MedicalRecordSpineMarkerDNRStatusTeamDebriefingVerbalIdentificationPatientNamePre-ProcedureCheckTime-outUniqueIdentifierPhysicianSignatureTeamDebriefingDiagnosticTestsPre-opVerificationSurgicalCountSpecialWristbandSiteMarkingTeamConcurrenceSignedConsentRadiographicImagesSiteMarkingSpecialEquipmentPre-opVerificationConsentFormEmergencyProcedure2ndTimeOutLaterality(Side)ConsentFormCorrectImplantMedicalRecordProcedureSiteVerbalIdentificationSurgicalCountPre-ProcedureCheckSpineMarkerRadiographicImagesDNRStatusDiagnosticTestsSpecialEquipmentLaterality(Side)UniqueIdentifierPhysicianSignatureProcedureSiteSpecialWristbandTime-outEmergencyProcedurePatientNameFREESPACESignedConsentCorrectImplantMedicalRecordSpineMarkerDNRStatusTeamDebriefingVerbalIdentificationPatientNamePre-ProcedureCheckTime-outUniqueIdentifierPhysicianSignatureTeamDebriefingDiagnosticTestsPre-opVerificationSurgicalCountSpecialWristbandSiteMarkingTeamConcurrenceSignedConsentRadiographicImagesSiteMarkingSpecialEquipmentPre-opVerificationConsentFormEmergencyProcedure2ndTimeOutLaterality(Side)ConsentFormCorrectImplantMedicalRecordProcedureSiteVerbalIdentificationSurgicalCountPre-ProcedureCheckSpineMarkerRadiographicImagesDNRStatusDiagnosticTestsSpecialEquipmentLaterality(Side)UniqueIdentifierPhysicianSignatureProcedureSiteSpecialWristbandTime-outEmergencyProcedurePatientNameFREESPACESignedConsentCorrectImplant

Policy 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. Medical Record
  2. Spine Marker
  3. DNR Status
  4. Team Debriefing
  5. Verbal Identification
  6. Patient Name
  7. Pre-Procedure Check
  8. Time-out
  9. Unique Identifier
  10. Physician Signature
  11. Team Debriefing
  12. Diagnostic Tests
  13. Pre-op Verification
  14. Surgical Count
  15. Special Wristband
  16. Site Marking
  17. Team Concurrence
  18. Signed Consent
  19. Radiographic Images
  20. Site Marking
  21. Special Equipment
  22. Pre-op Verification
  23. Consent Form
  24. Emergency Procedure
  25. 2nd Time Out
  26. Laterality (Side)
  27. Consent Form
  28. Correct Implant
  29. Medical Record
  30. Procedure Site
  31. Verbal Identification
  32. Surgical Count
  33. Pre-Procedure Check
  34. Spine Marker
  35. Radiographic Images
  36. DNR Status
  37. Diagnostic Tests
  38. Special Equipment
  39. Laterality (Side)
  40. Unique Identifier
  41. Physician Signature
  42. Procedure Site
  43. Special Wristband
  44. Time-out
  45. Emergency Procedure
  46. Patient Name
  47. FREE SPACE
  48. Signed Consent
  49. Correct Implant