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Serving Over 20,000 US Medical Transcriptionists

should be reports will not be verbatim...

Posted By: MTbucket on 2006-12-10
In Reply to: professionals? - MTbucket

couple of minor errors, but I am not on the clock, and I am furiously writing so I can get the point across.


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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?
where they 35 comparable reports - or 35 short and 35 long reports? nm
x
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.
Typing ER reports and radiologogy reports
are completely different with regards to pay. For typing regular reports, that is a very fine line rate. For typing radiology reports, it would be horrid.
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?
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


I HATE verbatim accounts
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 :).
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.    
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.
I love your verbatim...that is hysterical. It also made my day....nm
x
All accounts are VERBATIM, so there couldn't be any normals.
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.
ER Reports
Can you make a good living typing only ER reports with a national company?  Do any companies hire you just for ER reports?  Thanks.
Maybe that is why they only let you do a few reports a day but
nm
I believe they will get them to do op reports, in which
zz
I luv Op reports
:)
ER reports
Was there a posting on these boards recently about doing mainly ER reports?  What was the name of the company?  I cannot find it now.  Thanks.
Are the reports
in the accounts worse than what is on the TH test when you apply?

I have had years of proofing horrid accounts. :)

My really great fear is that I won't be able to get my line count. I HAVE to get my line count. I will be leaving a job with awesome benefits, retirement, blah blah blah, but I want to come back home with my children.

Sigh. If only it were easy.

Lynn
IME Reports
I need some opinions!! I may be typing some IMEs in the near future and am getting paid by the gross. Do you think that should also include the templates, or only what is actually typed??
IME reports
If I am getting paid by the gross line for these reports, do you think the line count should also include the templates? I have never done these before and some say it should, and yet that may seem unfair??
reports

I do radiology too, but I don't near anywhere close to 200 rpts per day.  Is that all plain films minus the MRIs, CTs, etc.?


They allow you 10 reports a day, I believe.
train, which I think lasts 2 weeks.  Not 100% sure if this is still the case, but that's what they were doing at one time.  The recruiter is very nice and will answer questions like this one.  If she doesn't know, then she'll get you the answers you need.
yes they can see reports at TT
Control S, quick find, highlight a job or jobs and click statistics. 
OP REPORTS
Absolutely yes. When checking the Lanier dictation minutes, the same amount of minutes was almost double in line count as compared to H&Ps. The other reasons posted below also play a part. Otherwise, why would be have Voice Recognition anyway?
rad reports
$1.20 at some companies but the work is low so if you get a lot of work for $1.10, you will make more.
Op reports
Try TRS - Transcription Relief Services.
ER reports
I've never seen a single one!  They're probably typed offshore since they're considered easier!
As an IC, 10 yrs exp. in all but OP reports
what would you say is a good wage for a 65 CPL?  I was thinking 10 CPL, but then I've been offered two jobs now at 9 CPL.  What do you think?
Reports.....
I also applied and got the same response, but I must point out that these are long IME's, 4-40 pages in length, so one report could take you a while to do until you know the full format and correct way of doing it. Stop bashing people and companies until you know the full story.
So if you have to fix the reports anyway, you still
@@
ER reports
ERs are my first transcription love.  I made a lot of money typing them and enjoyed the variety they offered.  The doctors dictate the same review of systems and physical exam repeatedly, and that's where you learn quickly to become one with your macros!  The reports are fast, unlike discharge summaries, for example, where there are frequent long pauses (i.e., a waste of your time) while the dictator lollygags and reads the entire chart while dictating.  ER doctors are accustomed to working on the fly.  If you can find an ER account, grab it!  You will love it.
ER Reports
Does anyone know of any companies who have specific ER accounts? Thanks!
Those reports
are going to be awfully hard to read without spaces.
I also have my QA reports, all of which are 100%, would YOU like to see them?
nm
RAD reports
I totally agree.  Back in 1996 it was $1.00
I average100-120 reports a day. nm
n
Do you mean the reports come up with OR or all work or what. Need to know what you mean.
:
Comparing reports
Knowing I was going on DocQscribe, I kept 10 reports from MTs and their line counts and then pasted them into DocQScribe after I had been on it for a time - compared the line counts and they were almost right on - I had to manually subtract the header information in order to make it come out, but we know that we don't get paid for headers anymore.

I know that my biggest problem is the internet - when late afternoon comes and I am pressed to get done, my line count goes way up. If anyone can figure out how to discipline themselves from "surfing" - post it here - a lot of people would be very grateful.