SubjectiveobservationsrecordedInterventionprovidedPainassessmentTreatmentauthorizationverifiedChiefcomplaintrecordedFollow upplandocumentedParent nameand phonenumberdocumentedTime of studentarrival/departureObjectiveobservationsnotedCollaborationof other teammembersincludingname and titleStudent'verbaldescriptionrecordedClear postvisitinstructionsClinic notesigned withname andcredentialsvital signswhenappropriateMedicationadministrationdetailsAssessmentfindingsPrevioushealthhistoryreferencedParentcontactinformationdocumentedIndividualHealth careplanreferencedor requestedClinicnote withcurrentdateClinicVisitOutcomeHealthcareproviderordersEmergencycontactattempttimes Student'sResponsetoTreatmentSubjectiveobservationsrecordedInterventionprovidedPainassessmentTreatmentauthorizationverifiedChiefcomplaintrecordedFollow upplandocumentedParent nameand phonenumberdocumentedTime of studentarrival/departureObjectiveobservationsnotedCollaborationof other teammembersincludingname and titleStudent'verbaldescriptionrecordedClear postvisitinstructionsClinic notesigned withname andcredentialsvital signswhenappropriateMedicationadministrationdetailsAssessmentfindingsPrevioushealthhistoryreferencedParentcontactinformationdocumentedIndividualHealth careplanreferencedor requestedClinicnote withcurrentdateClinicVisitOutcomeHealthcareproviderordersEmergencycontactattempttimes Student'sResponsetoTreatment

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