Requiresvisualcorrectivedevice_____Visiblescar_____Hasseriousallergy_____Hazeleyes_____PERRLA_____Non-intact skin_____Wearinga red shirt_____Exercisesregularly (3+times perweek)_____Respiratoryillness withinlast 30 days_____Pastsurgicalhistory_____Visiblebruise_____Diarrheawithin last10 days_____Hasbirthmark_____Lump/mass onskin_____Takes aprescribedmedication_____Last BM=today_____Frequentheadaches/migraines_____History ofbrokenbone_____Skin coldto touch_____Blueeyes_____Large skinlesion (>6mm)_____Skinwarm totouch_____Traveledoutside thecountry inlast 3 months_____GCS lessthan 15_____Abnormal skincolor (pallor,cyanosis,mottling)_____Cranialnerves I-XII intact_____Palemucousmembranes_____History ofasthma_____Has stairsin home_____Requiresvisualcorrectivedevice_____Visiblescar_____Hasseriousallergy_____Hazeleyes_____PERRLA_____Non-intact skin_____Wearinga red shirt_____Exercisesregularly (3+times perweek)_____Respiratoryillness withinlast 30 days_____Pastsurgicalhistory_____Visiblebruise_____Diarrheawithin last10 days_____Hasbirthmark_____Lump/mass onskin_____Takes aprescribedmedication_____Last BM=today_____Frequentheadaches/migraines_____History ofbrokenbone_____Skin coldto touch_____Blueeyes_____Large skinlesion (>6mm)_____Skinwarm totouch_____Traveledoutside thecountry inlast 3 months_____GCS lessthan 15_____Abnormal skincolor (pallor,cyanosis,mottling)_____Cranialnerves I-XII intact_____Palemucousmembranes_____History ofasthma_____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.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
  1. Requires visual corrective device _____
  2. Visible scar _____
  3. Has serious allergy _____
  4. Hazel eyes _____
  5. PERRLA _____
  6. Non-intact skin _____
  7. Wearing a red shirt _____
  8. Exercises regularly (3+ times per week) _____
  9. Respiratory illness within last 30 days _____
  10. Past surgical history _____
  11. Visible bruise _____
  12. Diarrhea within last 10 days _____
  13. Has birthmark _____
  14. Lump/ mass on skin _____
  15. Takes a prescribed medication _____
  16. Last BM= today _____
  17. Frequent headaches/ migraines _____
  18. History of broken bone _____
  19. Skin cold to touch _____
  20. Blue eyes _____
  21. Large skin lesion (>6 mm) _____
  22. Skin warm to touch _____
  23. Traveled outside the country in last 3 months _____
  24. GCS less than 15 _____
  25. Abnormal skin color (pallor, cyanosis, mottling) _____
  26. Cranial nerves I-XII intact _____
  27. Pale mucous membranes _____
  28. History of asthma _____
  29. Has stairs in home _____