InterventionprovidedSubjectiveobservationsrecordedFollow upplandocumentedPainassessmentStudent'verbaldescriptionrecordedIndividualHealth careplanreferencedor requestedParent nameand phonenumberdocumentedParentcontactinformationdocumentedMedicationadministrationdetailsTime of studentarrival/departureHealthcareproviderordersClinicVisitOutcomeAssessmentfindingsClinic notesigned withname andcredentialsPrevioushealthhistoryreferencedObjectiveobservationsnotedChiefcomplaintrecordedEmergencycontactattempttimes Student'sResponsetoTreatmentClear postvisitinstructionsvital signswhenappropriateTreatmentauthorizationverifiedCollaborationof other teammembersincludingname and titleClinicnote withcurrentdateInterventionprovidedSubjectiveobservationsrecordedFollow upplandocumentedPainassessmentStudent'verbaldescriptionrecordedIndividualHealth careplanreferencedor requestedParent nameand phonenumberdocumentedParentcontactinformationdocumentedMedicationadministrationdetailsTime of studentarrival/departureHealthcareproviderordersClinicVisitOutcomeAssessmentfindingsClinic notesigned withname andcredentialsPrevioushealthhistoryreferencedObjectiveobservationsnotedChiefcomplaintrecordedEmergencycontactattempttimes Student'sResponsetoTreatmentClear postvisitinstructionsvital signswhenappropriateTreatmentauthorizationverifiedCollaborationof other teammembersincludingname and titleClinicnote withcurrentdate

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