We tape report and here is how I line it up:
1. Room number Pt name and age
2. "pt of __________"
3. "in here for _____________" (if surgery I state date of).
4. All tubes if there ("has a foley, trach and j-tube with jevity, and a wound vac to suction").
5. Diet and activity level.
6. Any interesting facts that have happened like labs or something pending during their shift. I like to keep those last because it is easier to remember if you say them last!
Here is an example. "Hi this is ____ reporting off on Room ____. We have Ima Patient, a 73 year old female pt of Dr. Strongbones in here for Degenerative joint disease of the right hip who had a total hip done on the 16th. She is on oxygen at 2L/min, and an established colostomy which needs draining q 3 hours, but she will assist. She is on a low residue diet, which she tolerates well, and is up to the BSC now with PT and 2 person assist. She was very painful today, requiring her PRN pain medications q 2 hours thoughout my shift, and had a valium as well for anxiety after working with PT. She is on the potassium replacement protocol and next lab results will be in at 2000, so be sure to check them out in case you need to give potassium. Possible blood transfusion this evening as well."
Anything else can be seen in my nursing notes or asked to me directly
Other nurses love my reports..well I also sound like an airline stewardess when I tape..LOL! ('and just in case of a code...the exits are two to the front, two over the wings....."LOL!!!!!!!!!!).