Pre-opVerificationProcedureSiteUniqueIdentifierSiteMarkingDiagnosticTests2ndTimeOutDiagnosticTestsSpineMarkerCorrectImplantEmergencyProcedureSurgicalCountTeamDebriefingSignedConsentSiteMarkingVerbalIdentificationLaterality(Side)ProcedureSiteSignedConsentSurgicalCountMedicalRecordSpecialEquipmentSpecialWristbandVerbalIdentificationPatientNameEmergencyProcedureCorrectImplantSpineMarkerTeamDebriefingMedicalRecordTime-outRadiographicImagesSpecialWristbandTime-outPre-opVerificationLaterality(Side)PatientNameConsentFormUniqueIdentifierDNRStatusPre-ProcedureCheckConsentFormRadiographicImagesPre-ProcedureCheckPhysicianSignatureFREESPACETeamConcurrenceSpecialEquipmentPhysicianSignatureDNRStatusPre-opVerificationProcedureSiteUniqueIdentifierSiteMarkingDiagnosticTests2ndTimeOutDiagnosticTestsSpineMarkerCorrectImplantEmergencyProcedureSurgicalCountTeamDebriefingSignedConsentSiteMarkingVerbalIdentificationLaterality(Side)ProcedureSiteSignedConsentSurgicalCountMedicalRecordSpecialEquipmentSpecialWristbandVerbalIdentificationPatientNameEmergencyProcedureCorrectImplantSpineMarkerTeamDebriefingMedicalRecordTime-outRadiographicImagesSpecialWristbandTime-outPre-opVerificationLaterality(Side)PatientNameConsentFormUniqueIdentifierDNRStatusPre-ProcedureCheckConsentFormRadiographicImagesPre-ProcedureCheckPhysicianSignatureFREESPACETeamConcurrenceSpecialEquipmentPhysicianSignatureDNRStatus

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