SpineMarkerTime-outLaterality(Side)CorrectImplantSpecialEquipmentRadiographicImages2ndTimeOutEmergencyProcedureTeamConcurrenceSpecialWristbandDNRStatusFREESPACETime-outUniqueIdentifierDiagnosticTestsSpineMarkerVerbalIdentificationPhysicianSignatureLaterality(Side)CorrectImplantSpecialEquipmentMedicalRecordSignedConsentSpecialWristbandSiteMarkingPatientNameProcedureSiteSiteMarkingRadiographicImagesPhysicianSignatureDNRStatusConsentFormConsentFormTeamDebriefingEmergencyProcedureProcedureSitePre-opVerificationSignedConsentPatientNameTeamDebriefingMedicalRecordSurgicalCountDiagnosticTestsPre-ProcedureCheckVerbalIdentificationUniqueIdentifierPre-opVerificationSurgicalCountPre-ProcedureCheckSpineMarkerTime-outLaterality(Side)CorrectImplantSpecialEquipmentRadiographicImages2ndTimeOutEmergencyProcedureTeamConcurrenceSpecialWristbandDNRStatusFREESPACETime-outUniqueIdentifierDiagnosticTestsSpineMarkerVerbalIdentificationPhysicianSignatureLaterality(Side)CorrectImplantSpecialEquipmentMedicalRecordSignedConsentSpecialWristbandSiteMarkingPatientNameProcedureSiteSiteMarkingRadiographicImagesPhysicianSignatureDNRStatusConsentFormConsentFormTeamDebriefingEmergencyProcedureProcedureSitePre-opVerificationSignedConsentPatientNameTeamDebriefingMedicalRecordSurgicalCountDiagnosticTestsPre-ProcedureCheckVerbalIdentificationUniqueIdentifierPre-opVerificationSurgicalCountPre-ProcedureCheck

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