interventionsprovidedsubjectiveobservationsrecordedEmergencyContactAttemptTimesmedicationadministrationdetailshealthcareproviderorderspainassessmentClinicNote WithCurrentDateStudent'sRepsonsetoTreatmentfollow upplandocumentedtreatmentauthorizationverifiedassessmentfindingsobjectiveobservationsnotedClinic notesigned withname andcredentialsIndividualHealth CarePlanReferencedor requested vital signswhenappropriatestudentverbaldescriptionrecordedclear postvisitinstructionsCollaborationwith otherteam membersincluding nameand titleTime of studentarrival/departtureparent nameand phonenumberdocumentedchiefcomplaintrecordedparentcontactinformationdocumentedprevioushealthhistoryreferencedClinicVisitOutcomeinterventionsprovidedsubjectiveobservationsrecordedEmergencyContactAttemptTimesmedicationadministrationdetailshealthcareproviderorderspainassessmentClinicNote WithCurrentDateStudent'sRepsonsetoTreatmentfollow upplandocumentedtreatmentauthorizationverifiedassessmentfindingsobjectiveobservationsnotedClinic notesigned withname andcredentialsIndividualHealth CarePlanReferencedor requested vital signswhenappropriatestudentverbaldescriptionrecordedclear postvisitinstructionsCollaborationwith otherteam membersincluding nameand titleTime of studentarrival/departtureparent nameand phonenumberdocumentedchiefcomplaintrecordedparentcontactinformationdocumentedprevioushealthhistoryreferencedClinicVisitOutcome

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