VerbalIdentificationEmergencyProcedureCorrectImplantPatientNameTeamDebriefingLaterality(Side)UniqueIdentifierSpecialEquipmentSpecialWristband2ndTimeOutDNRStatusConsentFormSpineMarkerSiteMarkingPre-ProcedureCheckProcedureSiteSurgicalCountPhysicianSignatureDiagnosticTestsTime-outMedicalRecordSignedConsentRadiographicImagesPre-opVerificationVerbalIdentificationEmergencyProcedureCorrectImplantPatientNameTeamDebriefingLaterality(Side)UniqueIdentifierSpecialEquipmentSpecialWristband2ndTimeOutDNRStatusConsentFormSpineMarkerSiteMarkingPre-ProcedureCheckProcedureSiteSurgicalCountPhysicianSignatureDiagnosticTestsTime-outMedicalRecordSignedConsentRadiographicImagesPre-opVerification

Informed Consent Policy - 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.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
  1. Verbal Identification
  2. Emergency Procedure
  3. Correct Implant
  4. Patient Name
  5. Team Debriefing
  6. Laterality (Side)
  7. Unique Identifier
  8. Special Equipment
  9. Special Wristband
  10. 2nd Time Out
  11. DNR Status
  12. Consent Form
  13. Spine Marker
  14. Site Marking
  15. Pre-Procedure Check
  16. Procedure Site
  17. Surgical Count
  18. Physician Signature
  19. Diagnostic Tests
  20. Time-out
  21. Medical Record
  22. Signed Consent
  23. Radiographic Images
  24. Pre-op Verification