AssessmentfindingsObjectiveobservationsnotedClearPost VisitInstructions ClinicvisitoutcomeParentcontactinformationdocumentedInterventionsprovidedTime of studentarrival/departurePrevioushealthhistoryreferencedEmergencycontactattempttimesCollaborationwith otherteam membersincluding nameand title TreatmentauthorizationverifiedIndividualHealth CarePlanreferencedor requestedChiefcomplaintrecordedHealthcareproviderordersStudent'sverbaldescriptionrecordedPainassessmentVital signswhenappropriateParent nameand phonenumberdocumentedStudent'sresponsetotreatmentClinic notesigned withname andcredentialsFollow-upplandocumentedClinicnote withcurrentdateMedicationadministrationdetailsSubjectiveobservationsrecordedAssessmentfindingsObjectiveobservationsnotedClearPost VisitInstructions ClinicvisitoutcomeParentcontactinformationdocumentedInterventionsprovidedTime of studentarrival/departurePrevioushealthhistoryreferencedEmergencycontactattempttimesCollaborationwith otherteam membersincluding nameand title TreatmentauthorizationverifiedIndividualHealth CarePlanreferencedor requestedChiefcomplaintrecordedHealthcareproviderordersStudent'sverbaldescriptionrecordedPainassessmentVital signswhenappropriateParent nameand phonenumberdocumentedStudent'sresponsetotreatmentClinic notesigned withname andcredentialsFollow-upplandocumentedClinicnote withcurrentdateMedicationadministrationdetailsSubjectiveobservationsrecorded

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