ProcedureSiteTime-outUniqueIdentifierSiteMarkingConsentFormSignedConsentSpineMarkerRadiographicImagesEmergencyProcedurePre-opVerificationDiagnosticTestsSpecialWristbandSpineMarkerSpecialEquipmentTeamDebriefingPhysicianSignatureProcedureSiteRadiographicImagesPre-ProcedureCheckPhysicianSignatureTeamConcurrenceVerbalIdentificationSurgicalCount2ndTimeOutUniqueIdentifierEmergencyProcedureLaterality(Side)DNRStatusSignedConsentSpecialWristbandTeamDebriefingTime-outCorrectImplantPre-ProcedureCheckPre-opVerificationMedicalRecordMedicalRecordDNRStatusLaterality(Side)VerbalIdentificationFREESPACEDiagnosticTestsSiteMarkingSpecialEquipmentPatientNamePatientNameConsentFormCorrectImplantSurgicalCountProcedureSiteTime-outUniqueIdentifierSiteMarkingConsentFormSignedConsentSpineMarkerRadiographicImagesEmergencyProcedurePre-opVerificationDiagnosticTestsSpecialWristbandSpineMarkerSpecialEquipmentTeamDebriefingPhysicianSignatureProcedureSiteRadiographicImagesPre-ProcedureCheckPhysicianSignatureTeamConcurrenceVerbalIdentificationSurgicalCount2ndTimeOutUniqueIdentifierEmergencyProcedureLaterality(Side)DNRStatusSignedConsentSpecialWristbandTeamDebriefingTime-outCorrectImplantPre-ProcedureCheckPre-opVerificationMedicalRecordMedicalRecordDNRStatusLaterality(Side)VerbalIdentificationFREESPACEDiagnosticTestsSiteMarkingSpecialEquipmentPatientNamePatientNameConsentFormCorrectImplantSurgicalCount

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