PrevioushealthhistoryreferencedPainAssessmentStudentsverbaldescriptionrecordedClinicnote withcurrentdateClinic notesigned withname andcredentialsClear postvisitinstructionsEmergencycontactattempttimesTreatmentauthorizationverifiedCollaborationwith otherteam membersincluding nameand titleChiefcomplaintrecordedVital signswhenappropriateHealthcareproviderordersTime of studentarrival/departureParent nameand phonenumberdocumentedClinicvisitoutcomeSubjectiveobservationsrecordedInterventionsprovidedParentcontactinformationdocumentedFollow-upplandocumentedMedicationadministrationdetailsStudentsresponsetotreatmentAssessmentfindingsIndividualhealthcareplanreferencedor requestedObjectiveobservationsnotedPrevioushealthhistoryreferencedPainAssessmentStudentsverbaldescriptionrecordedClinicnote withcurrentdateClinic notesigned withname andcredentialsClear postvisitinstructionsEmergencycontactattempttimesTreatmentauthorizationverifiedCollaborationwith otherteam membersincluding nameand titleChiefcomplaintrecordedVital signswhenappropriateHealthcareproviderordersTime of studentarrival/departureParent nameand phonenumberdocumentedClinicvisitoutcomeSubjectiveobservationsrecordedInterventionsprovidedParentcontactinformationdocumentedFollow-upplandocumentedMedicationadministrationdetailsStudentsresponsetotreatmentAssessmentfindingsIndividualhealthcareplanreferencedor requestedObjectiveobservationsnoted

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