Requiresvisualcorrectivedevice_____Last BM=today_____PERRLA_____Wearinga red shirt_____Visiblescar_____Visiblebruise_____Skinwarm totouch_____Skin coldto touch_____Frequentheadaches/migraines_____Palemucousmembranes_____Non-intact skin_____Has stairsin home_____Abnormal skincolor (pallor,cyanosis,mottling)_____GCS lessthan 15_____Takes aprescribedmedication_____Hasbirthmark_____Pastsurgicalhistory_____Traveledoutside thecountry inlast 3 months_____Exercisesregularly (3+times perweek)_____Cranialnerves I-XII intact_____History ofasthma_____Hasseriousallergy_____History ofbrokenbone_____Diarrheawithin last10 days_____Hazeleyes_____Respiratoryillness withinlast 30 days_____Large skinlesion (>6mm)_____Lump/mass onskin_____Blueeyes_____Requiresvisualcorrectivedevice_____Last BM=today_____PERRLA_____Wearinga red shirt_____Visiblescar_____Visiblebruise_____Skinwarm totouch_____Skin coldto touch_____Frequentheadaches/migraines_____Palemucousmembranes_____Non-intact skin_____Has stairsin home_____Abnormal skincolor (pallor,cyanosis,mottling)_____GCS lessthan 15_____Takes aprescribedmedication_____Hasbirthmark_____Pastsurgicalhistory_____Traveledoutside thecountry inlast 3 months_____Exercisesregularly (3+times perweek)_____Cranialnerves I-XII intact_____History ofasthma_____Hasseriousallergy_____History ofbrokenbone_____Diarrheawithin last10 days_____Hazeleyes_____Respiratoryillness withinlast 30 days_____Large skinlesion (>6mm)_____Lump/mass onskin_____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. Requires visual corrective device _____
  2. Last BM= today _____
  3. PERRLA _____
  4. Wearing a red shirt _____
  5. Visible scar _____
  6. Visible bruise _____
  7. Skin warm to touch _____
  8. Skin cold to touch _____
  9. Frequent headaches/ migraines _____
  10. Pale mucous membranes _____
  11. Non-intact skin _____
  12. Has stairs in home _____
  13. Abnormal skin color (pallor, cyanosis, mottling) _____
  14. GCS less than 15 _____
  15. Takes a prescribed medication _____
  16. Has birthmark _____
  17. Past surgical history _____
  18. Traveled outside the country in last 3 months _____
  19. Exercises regularly (3+ times per week) _____
  20. Cranial nerves I-XII intact _____
  21. History of asthma _____
  22. Has serious allergy _____
  23. History of broken bone _____
  24. Diarrhea within last 10 days _____
  25. Hazel eyes _____
  26. Respiratory illness within last 30 days _____
  27. Large skin lesion (>6 mm) _____
  28. Lump/ mass on skin _____
  29. Blue eyes _____