ClinicvisitoutcomeClearPost VisitInstructionsStudent'sresponsetotreatmentAssessmentfindingsClinic notesigned withname andcredentialsInterventionsprovidedHealthcareproviderordersIndividualHealth CarePlanreferencedor requestedSubjectiveobservationsrecordedClinicnote withcurrentdateObjectiveobservationsnotedCollaborationwith otherteam membersincluding nameand titleVital signswhenappropriateFollow-upplandocumentedEmergencycontactattempttimesStudent'sverbaldescriptionrecordedParentcontactinformationdocumentedTreatmentauthorizationverifiedMedicationadministrationdetailsChiefcomplaintrecordedParent nameand phonenumberdocumentedPrevioushealthhistoryreferencedPainassessmentTime of studentarrival/departureClinicvisitoutcomeClearPost VisitInstructionsStudent'sresponsetotreatmentAssessmentfindingsClinic notesigned withname andcredentialsInterventionsprovidedHealthcareproviderordersIndividualHealth CarePlanreferencedor requestedSubjectiveobservationsrecordedClinicnote withcurrentdateObjectiveobservationsnotedCollaborationwith otherteam membersincluding nameand titleVital signswhenappropriateFollow-upplandocumentedEmergencycontactattempttimesStudent'sverbaldescriptionrecordedParentcontactinformationdocumentedTreatmentauthorizationverifiedMedicationadministrationdetailsChiefcomplaintrecordedParent nameand phonenumberdocumentedPrevioushealthhistoryreferencedPainassessmentTime of studentarrival/departure

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