IndividualHealth CarePlanReferencedor requested studentverbaldescriptionrecordedClinicNote WithCurrentDateTime of studentarrival/departtureclear postvisitinstructionsvital signswhenappropriateStudent'sRepsonsetoTreatmentpainassessmentparentcontactinformationdocumentedfollow upplandocumentedsubjectiveobservationsrecordedobjectiveobservationsnotedchiefcomplaintrecordedassessmentfindingsmedicationadministrationdetailsinterventionsprovidedClinicVisitOutcomeClinic notesigned withname andcredentialsprevioushealthhistoryreferencedEmergencyContactAttemptTimesparent nameand phonenumberdocumentedCollaborationwith otherteam membersincluding nameand titlehealthcareproviderorderstreatmentauthorizationverifiedIndividualHealth CarePlanReferencedor requested studentverbaldescriptionrecordedClinicNote WithCurrentDateTime of studentarrival/departtureclear postvisitinstructionsvital signswhenappropriateStudent'sRepsonsetoTreatmentpainassessmentparentcontactinformationdocumentedfollow upplandocumentedsubjectiveobservationsrecordedobjectiveobservationsnotedchiefcomplaintrecordedassessmentfindingsmedicationadministrationdetailsinterventionsprovidedClinicVisitOutcomeClinic notesigned withname andcredentialsprevioushealthhistoryreferencedEmergencyContactAttemptTimesparent nameand phonenumberdocumentedCollaborationwith otherteam membersincluding nameand titlehealthcareproviderorderstreatmentauthorizationverified

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