Student'sresponsetotreatmentMedicationadministrationdetails (dose,route, etc.)Staff notifiedappropriatelyPrevioushealthhistoryreferencedCollaborationwith otherteam membersincluding nameand titledocumentedInterventionsprovidedclearlydocumentedTime studentarrived/departedclinicdocumentedObjectiveobservationsnotedStudent'sverbaldescriptiondocumentedParent/GuardiannotificationdocumentedFollow-upplandocumentedParent/GuardiancontactinformationdocumentedClearclinicdischargeinstructionsprovidedAllergiesNotedParent/GuardianNamedocumentedIndividualHealth CarePlanreferenced AssessmentfindingsdocumentedVital signswhenappropriateEmergencyContactattempt and# of timesChiefcomplaintrecordedImmunizationReviewReturned toclass/SenthomestatusProceduredetails/findingsdocumentedTime of studentarrival/departureStudent'sresponsetotreatmentMedicationadministrationdetails (dose,route, etc.)Staff notifiedappropriatelyPrevioushealthhistoryreferencedCollaborationwith otherteam membersincluding nameand titledocumentedInterventionsprovidedclearlydocumentedTime studentarrived/departedclinicdocumentedObjectiveobservationsnotedStudent'sverbaldescriptiondocumentedParent/GuardiannotificationdocumentedFollow-upplandocumentedParent/GuardiancontactinformationdocumentedClearclinicdischargeinstructionsprovidedAllergiesNotedParent/GuardianNamedocumentedIndividualHealth CarePlanreferenced AssessmentfindingsdocumentedVital signswhenappropriateEmergencyContactattempt and# of timesChiefcomplaintrecordedImmunizationReviewReturned toclass/SenthomestatusProceduredetails/findingsdocumentedTime of studentarrival/departure

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 response to treatment
  2. Medication administration details (dose, route, etc.)
  3. Staff notified appropriately
  4. Previous health history referenced
  5. Collaboration with other team members including name and title documented
  6. Interventions provided clearly documented
  7. Time student arrived/departed clinic documented
  8. Objective observations noted
  9. Student's verbal description documented
  10. Parent /Guardian notification documented
  11. Follow-up plan documented
  12. Parent/Guardian contact information documented
  13. Clear clinic discharge instructions provided
  14. Allergies Noted
  15. Parent/Guardian Name documented
  16. Individual Health Care Plan referenced
  17. Assessment findings documented
  18. Vital signs when appropriate
  19. Emergency Contact attempt and # of times
  20. Chief complaint recorded
  21. Immunization Review
  22. Returned to class/Sent home status
  23. Procedure details/findings documented
  24. Time of student arrival/departure