PrevioushealthhistoryreferencedFollow-upplandocumentedEmergencycontactattempttimesCollaborationwith otherteam membersincluding nameand title Vital signswhenappropriateMedicationadministrationdetailsStudent'sverbaldescriptionrecordedChiefcomplaintrecordedClinicnote withcurrentdateTreatmentauthorizationverifiedSubjectiveobservationsrecordedInterventionsprovidedStudent'sresponsetotreatmentClinic notesigned withname andcredentialsObjectiveobservationsnotedPainassessmentHealthcareproviderordersParent nameand phonenumberdocumentedParentcontactinformationdocumentedClearPost VisitInstructions AssessmentfindingsIndividualHealth CarePlanreferencedor requestedTime of studentarrival/departureClinicvisitoutcomePrevioushealthhistoryreferencedFollow-upplandocumentedEmergencycontactattempttimesCollaborationwith otherteam membersincluding nameand title Vital signswhenappropriateMedicationadministrationdetailsStudent'sverbaldescriptionrecordedChiefcomplaintrecordedClinicnote withcurrentdateTreatmentauthorizationverifiedSubjectiveobservationsrecordedInterventionsprovidedStudent'sresponsetotreatmentClinic notesigned withname andcredentialsObjectiveobservationsnotedPainassessmentHealthcareproviderordersParent nameand phonenumberdocumentedParentcontactinformationdocumentedClearPost VisitInstructions AssessmentfindingsIndividualHealth CarePlanreferencedor requestedTime of studentarrival/departureClinicvisitoutcome

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