I guess it depends on how your system is set up, but I keep all my nurses notes on a clipboard. If not, it goes with the main chart that can be most anywhere and I can't keep up with my charting. I keep a paper on top so no one can see the patient info, but when I give report, I give it from my flowsheets. We have a tracking board that tells when patients go to x-ray, CT, etc., and I can add that to my notes. When you give report from your notes, you don't have to remember when you gave the morphine, or what arm the IV is in, it is on your sheet. Plus, when I receive report, I only want the highlights, not like on the floor. I don't care where the IV is, as long as it is patent. I don't care what the I and O is, just that they are voiding (if that is even pertinent). I want to know why they came in, what we have done to find out what is wrong with them, and what is left for me to do before I can send them home, to the floor, surgery, etc.
If you have computer charting, then give report in front of a terminal that has all your patient info.
I don't care about their personal life (unless it is an issue I must deal with), their indepth assessment (I can read yours, and will do my own anyway), exactly when they got what med (I can read that), but I do want to know if it was effective. I don't really care exactly what their vitals signs were if they were essetially normal, just say normal vitals.
What I do want when I take report is a chart that has been stamped or labeled, so things don't get lost, I want you to make sure all the things you were supposed to do were either done or passed on to me, so I am not finding things 2 hours into the shift that should have been done 2 hours before I arrived.
You may want to try bedside reports as well. When you actually see the patient a lot of things come back to you. You may not remember them by name, but you will remember what you have done for them.
Don't let this worry you TOO much, you will find ways to cope. ER is a different bird. Your organizational skills do have to be different, but you will develop your own coping mechanism.