ClinicvisitoutcomeParentcontactinformationdocumentedClearPost VisitInstructions PrevioushealthhistoryreferencedClinicnote withcurrentdateIndividualHealth CarePlanreferencedor requestedEmergencycontactattempttimesPainassessmentHealthcareproviderordersTime of studentarrival/departureMedicationadministrationdetailsAssessmentfindingsClinic notesigned withname andcredentialsParent nameand phonenumberdocumentedObjectiveobservationsnotedSubjectiveobservationsrecordedVital signswhenappropriateStudent'sresponsetotreatmentFollow-upplandocumentedChiefcomplaintrecordedInterventionsprovidedCollaborationwith otherteam membersincluding nameand title TreatmentauthorizationverifiedStudent'sverbaldescriptionrecordedClinicvisitoutcomeParentcontactinformationdocumentedClearPost VisitInstructions PrevioushealthhistoryreferencedClinicnote withcurrentdateIndividualHealth CarePlanreferencedor requestedEmergencycontactattempttimesPainassessmentHealthcareproviderordersTime of studentarrival/departureMedicationadministrationdetailsAssessmentfindingsClinic notesigned withname andcredentialsParent nameand phonenumberdocumentedObjectiveobservationsnotedSubjectiveobservationsrecordedVital signswhenappropriateStudent'sresponsetotreatmentFollow-upplandocumentedChiefcomplaintrecordedInterventionsprovidedCollaborationwith otherteam membersincluding nameand title TreatmentauthorizationverifiedStudent'sverbaldescriptionrecorded

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