Parent nameand phonenumberdocumentedClinicVisitOutcomeTreatmentauthorizationverifiedCollaborationof other teammembersincludingname and titleStudent'verbaldescriptionrecordedEmergencycontactattempttimes AssessmentfindingsTime of studentarrival/departureClinicnote withcurrentdateFollow upplandocumentedClear postvisitinstructionsClinic notesigned withname andcredentialsObjectiveobservationsnotedMedicationadministrationdetailsChiefcomplaintrecordedPrevioushealthhistoryreferencedInterventionprovidedSubjectiveobservationsrecordedPainassessmentIndividualHealth careplanreferencedor requestedStudent'sResponsetoTreatmentParentcontactinformationdocumentedHealthcareproviderordersvital signswhenappropriateParent nameand phonenumberdocumentedClinicVisitOutcomeTreatmentauthorizationverifiedCollaborationof other teammembersincludingname and titleStudent'verbaldescriptionrecordedEmergencycontactattempttimes AssessmentfindingsTime of studentarrival/departureClinicnote withcurrentdateFollow upplandocumentedClear postvisitinstructionsClinic notesigned withname andcredentialsObjectiveobservationsnotedMedicationadministrationdetailsChiefcomplaintrecordedPrevioushealthhistoryreferencedInterventionprovidedSubjectiveobservationsrecordedPainassessmentIndividualHealth careplanreferencedor requestedStudent'sResponsetoTreatmentParentcontactinformationdocumentedHealthcareproviderordersvital signswhenappropriate

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