Follow upplandocumentedTime of studentarrival/departureStudent'verbaldescriptionrecordedPrevioushealthhistoryreferencedStudent'sResponsetoTreatmentClinicnote withcurrentdateHealthcareproviderordersClinicVisitOutcomeSubjectiveobservationsrecordedClinic notesigned withname andcredentialsTreatmentauthorizationverifiedInterventionprovidedObjectiveobservationsnotedMedicationadministrationdetailsParentcontactinformationdocumentedPainassessmentClear postvisitinstructionsCollaborationof other teammembersincludingname and titleIndividualHealth careplanreferencedor requestedvital signswhenappropriateChiefcomplaintrecordedEmergencycontactattempttimes Parent nameand phonenumberdocumentedAssessmentfindingsFollow upplandocumentedTime of studentarrival/departureStudent'verbaldescriptionrecordedPrevioushealthhistoryreferencedStudent'sResponsetoTreatmentClinicnote withcurrentdateHealthcareproviderordersClinicVisitOutcomeSubjectiveobservationsrecordedClinic notesigned withname andcredentialsTreatmentauthorizationverifiedInterventionprovidedObjectiveobservationsnotedMedicationadministrationdetailsParentcontactinformationdocumentedPainassessmentClear postvisitinstructionsCollaborationof other teammembersincludingname and titleIndividualHealth careplanreferencedor requestedvital signswhenappropriateChiefcomplaintrecordedEmergencycontactattempttimes Parent nameand phonenumberdocumentedAssessmentfindings

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