VerbalIdentificationMedicalRecordPre-opVerificationCorrectImplantSignedConsentSpecialWristbandTime-outPatientNameRadiographicImagesConsentFormPre-ProcedureCheckUniqueIdentifierEmergencyProcedure2ndTimeOutProcedureSiteDiagnosticTestsSpineMarkerSiteMarkingSurgicalCountTeamDebriefingSpecialEquipmentPhysicianSignatureLaterality(Side)DNRStatusVerbalIdentificationMedicalRecordPre-opVerificationCorrectImplantSignedConsentSpecialWristbandTime-outPatientNameRadiographicImagesConsentFormPre-ProcedureCheckUniqueIdentifierEmergencyProcedure2ndTimeOutProcedureSiteDiagnosticTestsSpineMarkerSiteMarkingSurgicalCountTeamDebriefingSpecialEquipmentPhysicianSignatureLaterality(Side)DNRStatus

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.


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