Parent nameand phonenumberdocumentedFollow upplandocumentedStudent'verbaldescriptionrecordedSubjectiveobservationsrecordedInterventionprovidedvital signswhenappropriateStudent'sResponsetoTreatmentClear postvisitinstructionsTime of studentarrival/departureClinicnote withcurrentdateEmergencycontactattempttimes ChiefcomplaintrecordedClinic notesigned withname andcredentialsCollaborationof other teammembersincludingname and titleMedicationadministrationdetailsAssessmentfindingsTreatmentauthorizationverifiedPainassessmentHealthcareproviderordersIndividualHealth careplanreferencedor requestedClinicVisitOutcomeParentcontactinformationdocumentedPrevioushealthhistoryreferencedObjectiveobservationsnotedParent nameand phonenumberdocumentedFollow upplandocumentedStudent'verbaldescriptionrecordedSubjectiveobservationsrecordedInterventionprovidedvital signswhenappropriateStudent'sResponsetoTreatmentClear postvisitinstructionsTime of studentarrival/departureClinicnote withcurrentdateEmergencycontactattempttimes ChiefcomplaintrecordedClinic notesigned withname andcredentialsCollaborationof other teammembersincludingname and titleMedicationadministrationdetailsAssessmentfindingsTreatmentauthorizationverifiedPainassessmentHealthcareproviderordersIndividualHealth careplanreferencedor requestedClinicVisitOutcomeParentcontactinformationdocumentedPrevioushealthhistoryreferencedObjectiveobservationsnoted

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.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
  1. Parent name and phone number documented
  2. Follow up plan documented
  3. Student' verbal description recorded
  4. Subjective observations recorded
  5. Intervention provided
  6. vital signs when appropriate
  7. Student's Response to Treatment
  8. Clear post visit instructions
  9. Time of student arrival/departure
  10. Clinic note with current date
  11. Emergency contact attempt times
  12. Chief complaint recorded
  13. Clinic note signed with name and credentials
  14. Collaboration of other team members including name and title
  15. Medication administration details
  16. Assessment findings
  17. Treatment authorization verified
  18. Pain assessment
  19. Health care provider orders
  20. Individual Health care plan referenced or requested
  21. Clinic Visit Outcome
  22. Parent contact information documented
  23. Previous health history referenced
  24. Objective observations noted