DNRStatusEmergencyProcedureTeamConcurrenceSpecialEquipmentPhysicianSignatureSurgicalCountSpecialWristbandSpecialEquipmentTeamDebriefingSpecialWristbandCorrectImplantVerbalIdentificationPre-ProcedureCheckPre-opVerificationTime-outLaterality(Side)RadiographicImagesSurgicalCountDNRStatusPatientNameLaterality(Side)RadiographicImagesPre-opVerificationTime-outPre-ProcedureCheckSignedConsent2ndTimeOutVerbalIdentificationPhysicianSignatureConsentFormProcedureSiteTeamDebriefingSignedConsentSpineMarkerPatientNameMedicalRecordProcedureSiteConsentFormMedicalRecordDiagnosticTestsSiteMarkingSpineMarkerEmergencyProcedureUniqueIdentifierSiteMarkingFREESPACEDiagnosticTestsCorrectImplantUniqueIdentifierDNRStatusEmergencyProcedureTeamConcurrenceSpecialEquipmentPhysicianSignatureSurgicalCountSpecialWristbandSpecialEquipmentTeamDebriefingSpecialWristbandCorrectImplantVerbalIdentificationPre-ProcedureCheckPre-opVerificationTime-outLaterality(Side)RadiographicImagesSurgicalCountDNRStatusPatientNameLaterality(Side)RadiographicImagesPre-opVerificationTime-outPre-ProcedureCheckSignedConsent2ndTimeOutVerbalIdentificationPhysicianSignatureConsentFormProcedureSiteTeamDebriefingSignedConsentSpineMarkerPatientNameMedicalRecordProcedureSiteConsentFormMedicalRecordDiagnosticTestsSiteMarkingSpineMarkerEmergencyProcedureUniqueIdentifierSiteMarkingFREESPACEDiagnosticTestsCorrectImplantUniqueIdentifier

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