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