treatmentauthorizationverifiedparent nameand phonenumberdocumentedchiefcomplaintrecordedhealthcareproviderordersClinicVisitOutcomemedicationadministrationdetailsIndividualHealth CarePlanReferencedor requested ClinicNote WithCurrentDateEmergencyContactAttemptTimesstudentverbaldescriptionrecordedpainassessmentassessmentfindingsclear postvisitinstructionsTime of studentarrival/departturevital signswhenappropriatesubjectiveobservationsrecordedClinic notesigned withname andcredentialsparentcontactinformationdocumentedStudent'sRepsonsetoTreatmentobjectiveobservationsnotedCollaborationwith otherteam membersincluding nameand titleinterventionsprovidedfollow upplandocumentedprevioushealthhistoryreferencedtreatmentauthorizationverifiedparent nameand phonenumberdocumentedchiefcomplaintrecordedhealthcareproviderordersClinicVisitOutcomemedicationadministrationdetailsIndividualHealth CarePlanReferencedor requested ClinicNote WithCurrentDateEmergencyContactAttemptTimesstudentverbaldescriptionrecordedpainassessmentassessmentfindingsclear postvisitinstructionsTime of studentarrival/departturevital signswhenappropriatesubjectiveobservationsrecordedClinic notesigned withname andcredentialsparentcontactinformationdocumentedStudent'sRepsonsetoTreatmentobjectiveobservationsnotedCollaborationwith otherteam membersincluding nameand titleinterventionsprovidedfollow upplandocumentedprevioushealthhistoryreferenced

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