DiagnosticTestsTeamConcurrenceMedicalRecordCorrectImplantSpecialWristbandFREESPACEVerbalIdentificationTime-outMedicalRecordPhysicianSignaturePre-opVerification2ndTimeOutVerbalIdentificationTeamDebriefingPre-ProcedureCheckSpecialEquipmentDNRStatusDiagnosticTestsSignedConsentSpineMarkerDNRStatusLaterality(Side)EmergencyProcedureTeamDebriefingProcedureSiteRadiographicImagesEmergencyProcedureSpecialWristbandPre-ProcedureCheckSignedConsentProcedureSiteSiteMarkingRadiographicImagesSurgicalCountCorrectImplantPhysicianSignaturePre-opVerificationSpecialEquipmentTime-outPatientNameUniqueIdentifierPatientNameSpineMarkerLaterality(Side)ConsentFormSiteMarkingUniqueIdentifierConsentFormSurgicalCountDiagnosticTestsTeamConcurrenceMedicalRecordCorrectImplantSpecialWristbandFREESPACEVerbalIdentificationTime-outMedicalRecordPhysicianSignaturePre-opVerification2ndTimeOutVerbalIdentificationTeamDebriefingPre-ProcedureCheckSpecialEquipmentDNRStatusDiagnosticTestsSignedConsentSpineMarkerDNRStatusLaterality(Side)EmergencyProcedureTeamDebriefingProcedureSiteRadiographicImagesEmergencyProcedureSpecialWristbandPre-ProcedureCheckSignedConsentProcedureSiteSiteMarkingRadiographicImagesSurgicalCountCorrectImplantPhysicianSignaturePre-opVerificationSpecialEquipmentTime-outPatientNameUniqueIdentifierPatientNameSpineMarkerLaterality(Side)ConsentFormSiteMarkingUniqueIdentifierConsentFormSurgicalCount

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