ParentcontactinformationdocumentedClinicvisitoutcomeIndividualhealthcareplanreferencedor requestedPainAssessmentInterventionsprovidedStudentsresponsetotreatmentSubjectiveobservationsrecordedVital signswhenappropriateStudentsverbaldescriptionrecordedChiefcomplaintrecordedObjectiveobservationsnotedEmergencycontactattempttimesCollaborationwith otherteam membersincluding nameand titleClinicnote withcurrentdateTime of studentarrival/departureAssessmentfindingsClear postvisitinstructionsPrevioushealthhistoryreferencedMedicationadministrationdetailsClinic notesigned withname andcredentialsFollow-upplandocumentedTreatmentauthorizationverifiedHealthcareproviderordersParent nameand phonenumberdocumentedParentcontactinformationdocumentedClinicvisitoutcomeIndividualhealthcareplanreferencedor requestedPainAssessmentInterventionsprovidedStudentsresponsetotreatmentSubjectiveobservationsrecordedVital signswhenappropriateStudentsverbaldescriptionrecordedChiefcomplaintrecordedObjectiveobservationsnotedEmergencycontactattempttimesCollaborationwith otherteam membersincluding nameand titleClinicnote withcurrentdateTime of studentarrival/departureAssessmentfindingsClear postvisitinstructionsPrevioushealthhistoryreferencedMedicationadministrationdetailsClinic notesigned withname andcredentialsFollow-upplandocumentedTreatmentauthorizationverifiedHealthcareproviderordersParent nameand phonenumberdocumented

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