Time of studentarrival/departturepainassessmentassessmentfindingsClinicNote WithCurrentDateStudent'sRepsonsetoTreatmentIndividualHealth CarePlanReferencedor requested previoushealthhistoryreferencedtreatmentauthorizationverifiedhealthcareproviderordersClinicVisitOutcomeobjectiveobservationsnotedclear postvisitinstructionsparent nameand phonenumberdocumentedparentcontactinformationdocumentedchiefcomplaintrecordedmedicationadministrationdetailssubjectiveobservationsrecordedCollaborationwith otherteam membersincluding nameand titlestudentverbaldescriptionrecordedfollow upplandocumentedClinic notesigned withname andcredentialsvital signswhenappropriateEmergencyContactAttemptTimesinterventionsprovidedTime of studentarrival/departturepainassessmentassessmentfindingsClinicNote WithCurrentDateStudent'sRepsonsetoTreatmentIndividualHealth CarePlanReferencedor requested previoushealthhistoryreferencedtreatmentauthorizationverifiedhealthcareproviderordersClinicVisitOutcomeobjectiveobservationsnotedclear postvisitinstructionsparent nameand phonenumberdocumentedparentcontactinformationdocumentedchiefcomplaintrecordedmedicationadministrationdetailssubjectiveobservationsrecordedCollaborationwith otherteam membersincluding nameand titlestudentverbaldescriptionrecordedfollow upplandocumentedClinic notesigned withname andcredentialsvital signswhenappropriateEmergencyContactAttemptTimesinterventionsprovided

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.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
  1. Time of student arrival/departture
  2. pain assessment
  3. assessment findings
  4. Clinic Note With Current Date
  5. Student's Repsonse to Treatment
  6. Individual Health Care Plan Referenced or requested
  7. previous health history referenced
  8. treatment authorization verified
  9. health care provider orders
  10. Clinic Visit Outcome
  11. objective observations noted
  12. clear post visit instructions
  13. parent name and phone number documented
  14. parent contact information documented
  15. chief complaint recorded
  16. medication administration details
  17. subjective observations recorded
  18. Collaboration with other team members including name and title
  19. student verbal description recorded
  20. follow up plan documented
  21. Clinic note signed with name and credentials
  22. vital signs when appropriate
  23. Emergency Contact Attempt Times
  24. interventions provided