Time of studentarrival/departureClearPost VisitInstructions Vital signswhenappropriateClinicnote withcurrentdateAssessmentfindingsIndividualHealth CarePlanreferencedor requestedInterventionsprovidedClinicvisitoutcomePrevioushealthhistoryreferencedChiefcomplaintrecordedFollow-upplandocumentedObjectiveobservationsnotedMedicationadministrationdetailsParent nameand phonenumberdocumentedHealthcareproviderordersParentcontactinformationdocumentedEmergencycontactattempttimesStudent'sverbaldescriptionrecordedCollaborationwith otherteam membersincluding nameand title Clinic notesigned withname andcredentialsTreatmentauthorizationverifiedSubjectiveobservationsrecordedPainassessmentStudent'sresponsetotreatmentTime of studentarrival/departureClearPost VisitInstructions Vital signswhenappropriateClinicnote withcurrentdateAssessmentfindingsIndividualHealth CarePlanreferencedor requestedInterventionsprovidedClinicvisitoutcomePrevioushealthhistoryreferencedChiefcomplaintrecordedFollow-upplandocumentedObjectiveobservationsnotedMedicationadministrationdetailsParent nameand phonenumberdocumentedHealthcareproviderordersParentcontactinformationdocumentedEmergencycontactattempttimesStudent'sverbaldescriptionrecordedCollaborationwith otherteam membersincluding nameand title Clinic notesigned withname andcredentialsTreatmentauthorizationverifiedSubjectiveobservationsrecordedPainassessmentStudent'sresponsetotreatment

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