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I HATE verbatim accounts

Posted By: sm on 2007-04-18
In Reply to: Verbatim nonsense! - Lee

for every reason you mentioned and then some . . . like the fact that the company I work for says that it is a verbatim account, but they want certain things corrected, which I might could handle if it weren't for one QA dinging me for something that another QA will ding for when I do it the first QAs way.

Can't win for losin', but at least QA dinging me does not affect my pay :).


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And even tricker is verbatim accounts...
I'm always torn between my nearly overwhelming desire to clean up every single misspoken word they dictate, but when it's a verbatim account, I usually leave the decision to Q.A. (my MTSO has a great QA squad), because a lot of times the word/s they're using make no sense at all. It goes against my grain after 20+ years of MT work to NOT clean things up.
All accounts are VERBATIM, so there couldn't be any normals.
x
I hate it, but KS uses it on several accounts. nm
 
I hate to say it, but ESLs are here to stay and being able to transcribe accounts...sm
that are heavy ESL is a necessary skill.  Especially in acute care. 
Verbatim means VERBATIM
where I work. Nothing is to be changed that the doctor utters. When I look at my flagged reports later I see that QA left all the discrepancies in there as well. What does that tell you?
verbatim
I totally agree 100%! Verbatim is verbatim. I work for a verbatim account now and that is the exact reason I have been looking for work elsewhere. In my situation it is verbatim BUT not verbatim according to what Editor is QA'ing the work. Makes me nuts. It either is or it is not. There should not be a gray area when it comes to this. I have actually been scored down on QA because I dropped a when the doc said patient had a pneumonia. To make matters worse, there is not 1 person doing the QA, it is 1 of 5 editors who rotate doing the assessments, so what one will let go by another probably will not. It is frustrating to say the least and I spend more time checking and rechecking things just to satisfy.  
verbatim
I hate verbatim accounts. I too want to clean up their reports. Some are so insistent that it be absolutely verbatim, that I say, okay, make a fool of yourself if you want to. I thought part of our job was to make them sound like intelligent members of society. I wonder what would happen if we took them at their word when they say: I seen the patient, and rather then come back next week.... This is a verbatim sentence from a real doctor.
I ignore verbatim
and use common sense. If it is obviously a woman, ADT screen if you are on DocQScribe will tell you that. The doctors have these degrees but they are not perfect. Nobody is. I have a doctor who does not even know how to count, 1, 2 4, 8, 7, ??? Now I do not type this.

We are smarter than the docs sometime and just forget about verbatim in those situations.

They do not even know how to spell many meds either but you can't go verbatim here either.

You will give good patient care by typing what is right and ignoring the doc.
I just type them verbatim
Ehhhhhhh, this is Dr. Shinegagophoria dictating a discharge summary for Eggster Jonnnes. Ehhhhhhhh, ummmmmmmmm, discharge diagnosis: Sufanothupa, left knee. Ehhhhhh (19 seconds of silence) Ehhhhhhhhhhhhhhhhhhh. This is a 68-year-old, nooo, ehhhhhhh, go back, ehhhhhhhhh. This is a 67-year-old ummmmmmmm female, no, sorry, male who prezented to the E Rrr complaining of ehhhhhhhh, uhhhhhhh pain to his uhhhhhhhh (11 seconds of silence) left knee, no, no ehhhhhhhhhh, ummmmmmm, right knee. Errrr he suga DE rima ehhhhh kinlin aga foad she pte. He now prezents dieg shile feid ona. Make sense?
should be reports will not be verbatim...
couple of minor errors, but I am not on the clock, and I am furiously writing so I can get the point across.
Verbatim nonsense!
Thuh patient ah, um, ah presented ah came in ah today with a complaint of ah um left-sided headache, a headaches of a daily basis, um.........(shuffle through some papers or something).....um -  Comment:   So when they say verbatim don't we have to use common sense?  He had a hysterectomy, and that 5-year-old quit smoking last year.  Duh.......Verbatim accounts simply wear me out!!  Do they want it verbatim because they think they are saving money or what?  Ending sentences in prepositions, mixed tenses, no conjunctions or prepositions, etc.  A punctuation nightmare!!  Also their insisting on using acronyms, which have multiple meanings.  Am I alone out here?  I am so tempted to type something just once exactly, I mean exactly, as dictated.
Does verbatim equal garbage?
Do they say they want verbatim so they can blame the "dumb typer" when the patient record is incorrect?  The doctor says over and over that the patient is a male, yet "he" has had a hysterectomy, C-sections, etc.  Now, this is in a report where I also heard nothing about transgender. That is a minor example, but you get the point, right?  We are told to type what we hear.  When we hear garbage, we have to type garbage.  Apparently the hospital thinks the docs are flawless.  I want to give good patient care and provide accurate reports, but I can only do so much.
Glad you can ignore verbatim -
We were told very specifically to type word for word. We can send things to QA if we question them. Also have one doctor who specifies all his numbers be left out of order because he has some nutty system in his charts that he likes to use. What you do cannot be applied across the board, much as we all might like to do it!

verbatim should NOT mean putting in errors: SM
As a QA, this is how I pass on the guidelines (and verbatim is usually requested by the client, NOT QA!):

Verbatim means: Transcribe what the physician says but correct obvious punctuation, spelling, and grammar errors - like "there is 3 moles."

Headings and exams are transcribed when and as dictated, not adding in headings, not changing PHYSICAL EXAMINATION: to OBJECTIVE:, "rearranging" the report, or changing an exam dictated in paragraph to block format.

You do not add additional words to clipped sentences in clinical notes. If the doc says "A 56-year-old patient," you don't transcribe "This is a 56-year-old patient."

If the doc says right leg in one place and left leg in another, a blank is left and it goes to the clinic for resolution.

If a medication is spelled and you can't verify it, it is blanked and goes to QA. If we can't verify it, it goes to the clinic for resolution.

Verbatim should NEVER mean transcribing errors like have been described here, at least IMO.
Verbatim Transcriber Wanted
*PLEASE READ BEFORE APPLYING*

We are seeking highly qualified experienced transcribers to handle the increased workload. We are ramping up for a very busy season and with that we are structuring our staff to handle the new volume of work.

Transcribers must be highly proficient and experienced transcribers. Only transcribers with experience transcribing from digital files will be hired. Please indicate your years of transcription experience and your current WPM. Please-No beginners, no students- you will not receive a response.

We prefer transcribers who can transcribe from digital video files as well as digital audio files. (MP4, MOV, WMV, RM) using the StartStop Transcription system. If you use a different system please state which one you use.

We have a series of interviews and conferences in digital audio format that need to be transcribed verbatim. This includes every single utterance and noise in the audio. Our client will have a linguist specialist go through the audio so it is important the transcript is exact. The content is not technical, speakers sometimes will have heavy southern accents, and the audio is mostly clear.

Accuracy is the key with these transcripts.
-Ability to include every phrase, word, utterance, and background noises
-Above average grammar skills
-Speaker recognition skills (ability to correctly identify multiple speakers in the audio)

There are quite a few of these and we would like someone dependable to work on this project.

Candidates must have the ability to transcribe from home with high-speed internet, a foot pedal, and up-to-date computer software.

Please email all relevant data and resume to careers@anptranscriptions.com


Axotol testing----is it verbatim or per BOS?

I've seen others post their transcription is verbatim, does that also mean their testing is verbatim or is it per BOS?  If per BOS, is it 2nd or 3rd ed?   Any info would be greatly appreciated.  Thanks.


TGIF


Has anyone ever heard of Verbatim Medical?
I just got the strangest E-mail offering me a job.  It sounds like they are just starting out and looking for MTs to begin in about 2 weeks.  They are out of NYC.  I'm already with a company that promises to start me in 2 weeks on a new account and so far their practices are questionable.  What is up with these companies?  At this rate I can quit a company a week until I find the right match.    
I love your verbatim...that is hysterical. It also made my day....nm
x
I just recently started a verbatim account...

and I have to stop myself from making corrections and have to really concentrate on typing exactly what they are saying.  It's HARD!  But hey, they are indirectly signing my paycheck, so I gotta do what they tell me to, ya know?



That is way low! I also transcribe for a producer, verbatim, non-medical,
any typist could do it (unlike MTing) and I get $100 per 1 hour of dictation. That's ridiculous.
Here is the dummy office manager's verbatim response
The allogations you just made are unbelievable. I want to see the information you have as proof. Please call me tomorrow morning at 739-7500. Can you be at PROSC at 10am with your unaltered reports?


Do any companies allow you to edit the dictation somewhat or are you strict verbatim? First time do
,
I have 1 acct that's verbatim but they don't mind if I edit a little. I used to type insuranc
interviews where they would call people after accidents and I had to type every um, uh or cough. Kind of nervewracking!
I've always thought verbatim is not only an insult to the doctor, but also to our profession. sm
We are supposed to medical language specialists with an excellent grasp of proper grammar and command of the English language. What do I know? I've only been doing MT for 25+ years. It completely befuddles me to be asked to type verbatim because I have probably typed for 2 doctors out of 100s who can form a proper sentence! Just my take on the verbatim thing.
My previous post was verbatim from the company when I inquired at employment. Maybe (sm)
they tell everyone something different, like what they THINK they want to hear.....Guess I should have put it in quotes.
Are they losing accounts. Do most of their accounts stay for long period of time. I have
heard pros and cons about the quality of their work.  I guess it is much cheaper than other companies can offer.
Because the girls that monitor the accounts in the office were told the accounts either go on DQS or
move on. All accounts to be with MQ must be on DQS and no more different platforms. ONE ONLY DQS. They can send more work overseas then.
MDI-FL but not all accounts. Only the internet-based ones. C-phone accounts are fine.

So, yes, let me clarify before everyone gets in an uproar.. There is work IF you want to use a C-phone. IF you signed up for an account that is internet-based, you will be disappointed. Not enough work to go around. Just my personal preference.. I have no desire to do a dial-up C-phone account using my long distance.


Some do and have good accounts and fully loaded ESL accounts
Take a look at what is happening in India. For the first time, workers there have money to get themselves into debt by buying high priced items (cars for example). They now protest lower castes being allowed into universities at almost double the previous allowance. Wait until they are highly in debt, begin to feel entitled to a wage equal to that paid inthe US and then, try to form unions, get tossed out into the street and sit back with some Ben and Jerry ice cream and watch the economy collapse and all that dictation come back across the ocean. Timing is everything.
Find out which accounts they are hiring for. They have some ESL accounts that are extremely
difficult to do.  I dont know how many accounts they have altogether but as I say, a few are very difficult and I actually dont have a problem with ESLs but these accounts are almost totally ESL.  I dont do them anymore.
Well it sounds like no work happens a lot at DSG. How are the accounts as far as decent accounts
and their QA. 
I hate to say it, but MQ does. nm

come on now, don't hate
/
I hate to tell you this, but (sm)

I have over 35 years experience as an MT, and I have never done a resume in my life.  I'm afraid if I had to do one, it might not meet your rigid standards of professionalism.  I am an excellent MT, and you would be the one losing out.  BTW, this is absolutely true.  I have never needed a resume.  I have only had about 5 jobs in my entire career as an MT, and I know so many people in this profession that one has never been needed - so Heaven forbid, I would ever want to go to work for your company - and you would be the loser.


Well, there's nothing I hate more... sm
...than being at the bottom of someone's DO-DO list.

Thanks for the laugh in an otherwise testy thread, even if it was just a typo! ;-)
I hate to even ask but...
what exactly does it mean to be incorporated? I feel silly not knowing, but I'll never know if I don't ask, right?
Oh I hate that!
I used work for a company who made all of their MTs have Yahoo messenger open practically 24/7. If they didn't see you online, they would call you to find out why!!! They would constantly message me on my days off, or even when I set to appear offline! I would wake up in the morning and go to my computer to find tons of instant messages from like 4 in the morning! I am SO glad that the company I am with now doesn't do that! To me, if a company tells me that I have to give them my IM address, it would be a huge turnoff. It's kind of like a leash.
hate my job
I hate the last part-time job I took learning ESLs and working 1 to 8 p.m., but I must admit I have had work this summer when there were other people even with this company who didn't.  Just depends on what your pocketbook can weather.
Ugh, I hate it but I do what I have too...sm
I work EVERY Friday night and Saturday night. I absolutely HATE my schedule but my kids have to eat, right? Plus I worry sometimes that all they will remember of their childhood is me working at night, missing out on things and then napping or sleeping the rest of the time. The economy around here is AWFUL. I have been looking/interviewing for a job outside the home since two years ago. NOTHING.
I hate
That is, unfortunately, about the rate for VR. I worked at Lartech for about a year and it was 3 cpl. I started out doing VR and when I switched companies I started doing straight transcription. I went from struggling with VR editing to what would have equaled 700 transcribed lines per day (editing of 1400 basically) up to 1500+ lines a day not even working as much as I had at Lartech. VR totally brings your time down and they dont pay squat! I read somewhere that the companies got paid the SAME amount from the hospitals whether or not it was VR or straight transcription. I have a feeling companies are lining their pockets left and right because of VR.
I hate to say it, but this is well said.
nm
I really hate to say this, but

go to MedQuist.  You have to be able to pass the test but at least there you can gain experience fast.  Also, after there for a year, you can leave.


I hate working there but anyone can do a year of it. 


I don't know if they let you use books for the test or if it is timed or not.  Maybe someone else knows, but a lot of the bigger places let you use books.  Look up everything. 


 


What I really hate to see is
people who do not want to work on VR for whatever reason come here and throw out, for example, less experienced, slower, etc. and that is what happens. If you don’t like, fine, work until your job switches you over and then find another job and then, well you can finish this thought out. To assume, like is about 98% of the time done with VR, is just wrong and that is what I am talking about. The first person said they had experience of 30 years and then went on to say less experienced, well she has less experience than I do and so?
Do I hate it?

Well, HATE is a strong word.  I probably don't hate it as much as I hate war, murder, oppression and hominy, but I pretty much dislike it the way it is now.  The thing is, I have hung on, keeping hope that it would get better, that I would find the perfect niche for me in this industry, and it just isn't happening.


 


It does to me too but I hate to think
That it's a company I contract with :-(
I'd hate to think that! NM
NM
Hate this
I hate this, too. I had planned to spend the rest of my career here and made many sacrifices (working extra, working when my family wanted to be with them, etc. etc., so much so that it caused difficulties in my family because I was ALWAYS TYPING) and I am sure you all did, too. The MDI we thought we knew is dead. As to how anyone could do such a 180, if I had to guess, I would say it has to do with cold, hard cash. When I was a little kid, my father used to say EVERYONE HAS HIS PRICE. I always thought that was a cynical point of view but now I have to ask, is that true? Again, I have said before, she had an absolute right to do whatever she wants to with HER company but I also think there is a moral and ethical duty to take care of the workers who have made you such a success. It is kind of like we are the MT world equivalent of a one-night stand. Wham, bam, thankya maam. This business of sitting in front of my computer with no work for three months and no explanations and no answers will haunt me forever. It will be a long time before I trust too many people again......How sad. How very, very sad.
Don't you just hate that? sm
I haven't applied with them, so not much help there. But, I've been filling out apps, testing, sending resumes all day. This is SO stressful. You just don't even know what sort of company they are, will you get the schedule you need, will the dictators be decent, is their sound quality decent. Soooooo stressful. Sorry I rambled and wasn't much help for you. Hang in there! :)
I hate being left out...sm
another post mentions Douglasville. Georgia, perhaps, cause that's where I'm at...please tell me, I wanna know...I hate being left out...
hate MEDSCRIBE

aNYONE else here despise Medscribe and their corny contests and their rude way of putting their MTs down verbally in emails and on the phone.  It's like an old fashioned factory.  UGH.  Let me outta here.


 


They are biatches.


 


I hate Spheris too
Indian givers. That's a nice way of putting it. They are liars, cheaters and users. I need to start looking. I should have started looking years ago. What took me so long to see through them?