Parent/GuardianNamedocumentedTime of studentarrival/departureClearclinicdischargeinstructionsprovidedAllergiesNotedIndividualHealth CarePlanreferenced AssessmentfindingsdocumentedPrevioushealthhistoryreferencedVital signswhenappropriateObjectiveobservationsnotedStudent'sresponsetotreatmentInterventionsprovidedclearlydocumentedProceduredetails/findingsdocumentedReturned toclass/SenthomestatusTime studentarrived/departedclinicdocumentedFollow-upplandocumentedStudent'sverbaldescriptiondocumentedParent/GuardiannotificationdocumentedParent/GuardiancontactinformationdocumentedCollaborationwith otherteam membersincluding nameand titledocumentedImmunizationReviewStaff notifiedappropriatelyEmergencyContactattempt and# of timesMedicationadministrationdetails (dose,route, etc.)ChiefcomplaintrecordedParent/GuardianNamedocumentedTime of studentarrival/departureClearclinicdischargeinstructionsprovidedAllergiesNotedIndividualHealth CarePlanreferenced AssessmentfindingsdocumentedPrevioushealthhistoryreferencedVital signswhenappropriateObjectiveobservationsnotedStudent'sresponsetotreatmentInterventionsprovidedclearlydocumentedProceduredetails/findingsdocumentedReturned toclass/SenthomestatusTime studentarrived/departedclinicdocumentedFollow-upplandocumentedStudent'sverbaldescriptiondocumentedParent/GuardiannotificationdocumentedParent/GuardiancontactinformationdocumentedCollaborationwith otherteam membersincluding nameand titledocumentedImmunizationReviewStaff notifiedappropriatelyEmergencyContactattempt and# of timesMedicationadministrationdetails (dose,route, etc.)Chiefcomplaintrecorded

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