it has all to do with the evolution and progress
Posted By: lara on 2009-09-18
In Reply to: What does manual typewriters have to do - with this thread??? (NM)
of technology:
Manual typwewriter
Electric typewriter
Computer
Straight transcription
Voice recognition (VR)
EMR
etc......
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Proof positive that the evolution of technology
Manual Typewriters: At least they work during a power outage. And having to leave the keyboard to return the carriage by hand can help prevent some computer injuries. Downside - you had to hit the keys really hard, and they were slow.
Electric Typewriter: You could actually do things like make the document LOOK GOOD, and easy-to-read, not like the wrap-around cr@p our final product turns into at the receiving end. Downside - Power failures, and the memory writers never had enough memory for me.
Mag Cards: (You forgot these!) Even though they were older than the IBM memory typewriters, I really love my Mag-Card, because you could just keep feeding cards into it, so the memory was limitless. Easy to do normals on them, too. Downside - they were HUGE!
Straight Transcription: Produces a better, more-accurate record. I've done enough 'normals' and templates in my day to see some truly incredible mistakes because the doc didn't bother to pull the right template, or even read what it said. Straight transcription is also a lot more interesting to do. Downside - docs get tired of talking, and tend to go a mile-a-minute through the physical exams.
VR: It has its limited uses, but having seen the trash it produces, I think it has no place in medical or legal documentation. Upside - it makes for a lot of uproarious laughter when you're watching the Evening News with VR-produced, closed-captioning.
EMR: Again, it has its uses, for example, making it possible to immediately look up, or send, a patient's entire medical record, or to use the computer to find a specific part of a long, complicated record. But point-and-click yes-and-no sounds tedious to ME, and I work with words and tedium for a living. Imagine a busy, impatient doctor trying to do it. I think it would drive most of them nuts, and probably leaves them wide-open for major mistakes that could impact patient safety.
progress notes
My company, XXX, has been out of work quite a lot lately and their only explanation is you know how it is during the off-season but the off-season now has been pretty much all of this year. My question is are MTs now all paid the same way for notes as opposed to reports. I distinctly remember that MTs who did progress notes and ER notes were generally paid differently because the notes were so short it was next to impossible to get an adequate line count. I feel like I am getting shafted because I am reduced to doing progress notes on a daily basis and I am generally spending 10 hours a day just to make my 1100 lines. Keep in mind that these are still ESL doctors who either don't know or don't care about putting in demographics so that too still has to be looked up and in the end I may get 5 lines per report. I understand that things do change but if its gotten to this point then maybe I need to be the one to make the change.
That's how movements get started, and progress
nm
My account has all progress notes.
everything was straightforward. I thought I was doing everything right but then I was notified I'm doing certain things incorrectly. One day last week I asked someone in the office how to do something and got an answer but then I got more corrections telling me this way was wrong. It's a little confusing and I hope it's just the new account adjustment. Like I said I'll wait a full 90 days before making any definite decision. What account are you on?
Progress and change cannot be stopped, nowhere, anywhere...nm
nm
Why does progress mean accepting a lower wage?
I want to point out the contrast between the OP and this response.
The OP says MDI moving to VR is to cut costs. Had to Respond says it is keeping up with the times and says nothing about reducing costs. Is moving to VR keeping up with (sic) technological times or is it being used to reduce costs?
I believe it is the latter, not the former. And if that is the case, Had to respond has no straws to grasp to justify the transition. It is NOT about moving with technology and everything to do with paying less to the ICs.
I am so not impressed with Had to Respond and her big girl panties to accept less money.
Pay for acute care versus ER/progress notes
My company has been out of work quite a lot lately and their only explanation is you know how it is during the off-season but the off-season now has been pretty much all of this year. My question is are MTs now all paid the same way for notes as opposed to reports. I distinctly remember that MTs who did progress notes and ER notes were generally paid differently because the notes were so short it was next to impossible to get an adequate line count. I feel like I am getting shafted because I am reduced to doing progress notes on a daily basis and I am generally spending 10 hours a day just to make my 1100 lines. Keep in mind that these are still ESL doctors who either don't know or don't care about putting in demographics so that too still has to be looked up and in the end I may get 5 lines per report. I understand that things do change but if its gotten to this point then maybe I need to be the one to make the change.
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