Physician Signature Emergency Procedure Spine Marker Verbal Identification Consent Form Special Wristband Surgical Count Physician Signature Procedure Site Time- out Diagnostic Tests Signed Consent FREE SPACE Radiographic Images Consent Form Emergency Procedure Procedure Site Correct Implant Pre- Procedure Check Radiographic Images Patient Name DNR Status Unique Identifier Medical Record Surgical Count Laterality (Side) Diagnostic Tests Pre-op Verification Team Concurrence Laterality (Side) Patient Name Special Equipment Spine Marker Special Wristband Team Debriefing Unique Identifier Pre-op Verification Medical Record Verbal Identification Site Marking Time- out Signed Consent DNR Status 2nd Time Out Special Equipment Correct Implant Site Marking Pre- Procedure Check Team Debriefing Physician Signature Emergency Procedure Spine Marker Verbal Identification Consent Form Special Wristband Surgical Count Physician Signature Procedure Site Time- out Diagnostic Tests Signed Consent FREE SPACE Radiographic Images Consent Form Emergency Procedure Procedure Site Correct Implant Pre- Procedure Check Radiographic Images Patient Name DNR Status Unique Identifier Medical Record Surgical Count Laterality (Side) Diagnostic Tests Pre-op Verification Team Concurrence Laterality (Side) Patient Name Special Equipment Spine Marker Special Wristband Team Debriefing Unique Identifier Pre-op Verification Medical Record Verbal Identification Site Marking Time- out Signed Consent DNR Status 2nd Time Out Special Equipment Correct Implant Site Marking Pre- Procedure Check Team Debriefing
(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.
Physician Signature
Emergency Procedure
Spine Marker
Verbal Identification
Consent Form
Special Wristband
Surgical Count
Physician Signature
Procedure Site
Time-out
Diagnostic Tests
Signed Consent
FREE SPACE
Radiographic Images
Consent Form
Emergency Procedure
Procedure Site
Correct Implant
Pre-Procedure Check
Radiographic Images
Patient Name
DNR Status
Unique Identifier
Medical Record
Surgical Count
Laterality (Side)
Diagnostic Tests
Pre-op Verification
Team Concurrence
Laterality (Side)
Patient Name
Special Equipment
Spine Marker
Special Wristband
Team Debriefing
Unique Identifier
Pre-op Verification
Medical Record
Verbal Identification
Site Marking
Time-out
Signed Consent
DNR Status
2nd Time Out
Special Equipment
Correct Implant
Site Marking
Pre-Procedure Check
Team Debriefing