I can't post mine here, but i can tell you what it includes.
across the top i have From: (what nurse i am getting report from) and To: (nurse i'm giving report to) and then NA:
THis is done in a box format. each thing I mention to you is in its own little box. takes up whole sheet of paper, paper is oriented horizontally.
Name, Age, Allergies, Doctors
admit date, admission diagnosis, admission history(as in, what happened to make them come into hosp)
past medical history, rhythm(we have telemetry), i&o dw accuchecks
diet, oxygen, IVF, activity
labs today, labs tomorrow
tubes/wires/etc, procedures, can't forget
Other, room number
if this sounds good to you, i can email a copy to you. let me know!