Parent nameand phonenumberdocumentedHealthcareproviderordersMedicationadministrationdetailsObjectiveobservationsnotedEmergencycontactattempttimesSubjectiveobservationsrecordedVital signswhenappropriatePrevioushealthhistoryreferencedIndividualhealthcareplanreferencedor requestedClinicnote withcurrentdatePainAssessmentTreatmentauthorizationverifiedStudentsverbaldescriptionrecordedInterventionsprovidedCollaborationwith otherteam membersincluding nameand titleParentcontactinformationdocumentedAssessmentfindingsClinic notesigned withname andcredentialsFollow-upplandocumentedTime of studentarrival/departureChiefcomplaintrecordedClear postvisitinstructionsStudentsresponsetotreatmentClinicvisitoutcomeParent nameand phonenumberdocumentedHealthcareproviderordersMedicationadministrationdetailsObjectiveobservationsnotedEmergencycontactattempttimesSubjectiveobservationsrecordedVital signswhenappropriatePrevioushealthhistoryreferencedIndividualhealthcareplanreferencedor requestedClinicnote withcurrentdatePainAssessmentTreatmentauthorizationverifiedStudentsverbaldescriptionrecordedInterventionsprovidedCollaborationwith otherteam membersincluding nameand titleParentcontactinformationdocumentedAssessmentfindingsClinic notesigned withname andcredentialsFollow-upplandocumentedTime of studentarrival/departureChiefcomplaintrecordedClear postvisitinstructionsStudentsresponsetotreatmentClinicvisitoutcome

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