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