Clinic notesigned withname andcredentialsassessmentfindingssubjectiveobservationsrecordedTime of studentarrival/departtureClinicNote WithCurrentDateIndividualHealth CarePlanReferencedor requested follow upplandocumentedtreatmentauthorizationverifiedEmergencyContactAttemptTimesStudent'sRepsonsetoTreatmentprevioushealthhistoryreferencedpainassessmentinterventionsprovidedobjectiveobservationsnotedhealthcareproviderordersparent nameand phonenumberdocumentedCollaborationwith otherteam membersincluding nameand titleClinicVisitOutcomeclear postvisitinstructionschiefcomplaintrecordedstudentverbaldescriptionrecordedvital signswhenappropriateparentcontactinformationdocumentedmedicationadministrationdetailsClinic notesigned withname andcredentialsassessmentfindingssubjectiveobservationsrecordedTime of studentarrival/departtureClinicNote WithCurrentDateIndividualHealth CarePlanReferencedor requested follow upplandocumentedtreatmentauthorizationverifiedEmergencyContactAttemptTimesStudent'sRepsonsetoTreatmentprevioushealthhistoryreferencedpainassessmentinterventionsprovidedobjectiveobservationsnotedhealthcareproviderordersparent nameand phonenumberdocumentedCollaborationwith otherteam membersincluding nameand titleClinicVisitOutcomeclear postvisitinstructionschiefcomplaintrecordedstudentverbaldescriptionrecordedvital signswhenappropriateparentcontactinformationdocumentedmedicationadministrationdetails

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. Clinic note signed with name and credentials
  2. assessment findings
  3. subjective observations recorded
  4. Time of student arrival/departture
  5. Clinic Note With Current Date
  6. Individual Health Care Plan Referenced or requested
  7. follow up plan documented
  8. treatment authorization verified
  9. Emergency Contact Attempt Times
  10. Student's Repsonse to Treatment
  11. previous health history referenced
  12. pain assessment
  13. interventions provided
  14. objective observations noted
  15. health care provider orders
  16. parent name and phone number documented
  17. Collaboration with other team members including name and title
  18. Clinic Visit Outcome
  19. clear post visit instructions
  20. chief complaint recorded
  21. student verbal description recorded
  22. vital signs when appropriate
  23. parent contact information documented
  24. medication administration details