Follow-upplandocumentedEmergencycontactattempttimesMedicationadministrationdetailsStudent'sresponsetotreatmentParentcontactinformationdocumentedClinic notesigned withname andcredentialsStudent'sverbaldescriptionrecordedClinicnote withcurrentdatePrevioushealthhistoryreferencedObjectiveobservationsnotedTime of studentarrival/departurePainassessmentSubjectiveobservationsrecordedHealthcareproviderordersClearPost VisitInstructionsTreatmentauthorizationverifiedAssessmentfindingsParent nameand phonenumberdocumentedClinicvisitoutcomeInterventionsprovidedChiefcomplaintrecordedIndividualHealth CarePlanreferencedor requestedCollaborationwith otherteam membersincluding nameand titleVital signswhenappropriateFollow-upplandocumentedEmergencycontactattempttimesMedicationadministrationdetailsStudent'sresponsetotreatmentParentcontactinformationdocumentedClinic notesigned withname andcredentialsStudent'sverbaldescriptionrecordedClinicnote withcurrentdatePrevioushealthhistoryreferencedObjectiveobservationsnotedTime of studentarrival/departurePainassessmentSubjectiveobservationsrecordedHealthcareproviderordersClearPost VisitInstructionsTreatmentauthorizationverifiedAssessmentfindingsParent nameand phonenumberdocumentedClinicvisitoutcomeInterventionsprovidedChiefcomplaintrecordedIndividualHealth CarePlanreferencedor requestedCollaborationwith otherteam membersincluding nameand titleVital signswhenappropriate

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