ProcedureSiteDiagnosticTestsCorrectImplantVerbalIdentificationTeamDebriefingMedicalRecordProcedureSiteTeamConcurrenceSignedConsentLaterality(Side)SpineMarkerEmergencyProcedureVerbalIdentificationUniqueIdentifierRadiographicImagesRadiographicImagesPatientNameSurgicalCountSiteMarkingSpecialEquipmentLaterality(Side)TeamDebriefingPhysicianSignatureSpineMarkerPre-opVerificationTime-out2ndTimeOutDNRStatusUniqueIdentifierDiagnosticTestsPre-opVerificationConsentFormPre-ProcedureCheckSpecialWristbandConsentFormTime-outPhysicianSignatureDNRStatusCorrectImplantSignedConsentSiteMarkingFREESPACESpecialWristbandPre-ProcedureCheckSpecialEquipmentSurgicalCountPatientNameEmergencyProcedureMedicalRecordProcedureSiteDiagnosticTestsCorrectImplantVerbalIdentificationTeamDebriefingMedicalRecordProcedureSiteTeamConcurrenceSignedConsentLaterality(Side)SpineMarkerEmergencyProcedureVerbalIdentificationUniqueIdentifierRadiographicImagesRadiographicImagesPatientNameSurgicalCountSiteMarkingSpecialEquipmentLaterality(Side)TeamDebriefingPhysicianSignatureSpineMarkerPre-opVerificationTime-out2ndTimeOutDNRStatusUniqueIdentifierDiagnosticTestsPre-opVerificationConsentFormPre-ProcedureCheckSpecialWristbandConsentFormTime-outPhysicianSignatureDNRStatusCorrectImplantSignedConsentSiteMarkingFREESPACESpecialWristbandPre-ProcedureCheckSpecialEquipmentSurgicalCountPatientNameEmergencyProcedureMedicalRecord

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