TreatmentauthorizationverifiedEmergencycontactattempttimes Follow upplandocumentedCollaborationof other teammembersincludingname and titleClinic notesigned withname andcredentialsHealthcareproviderordersStudent'verbaldescriptionrecordedSubjectiveobservationsrecordedClinicVisitOutcomeParent nameand phonenumberdocumentedIndividualHealth careplanreferencedor requestedAssessmentfindingsMedicationadministrationdetailsvital signswhenappropriateStudent'sResponsetoTreatmentTime of studentarrival/departureInterventionprovidedObjectiveobservationsnotedPainassessmentClinicnote withcurrentdateParentcontactinformationdocumentedPrevioushealthhistoryreferencedChiefcomplaintrecordedClear postvisitinstructionsTreatmentauthorizationverifiedEmergencycontactattempttimes Follow upplandocumentedCollaborationof other teammembersincludingname and titleClinic notesigned withname andcredentialsHealthcareproviderordersStudent'verbaldescriptionrecordedSubjectiveobservationsrecordedClinicVisitOutcomeParent nameand phonenumberdocumentedIndividualHealth careplanreferencedor requestedAssessmentfindingsMedicationadministrationdetailsvital signswhenappropriateStudent'sResponsetoTreatmentTime of studentarrival/departureInterventionprovidedObjectiveobservationsnotedPainassessmentClinicnote withcurrentdateParentcontactinformationdocumentedPrevioushealthhistoryreferencedChiefcomplaintrecordedClear postvisitinstructions

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