Student'sRepsonsetoTreatmentstudentverbaldescriptionrecordedsubjectiveobservationsrecordedfollow upplandocumentedassessmentfindingsTime of studentarrival/departtureclear postvisitinstructionsinterventionsprovidedpainassessmentmedicationadministrationdetailsparentcontactinformationdocumentedClinic notesigned withname andcredentialstreatmentauthorizationverifiedIndividualHealth CarePlanReferencedor requested EmergencyContactAttemptTimesprevioushealthhistoryreferencedchiefcomplaintrecordedhealthcareproviderordersobjectiveobservationsnotedClinicNote WithCurrentDateClinicVisitOutcomeCollaborationwith otherteam membersincluding nameand titleparent nameand phonenumberdocumentedvital signswhenappropriateStudent'sRepsonsetoTreatmentstudentverbaldescriptionrecordedsubjectiveobservationsrecordedfollow upplandocumentedassessmentfindingsTime of studentarrival/departtureclear postvisitinstructionsinterventionsprovidedpainassessmentmedicationadministrationdetailsparentcontactinformationdocumentedClinic notesigned withname andcredentialstreatmentauthorizationverifiedIndividualHealth CarePlanReferencedor requested EmergencyContactAttemptTimesprevioushealthhistoryreferencedchiefcomplaintrecordedhealthcareproviderordersobjectiveobservationsnotedClinicNote WithCurrentDateClinicVisitOutcomeCollaborationwith otherteam membersincluding nameand titleparent nameand phonenumberdocumentedvital signswhenappropriate

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