Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
Posted By: Sugar on 2005-11-02
In Reply to: Acute care - explain in detail please
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
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- Acute care - explain in detail please
- Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of - Sugar
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Can any of you MTs who type operative reports tell me
what are some good websites to look for spellings of surgical terminology, instruments, equipment, etc.? Much appreciated!!!
Acute care vs. Clinic reports-
Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs? Acute care is the same as emergency medicine right?
Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty? Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care? Just wondering....
Yes, 25 yrs exp in all acute care, including Op Reports, and no response. sm
Personally, I think the companies just get so many resumes and have to weed through them. First come first serve is probably how they handle it. So, my suggestion would be, if you are seriously looking, be one of the first ones to send you resume as soon as the jobs post. Maybe that will help.
To be honest, I have been applying to ads that are a few days to a week old. I think that is probably the key to no response.
Difference in Acute Care vs. Clinic reports
Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs? Acute care is the same as emergency medicine right?
Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty? Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care? Just wondering....
difference in Acute Care vs Clinic Reports
I thought so. Thanks!
Can a transcriptionist be hired to type both Rad and acute care for Medquist?
nm
Emergency Room
 I type ER notes at my current job and I get the same thing. I bet 90% of my reports are for sore throats. I actually had one a few weeks ago for a cold! Come on now people! Everyone knows there is no cure for a cold! That is why most of us cannot afford health insurance. I had a couple bring a baby to the ER because it spit up during the night (just once). Come on! Babies do spit up. Natural. This happens. Buy a baby book!
Acute care work goes by
work type. Consults are a work type, discharge summaries are a work type, OPs are a work type, H&Ps are a work type. They might also have ER, cardiac procedures, neurology procedures, and others, but the bigger hospitals may have other, possibly in-house, MTs doing procedures and ER, so it mostly refers to the Big 4 work types.
I also work for acute care and we are
x
Emergency room notes! nm
x
emergency room visits
I have often wondered this exact same thing. A lot of people go to the ER who have no health insurance or no primary doctor.
I had one woman bring her child in because he made a funny face after eating a sour fruit candy, I mean come on! 
Emergency room report
What sort of background do you need to learn ER reports?
Clinic work to acute care
You are on the right track but it's just that no one has given you the break. Most MTs start with clinic notes and then wait for a break into the Big 4 doing acute care. Don't get discouraged. Yes by all means, test away and you might just get lucky. Take any job you can doing acute care even if the pay and hours are bad just to get experience under your belt.
It's not easy making a go of it these days even with tons of experience. Ya gotta be a little clever and have a game plan. Look at it as a challenge and keep at it. Best of luck to you.
I am sorry, where I work we are swamped. It is acute care, though sm
I worked clinic for my first 8 years. From September until March it used to be slim, very slim. That was half the flipping year! In acute care there is less ebb and flow, in my opinion. It gets lean around spring break time, and again when school starts. How long it is slow can vary. I can't even believe how swamped we are at this point. I can see the number of reports are awaiting transcription and it has doubled every 4 hours all weekend AND people have been working all weekend.
If you do clinic, I wish I had an suggestion of how to break into acute care and I don't. I went from clinic only, to a surgical center doing all OPs, which was HARD HARD way to do it. I ended up in an enormous teaching hospital because I had OP note experience. Mine was sheer luck. I'll pray you have such a neat opportunity and can make that switch.
Clinic work or acute care question....sm
If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why? I have two offers and everything is even except for the type of work. I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be. Any input? 
I have 3 jobs, 1 FT doing acute care, and 2 PT doing clinic work. sm
It can be a challenge juggling things, and I really do not have much of a social life, but for now it works. It not only keeps the wolf away from the door but allows me to build up a little nest egg and save for a mega vacation I have planned in November to celebrate turning 50. Having goals definitely helps me get through it all. 
I started on Acute care, then went to clinic work, - sm
and then back again. I found clinic work to be more challenging, plus it often included radiology. I think it's more a matter of just getting familiar with each institution's way of doing things, along with new doctors, and getting familiar with a few new terms (which don't we all do every single day, anyway?) than it is one being easier or harder than the other.
Does anybody understand the meaning of EmErGeNcY room anymore?
I cannot understand why I type SO many ERs with trivial chief complaints such as:
sore throat - cough - pimple - splinter - blister - farted - (okay, maybe I'm exaggerating a little, but COME ON people!)
The most recent ccx.....Can I take a laxative? Not constipated, just needs to know if she can take a laxative along with her hypertension med. Thought she better go to the ER to ask.
Why are these people allowed to be such a waste of ER resources?
Just a pet peeve....wondering if anyone agrees with me.....perhaps someone else who has spent hours in an ER waiting room for something or other.
All and any Operative Reports! Love em!. sm
Including Cardiothoracic and cardiac caths.
Mastectomy operative reports
Does anybody out there have mastectomy operative reports that I can use as samples? Or can anyone direct me to a surgery site that would have this type of report?
Sample operative reports
This is a good one. MT Daily has sample reports. Another one is mt-stuff.com. These are just two good ones. I have done Ops for 30 years and if you need help, let me know. Hope this helps.
Someone left out the operative reports
those are certainly considered in the 4, not ERs.
When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
s
I seriously doubt that type of work is as complex as medical reports.
nm
add to that ASR, getting paid 1/2 for basically re-typing reports! nm
xx
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies. It goes on and on and it means and acute care hospital setting, not a clinic.
The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
It's basically a type of Dictaphone
where you you dial into the hospital's dictating unit to pick up your dictation. It has to be programmed for your individual accounts.
Basically formatting, how to type the headings, numbering, etc...sm
Are headings capitalized or followed with a colon?
ex.
HISTORY OF THE PRESENT ILLNESS:
Is it p.r.n., prn, h.s. or bedtime?
Just your basic formatting and styles. I may just download the ebook. Thanks!
1/2 rad and 1/2 acute care
Does anyone have an acount where they do some radiology and some acute care? Do you get paid differently for rad/acute care on this account? I get paid the same and have one radiologist that slows me down considerably (I transcribe for 2 radiologist alternating weeks). I make 1/2 with him than what I would make doing acute care or the other radiologist.
Acute care
Can someone please explain acute care setting in detail?
Yes, and also known as acute care. (sm)
To me, the next thing would be OPs right after doing radiology, because you have lost most of your drug names by now. But it is hard to break into OPs, especially exclusively. You would also likely do well with (office) orthopedics or gastroenterology. I'm not saying you can't do acute care, but you would want to be in-house with a mentor nearby for the easiest transition. The drug names and all the various mispronounciations will be a thorn in your side.
I do know that the acute care...
would benefit me in the long run because I would have more opportunity to learn more. I currently do not take on the variety of work that you do, hence, the boredom. I only do discharge summaries on a regular basis and just started with consults and H&Ps. I have yet to do any regular workload of OP reports, etc.
I have always been interested in the psych field. Maybe that is why I think that I would be more interested in doing the transcription. Also, yes, I am on the hardest account we have. Thanks for the input though.
Acute care, 0.07 and 0.075....maybe??
I was hired making 0.08 cpl doing acute care for a national right out of school. Personally I think your numbers are a little low compared to what I have seen out there.
Acute Care & QA
I guess that is where my problem lies. If I send a blank to editing/QA, I do not get the corrected report back so I never know what was filled in for the blank. Obviously, that hinders the learning process quite a bit. Since I have only worked for 2 companies (the first one I could view my corrected reports, second one not), I am wondering if this is the norm.
how many lph on ave is everyone doing in acute care? sm
i know there are lots of variables. i am just looking for a general idea of about where most people average, lph. TYIA
Acute care is
all the basic work types found in a hospital, H&Ps, consults, discharges, op notes, cardiac reports, the whole shebang. The work is so varied and you get to touch on just about all the specialties, especially if it's a larger hospital.
acute care
Just to clarify, in no way did I mean that as an accusation that she was misrepresenting herself. I wanted to make sure she knew the difference between acute care and clinic work, as she seemed new to the world of transcription outside her experience with her doctor for the past 3 years.
Acute care...nm
.
I would go with acute care, only because
I have a short attention span and doing clinic notes day in and day out would put me to sleep. It is bad enough when I get a bunch of monotone dictators, but it helps when they talk about something other than GERD and immunizations. JMHO.
acute care........
acute care
I started with a company back in June of last year as a newbie. Due to a terminal illness, the owner sold the company in August. The company who bought the business kept me on, which I am thankful for. When I hired in with the original company before they sold out I transcribed clinic reports for a general surgeon who was an awesome dictator. When the other company bought it out they said they no longer had that account and put me on acute care. A huge hospital with tons of doctors. A lot of ESLs. Doing everything from H&Ps, consults, op notes, discharge sum., cardiac caths, sleep studies, etc. Needless to say I was lost. I am so thankful for the opportunity but isn't this a bit much for a someone with not much experience. Anyway I came to find out later I was lied to and they still had the clinic account but gave it to someone with much more experience than me just because they didnt WANT to do acute care. Now since I know they still have the account they let me do leftovers and use me for when no one else is available to do the clinic account but otherwise I have to do acute care. Shouldn't a company give accounts based on the exp. level you have not what another MT wants to transcribe? I think I should have gradually worked my way up to an account like this acute care account. It is a very difficult account which slows down productivity a lot. That and I am only making .065 cpl. Which I know I have to start somewhere. But on an account like that it is hard to make any money. I don't have a lot of experience with companies but have you ever known a newbie to do a difficult acute care account when there was more appropriate accounts available?
Acute Care?
Subject: Acute Care?
I have been applying for jobs but all or most of them say Acute Care experience. I am not sure what that means? I have been with a small company for almost 3 years now and type several different docs for them. What is acute care? Sorry. May be a dumb question but this is the only place I have worked since I started transcribing! thanks.
acute care
I could be wrong but I think acute care means you have experience transcribing the basic 4.
You can try searching "what acute care means" here on these forums. Just type it in the search box up above.
acute care
It means you have experience typing hospital reports, i.e., discharge summaries, H&Ps, consults, operative notes, and the like. If you type doctor's office notes that is considered clinical, not acute.
Acute Care?
What about in hospital acute care patients? Will all their records also be generated via EMR or is that the plan in the near future also?
Unfortunately, they do not have acute care.
It baffles me that my experience does not seem to even be considered. I am a quick study and I learn and retain well. I really want to expand my horizons and I am open to suggestions. I am a good Transcriptionist with 99.8% accuracy and I am motivated, yet I just keeping running into wall after wall. Would testing on company websites be helpful at all? I don't want to waste my time, but I am almost desperate.
Rad Vs Acute Care
I've done both and, to be honest, I think it depends on your dictators, their use of normals, the length of the reports, etc. I've had rads that will blather on for 12 minutes (yes, 12) on an essentially negative CT abdomen and pelvis. And it's not 12 minutes of dictation. It's 12 minutes of start/stop dictation, with lots of pauses and dead air time, which is a total line killer. I've also had rads that have a normal for this type of report, have it blown in, fill in a few blanks, and wrap it up. I've also had dictations that show up as a 6 or 7 minute total time dictation, only to find the first 3 minutes are actual dictation, the rest of the time is "Transcriptionist, go back up and where I said...", and proceed to spend 3 minutes changing the first 3 minutes of dictation (always a delight). In an 8 hour shift with the right dictators, I can slam out about 1900-2100 lines of straight transcription in Rad; on the other hand, I've had 8 hour shifts where, depending on the dictators, I've been doing good to eek out 1400 lines.
Having done both rad and acute care, I'd say it's a crapshoot as to which one actually pays more. There are a lot of variables with accounts and it's difficult to really differentiate which of the two would pay better. It all comes down to the account...doctors' style of dictating, usage of normals, ESL physicians, etc.; the same things that impact one's line count on an acute care account.
Good luck to you. I really think with the right account, you'd see your line count increase dramatically.
I did rad then acute care...sm
Did Rad work for about 4 years then switched to acute care elsewhere. I worked in-house for about a year and that helped me a lot. As GothMT said, it was overwhelming, but now I definitely prefer acute care.
Do you do acute care and
there are people here who tell you the certificate is not worth much, employers are wanting experience. It would seem if you are working 2 days in the transcription department, what is wrong with working more or do they not have any more than 2 to keep you occupied?
Daily emergency work as IC...
Is it normal for an IC to be called often for emergency reports that need to be completed within a short amount of time - one to two hours. Is this normal practice? I get these calls fequently and it makes it difficult to complete the work I was doing, and/or I may be out on my own time when these phone calls come in. I tend to work best in the evenings so I do most of my chores, etc., during the day.
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