AssessmentfindingsMedicationadministrationdetailsClinicnote withcurrentdatePainassessmentStudent'sresponsetotreatmentClinicvisitoutcomeChiefcomplaintrecordedIndividualHealth CarePlanreferencedor requestedCollaborationwith otherteam membersincluding nameand title ParentcontactinformationdocumentedSubjectiveobservationsrecordedVital signswhenappropriateTime of studentarrival/departureEmergencycontactattempttimesFollow-upplandocumentedStudent'sverbaldescriptionrecordedClinic notesigned withname andcredentialsClearPost VisitInstructions InterventionsprovidedTreatmentauthorizationverifiedParent nameand phonenumberdocumentedObjectiveobservationsnotedPrevioushealthhistoryreferencedHealthcareproviderordersAssessmentfindingsMedicationadministrationdetailsClinicnote withcurrentdatePainassessmentStudent'sresponsetotreatmentClinicvisitoutcomeChiefcomplaintrecordedIndividualHealth CarePlanreferencedor requestedCollaborationwith otherteam membersincluding nameand title ParentcontactinformationdocumentedSubjectiveobservationsrecordedVital signswhenappropriateTime of studentarrival/departureEmergencycontactattempttimesFollow-upplandocumentedStudent'sverbaldescriptionrecordedClinic notesigned withname andcredentialsClearPost VisitInstructions InterventionsprovidedTreatmentauthorizationverifiedParent nameand phonenumberdocumentedObjectiveobservationsnotedPrevioushealthhistoryreferencedHealthcareproviderorders

DOCUMENTATION 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. Assessment findings
  2. Medication administration details
  3. Clinic note with current date
  4. Pain assessment
  5. Student's response to treatment
  6. Clinic visit outcome
  7. Chief complaint recorded
  8. Individual Health Care Plan referenced or requested
  9. Collaboration with other team members including name and title
  10. Parent contact information documented
  11. Subjective observations recorded
  12. Vital signs when appropriate
  13. Time of student arrival/departure
  14. Emergency contact attempt times
  15. Follow-up plan documented
  16. Student's verbal description recorded
  17. Clinic note signed with name and credentials
  18. Clear Post Visit Instructions
  19. Interventions provided
  20. Treatment authorization verified
  21. Parent name and phone number documented
  22. Objective observations noted
  23. Previous health history referenced
  24. Health care provider orders