Clear postvisitinstructionsCollaborationwith otherteam membersincluding nameand titleClinicvisitoutcomeParentcontactinformationdocumentedInterventionsprovidedTime of studentarrival/departurePainAssessmentChiefcomplaintrecordedClinic notesigned withname andcredentialsSubjectiveobservationsrecordedTreatmentauthorizationverifiedHealthcareproviderordersParent nameand phonenumberdocumentedMedicationadministrationdetailsClinicnote withcurrentdateStudentsresponsetotreatmentIndividualhealthcareplanreferencedor requestedAssessmentfindingsFollow-upplandocumentedObjectiveobservationsnotedPrevioushealthhistoryreferencedEmergencycontactattempttimesVital signswhenappropriateStudentsverbaldescriptionrecordedClear postvisitinstructionsCollaborationwith otherteam membersincluding nameand titleClinicvisitoutcomeParentcontactinformationdocumentedInterventionsprovidedTime of studentarrival/departurePainAssessmentChiefcomplaintrecordedClinic notesigned withname andcredentialsSubjectiveobservationsrecordedTreatmentauthorizationverifiedHealthcareproviderordersParent nameand phonenumberdocumentedMedicationadministrationdetailsClinicnote withcurrentdateStudentsresponsetotreatmentIndividualhealthcareplanreferencedor requestedAssessmentfindingsFollow-upplandocumentedObjectiveobservationsnotedPrevioushealthhistoryreferencedEmergencycontactattempttimesVital signswhenappropriateStudentsverbaldescriptionrecorded

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