Emergencycontactattempttimes ObjectiveobservationsnotedInterventionprovidedFollow upplandocumentedStudent'sResponsetoTreatmentTreatmentauthorizationverifiedTime of studentarrival/departureSubjectiveobservationsrecordedClinicnote withcurrentdateHealthcareproviderordersStudent'verbaldescriptionrecordedParent nameand phonenumberdocumentedMedicationadministrationdetailsClear postvisitinstructionsvital signswhenappropriatePrevioushealthhistoryreferencedPainassessmentChiefcomplaintrecordedParentcontactinformationdocumentedIndividualHealth careplanreferencedor requestedClinic notesigned withname andcredentialsCollaborationof other teammembersincludingname and titleClinicVisitOutcomeAssessmentfindingsEmergencycontactattempttimes ObjectiveobservationsnotedInterventionprovidedFollow upplandocumentedStudent'sResponsetoTreatmentTreatmentauthorizationverifiedTime of studentarrival/departureSubjectiveobservationsrecordedClinicnote withcurrentdateHealthcareproviderordersStudent'verbaldescriptionrecordedParent nameand phonenumberdocumentedMedicationadministrationdetailsClear postvisitinstructionsvital signswhenappropriatePrevioushealthhistoryreferencedPainassessmentChiefcomplaintrecordedParentcontactinformationdocumentedIndividualHealth careplanreferencedor requestedClinic notesigned withname andcredentialsCollaborationof other teammembersincludingname and titleClinicVisitOutcomeAssessmentfindings

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