don't lie - it'll come back and bit you.

Be up front.  Try to maximize/emphasize the experience that you have that would transfer to acute care, but don't lie or misrepresent.  That will only come back to bite you in the butt.

Acute care can be harder sometimes.  Depends on the type of account you have.  I've worked accounts where I had 20 facilities feeding in to my  queue so I rarely had the same doctor.  At that point I was just doing consults and discharges, so no templates so to speak.  Lots of stock phrases, though, so I really built up my expander.  I worked another acute care account for another company that was just one hospital.  That got to be okay because I had the same docs all the time.

If you haven't done acute care before or in a long time I think the hardest part will be some unfamiliarity with phrases, medicines, bacterias, etc. that maybe you haven't run into before or in a while.  I know that was the worst part for me.  The other big difference I have found between acute care and clinic work is the quality of the sound files.  Clinics have better equipment and they generally have the hand held dictation machines that the doctors use.  Acute care doctors use the telephone to call the report into the system.  The sound file suffers as a result.

• Acute care experience is limited... - me
  • I have limited op note experience...sm - me
  • Do not lie - sm - klm
  • It's great you want to learn and you are resourceful, - but you won't be able to bluff it. sm
    • Agree. You can't fake experience with OPs and special procedures. - sm
  • Be up front with the company. - Been there,done that
  • Acute care is quite a bit harder than clinic. - EmTee
  • me2 - my experience
    • same here - sa
  • Any new account will be a learning - experience no matter which work type...
  • don't lie - it'll come back and bit you. - Happy MT Robin

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  The company you refer to shows its true colors once you get settled in.  They hire ICs at a fairly decent wage 8.5-9.5 but by the time you get through with tons and tons and tons! of UNPAID demographics. with fairly difficult acct. specs on its own...you'll wish you were back to 7 cpl anywhere else.  What's unfair is that this CHARITY   work is equated into their 98-99% quality requirement''... Not paid for training.  While on QA, they only let me do 5 jobs a day....easier, they say, on the QA/editors.  I told them 5 jobs a day wouldn't feed my kids or pay my mortgage.

E-mail me if you wish for LOWDOWN on this company

The accounts weren't too horribly bad.  The reason I ended up leaving was because slowly but surely they began to inch closer and closer to paying QA by production.  When I first started, the quota was something like 30 reports a day.   We simply had to make sure that we QA'd all reports that were close to being out of TAT first and then do the rest.  Then, my supervisor left and they hired a new one who immediately called a big teleconference meeting and said we had to up production to 60 reports a day.  Then, they started counting lines.  Which was fine because they were still paying hourly.

Next, there was an MT who used VR software because she was blind - yes blind.  Again, when I first started, I was told we had to edit her entire reports because she used the VR software and we had to make sure that everything was correct and made sense.  Then, we are told only check the blanks.  I wasn't comfortable with that and I continued to completely proof every word.  Then I was called on the carpet not because I wasn't meeting the production quota, but because I was ONLY meeting the production quota.  I told them I was proofing all of the MT's work that used VR, I was told that no one ever told me to proof every word of the VR reports and that I needed to fill in blanks and move on.  When I voiced my concerns, I was told that was my job, to fill in blanks and I should move on and strive to product above the standards.  Next thing you know, rumors abounded about changing the QA staff to being paid on production.  So I left. 

There just seemed to me to be too little concern for quality and more emphasis on quantity and I just didn't want to be part of company who would take money out of my pocket just to line their own and that's what they were doing by putting QA on production.  I also am not comfortable with the job of QA being thought of as a blank filler.  There is much more to the QA profession than just simply filling in blanks. 

I don't know if Transcend ever did start paying QA by production, but I could see that the idea was being floated there.  Maybe there was a enough protest that they didn't change from hourly. 

Good luck to you!

happier.  I am on a different account then the first time and it is as if it is a different company.  I have a great lead who leaves us alone most of the time but is there when I need her.  It showed me that you can have a different experience within the same company.

I have to say that in the few weeks since they have the new office, it is much more organized probably because there are a lot of people there all the time.  I had the pleasure of speaking to the new HR manager who was HR at a hospital, got my questions answered about insurance as I am going to full time and had a live voice pick up the phone.

Not all change is bad.  This is one company that has changed for the better. 

It won't be the correct amount, but you'll eventually get it.  I'm outta there.  Today was my last day.

Allstate Transcription started a mentoring program that is very much needed in our industry, and I am pleased to say that I have been a team player for two or three months now!  In this program, Deb, the owner, gives people who have gone through some kind of course an opportunity to work on real accounts with real TATs.  In addition, she provides MEGA feedback with all kinds of documentation to sites for the interns to read.  Deb nor the editors can make anyone do anything.  The intern has to WANT to learn more and improve and has to have the capacity of breaking a habit of doing things their way versus the AAMT BOS way.  Deb will do flips backwards just to help someone succeed with multiple second chances.  In the real world, if you can't produce an accuracy of 98% and above, you will be terminated.  In Deb's defense, she cannot continue to allow a person who is not progressing to fill a slot when she has others begging to get into the program.  It seems that everyone here has a clear understanding of the bigger picture ~ producing 98% accurate work to a client so that they can provide the BEST care to the patient - afterall, it is the patient whose well-being is at stake here.   Carla     

It was easy to learn and not too time consuming before entering the actual report screen.