The most common way that I have used in report writing is state how you found the patient, their chief complaint and any pertinent negatives such as no SOB or no chest pain, no pedal edema or JVD. then state history allergies and meds. then any interventions you did and their results. we have check boxes for most of the other info including EKG, pupils, lung sounds and skin signs. As far as orders or "Telemetry" goes I usually write them above the perforation on the form so I don't forget, then I document them on the form as I administer the drug or other therapy.
Hope that's what you needed.....