirthmark_____Has stairsin home_____Frequentheadaches/migraines_____Exercisesregularly (3+times perweek)_____Traveledoutside thecountry inlast 3 months_____Last BM=today_____Respiratoryillness withinlast 30 days_____Non-intact skin_____Cranialnerves I-XII intact_____Abnormal skincolor (pallor,cyanosis,mottling)_____Takes aprescribedmedication_____Blueeyes_____Skin coldto touch_____Wearinga red shirt_____Hasseriousallergy_____PERRLA_____History ofasthma_____Visiblebruise_____Large skinlesion (>6mm)_____

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