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.

Format: Size

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