parentcontactinformationdocumentedclear postvisitinstructionsIndividualHealth CarePlanReferencedor requested objectiveobservationsnotedCollaborationwith otherteam membersincluding nameand titleparent nameand phonenumberdocumentedstudentverbaldescriptionrecordedtreatmentauthorizationverifiedTime of studentarrival/departturevital signswhenappropriatepainassessmentinterventionsprovidedchiefcomplaintrecordedsubjectiveobservationsrecordedhealthcareproviderordersassessmentfindingsmedicationadministrationdetailsClinic notesigned withname andcredentialsClinicNote WithCurrentDateprevioushealthhistoryreferencedStudent'sRepsonsetoTreatmentEmergencyContactAttemptTimesfollow upplandocumentedClinicVisitOutcomeparentcontactinformationdocumentedclear postvisitinstructionsIndividualHealth CarePlanReferencedor requested objectiveobservationsnotedCollaborationwith otherteam membersincluding nameand titleparent nameand phonenumberdocumentedstudentverbaldescriptionrecordedtreatmentauthorizationverifiedTime of studentarrival/departturevital signswhenappropriatepainassessmentinterventionsprovidedchiefcomplaintrecordedsubjectiveobservationsrecordedhealthcareproviderordersassessmentfindingsmedicationadministrationdetailsClinic notesigned withname andcredentialsClinicNote WithCurrentDateprevioushealthhistoryreferencedStudent'sRepsonsetoTreatmentEmergencyContactAttemptTimesfollow upplandocumentedClinicVisitOutcome

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