Agree! Wish they could only dictate from a specific dictation
Posted By: zone to cut the gab! nm on 2007-11-02
In Reply to: Background noise! - Fastball
s
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- Background noise! - Fastball
- Agree! Wish they could only dictate from a specific dictation - zone to cut the gab! nm
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Yep, they dictate in noisy nursing stations, dictate in the ER, dictate in the OR when they are
cleaning up banging around and we are supposed to hear them. So much for HIPPA.
I agree. I work for an exceptionally difficult university and those people dictate on cell phones in
trains, in cars, everywhere and they cut out and they just have an exceptional amount of residents dictating on anything imaginable. My blanks are never for words I dont know they are for crappy dictators or those that simply dont know what they are talking about.
I was hired for a specific account/specific
work type. I've learned the dictators, done the macros, now they need to hire new MTs because the workload has increased, so they switch me to a very difficult account, doing everything but my normal work type. Does this make sense? I'm productive on my original account, not productive on new account, plus I'm majorly stressed. I do ESL 90% of the time but the new account is really horrible, not only ESL but they mumble and the quality of the dictation is bad. If you took a new hire and put them on this account and they stuck it out, maybe they wouldn't think these dictators would be so bad. I've talked with the MTSO and they say they'll switch me back and that lasts 2 weeks and then back to this horrible account. It would be different if they called and said we need you to do this account for a couple of weeks, but it doesn't pay enough for me to do from now on.
I understand this is the way the business is and my griping probably isn't going to help anything, but I just had to get it out.
I totally agree and keep in mind the quality of the dictation where you're at currently. SM
You're already used to the dictators where you're at now. I can almost guarantee that the quality of the dictation will decrease and the number of ESL will increase whatever national you choose to go to compared to where you're at now. Even if you do luck out and a get a good account at a national, there is still the transitional phase where you getting to know the dictators, account specifics, etc. and your production will decrease considerably than what you are used to.
I'd stay where you're at, choose a national that you like, one that gets more positive feedback than negative, and try it on for size.
Good Luck!
800 dictate can help you set it up.
Cannot dictate for MDs
You cannot dictate for a physician unless you have a PA or MD degree. We volunteered at the last in-house position I held to dictate the discharge summaries instead of paying quite a bit for interns/residents to do the dictating and were told it is not legal.
If they dictate
your hours, you are not an IC and the IRS will sooner or later jump on it. Do you file a schedule C with your income tax? Be careful, because if you're not a real IC your deductions may not be allowed.
I often dictate for a doc sm
that will send his patients to a therpaist named Candace Jones, but he always sends them to Candice Bergan.
If they dictate them, they want them on there.
x
BE SPECIFIC, PLEASE
You need to CLARIFY - Not sure why you can't be specific - or is it you don't even know what you are talking about?
how do you do that, could you be a little more specific?
x
to be more specific....sm..
You, the parent, want something done.
They, the child, want something(s).....
When the something you want gets done by the child...
The child gets something.
Deals and contracts - works every time....*S* 
can you be more specific.
nm
How much more specific does it need to be?
It says to save the TEMPLATE to a disk, flash drive, etc. Short of coming over and doing the work for you, now sure what you are asking for. Did you know there's a Help menu in Word that spells out all the details?
More specific help?
I am only using about 25% of my hard drive, and I defrag regularly. I am always getting rid of stuff that I am not using anymore, but my computer is still SUPER slow a lot of the time. It is almost always sluggish, and seems like there is something downloading that I can't see. Does that make sense? I check the running processes and programs and can't see anything there, but there is definitely something going on.
Any ideas on how I can find my gremlins?
Can you be more specific?
There are numerous programs, legit and not so legit, which have similar names. There's a CA Anti-Spyware 2008 (legit) and then there's one referred to as "Zinaps" Anti-Spyware 2008 (which is a trojan). In any case, you need to correctly identify what's actually running in order to know whether it's a threat or not and how to remove it in either case. For the latter (mentioned above), see http://www.precisesecurity.com/threats/zinaps-anti-spyware-2008/
Beyond that, downloading and running either Ad-Aware or Spybot Search and Destroy would presumably detect (and possibly remove) what's running if it's spyware/trojanware.
To be specific...
The "account" that I do - I currently transcribe for only one facility - does not offshore - so only transcriptionists are hired that can produce the work required without needing someone to edit the transcription. I understand that editing can be in either form - correcting or filling in the blanks of someone who isn't qualified to produce a final document (as in a new transcriptionist's work) or VR (which I have done with past accounts). As I said, I am fortunate to have that opportunity and not all are so fortunate. I also have the luxury, because of years of only acute care experience, to have had a choice in who I work for. I know that isn't the case for everyone. I am also not currently the sole supporter of my family and I have been in that position in the past.
However, I think that if each of us who personally has the ability to do so - economically-speaking - that we try not to make it easy for those companies offshoring who are asking for our years of experience to train their transciptionists. In a perfect world.....
1-800-dictate (342-8283) [mq]
nm
so, where do you get the information to dictate?
I mean, how much time do you spend on listening to a report and turning around and dictating into your machine.
Just curious...a male friend of mine suggested I do this years ago already.
He said, why not get a voice recog machine, and use it with your job.
Is this what you do, Snow Bunny? I am awful curious, because I was thinking of asking my employer, if they would pay for one of those machines so I can do my job better.
We could probably eliminate about half the MT work force...maybe that is what is happening already, why MQ is always out of work.
If that is the case, however, the only problem I have with that is that everyone should be able to have access to this technology, and it should be above-board from employer to employee...it should be like general knowledge that a company either uses this or allows this...
You have been doing this a long time and whether you know it or not are probably paving the way for the future.
I am the one who keeps trying to get everyone to check out what the MOHCA is doing...within a decade (my opinion) med records may not even need editors at all...
They are pushing for standardized text rather than free text, where a doctor does not even dictate anymore...will be a thing of the past.
My question is, then what?
Thanks.
they seem to be trained to dictate that way.
I worked at a hospital that had a podiatric residency program, and the residents were often required to do the dictation for operations performed by others. Obviously the long format wasn't something the resident made up on his own, it was something they had been trained to do. Other doctors tend to stumble into dictation without much in the way of instruction.
before they dictate....I presume...nm
x
Yeah, become a PA and dictate really WELL.
most surgeons dictate very well sm
That is one of the best things about ops. When I say "dictate well" I mean that they normally know exactly what they are going to say and use the same phrases over and over, which means a better line count for you. Plus, you are much more likely to get normals doing ops than you are consults and H&Ps (especially in acute care). Instead of doing one of these docs who repeat everything, or change everything, or a resident who is all over the report back and forth. That is what slows you down. I absolutely love op notes; they keep you up-to-date on equipment, etc., and the line count is great, but most of them get farmed out to Spheris (gee, I wonder why?) However, if you never type OP notes, they can be difficult at first.
Will it is true that not just anyone can dictate
notes, you have have other degrees and dictate. They have to be certified by the hospital to be able to dictate, at least at the hospital I work for. With psych dictation I often have RNs that dictate. I also have lots of NP that dictate.
LOL, did granny dictate????? NM
.
the doctor themselves dictate SS#
You are way off base here dear.
If this is your only job and the dictate when you work - sm
then by the IRS definition you are an employee, though it does not sound like you are having taxes taken out. I take care of this problem myself by having another IC job that all I have is a deadline and I must have my work in by then, they could care less when I do it, as long as it is done on time. I have another IC job, where they asked when I would be working, a schedule of sorts, sort of what you are doing, but I do not firmly stick to it. I think it is more to give them an idea of what days you plan to work and what time of day. They do not chew on me if I vary my schedule as long as I log in and do the work. They know as an IC they cannot dictate the hours I work. I don't/cannot write off my home office as it is in my bedroom, but I write off everything else I can. If you need clarification call the company you work for and tell them of your dilemma and how your tax person says the IRS considers you an employee and since they require "set" hours then they should start taking taxes out, etc. from your pay, and see how they backpedal on the set hours issue.
There are some accounts that do not dictate - sm
every day, very true, but some people also refuse to do anything but one thing. If they only want one doctor, then yes they can expect to run out of work. I work many different specialities and can type the majority of docs (and have). This LTS is in Richmond, VA; I have never heard of another but you never know.
I have several who regularly dictate sm
30 minute reports. Unfortunately, they only give me 100 lines. On the other hand, I have a female PA who dictates 4 minutes notes and that gives me 100 lines, too, because she dictates at the speed of sound. I have to slow her down to turtle speed to hear her correctly. I prefer to do the 30 minutes ones since they talk reaaaalllll slowwwww and I can run the voice file at chipmunk speed and zing through it.
Do counselors dictate? sm
I was going to send out another round of postcards to drum up business and was going to send to counselors but wasn't sure if they dictate like psychiatrists. Maybe any of you know this?
I don't believe it. I don't think even the doctors can DICTATE 700 LPH! sm
I think she's yankin' your chain.
She has to be using templates or something to get that.
As an IC the employer cannot dictate the
times you work. They can ask you when you will be working or you can tell them. If they have work available and you are not working, they can let you know so that if you want to work you can; but if there is no work available when you want to work, they do not have to supply any. You, as an IC, decide when you work.
Express Dictate
Hello
I currently use Express Scribe software for dictation. I was wondering if anyone has used the Express Dictate system. I am looking to expand and add more doctors and was wondering how this system worked.
Also, if you have any advice on a cheap start up not using tapes please let me know.
thanks!
Thank God for some nurses who DO dictate...
for the docs who are horrible dictators. I do progress notes for an ICN nursery almost nightly. Thank GOD for those nurses. There are 2 docs right from the old country who can't string a sentence together in English though good docs they may be. We're talking 7-8 page very detailed reports on some of these babies. The other night, one of these gals dictated the first part, God love her, and actually handed the phone to the doc to give his 2 cents worth, awful dictator. Hey, the best thing some of these docs can do is let their PAC's do the dictating!!!
I had one dictate from the jon and flush over and over again sm
Through, get this FOUR DICTATIONS!!! The pregnant pauses, the bobbing of the roll as he pulled out paper, the echo of the small room followed by FLUSH!!!
Express Dictate
My doctors are considering using Express Dictate. I did a search here to see if there were any comments one way or the other about this and if it was hard to set up and use, but I didn't really find anything recent or helpful. We went from a Lanier Voicewriter to EMR, and now there is 1 doctor who doesn't want to use the EMR and a couple others who just want to do a little bit of dictation, so they are putting me on contract to do this. I don't know much about how things like this work. I have used Express Scribe to test for on-line companies, but I don't know anything about Express Dictate. Any comments?
My take on how these physicians dictate
I question and I mean question about every day whether the person coming in as physician is really that. I have 1 that basically cannot string a sentence together, changes sentences 3, 4 or 5 times each sentence. I have physicians who pull the same stuff, going several paragraphs down and then asking you to add or delete something. I get really ticked when I hear all this and don’t hold my cool. The person in the room with me usually hears my ranting and raving. It is hard enough to get through the ESLs, mumbling, crunching, snorting, eating, sucking, sniffing, sorting papers and the list goes on without putting up with this. One change that was made at the hospital I work for was to tell dictators they could NOT use a cell phone to dictate. It worked. I only wish I were in charge so I could tell them more about how to dictate!
Actually, they can dictate a schedule and even pay.
It's not a black and white line on those issues. It is very gray and very subjective.
A client/company can state when they want the work done (time frames) or even how much they are willing to pay and even other issues.
Our working at home blurs the line and casts so much problem in defining this accurately.
But yes, they can definitely define those factors.
If only they would dictate/speak - sm
as clearly as they did when going for their interview for medical school or hospital position. If they spoke then they way they dictate now - they'd never have gotten into school or gotten their MD jobs -- so WE KNOW that THEY KNOW how to speak intelligibly when they want to; they just don't think we're worth the effort.
I appreciate and respect the ESL who puts forth an honest effort to be understood, over someone (usually English as FIRST language) slurring at 78 rpm, going through the HPI/PMH with ..ah, ... um ... (2 words) ... er ... (1 word) ....uh, ...(2 minutes pause) ... uh...uh... and then speed-racing through meds, labs, and whenever reading diagnostic reports verbatim .. so everyone knows that they know how to say those long words and which they wouldn't be able to come up with on their own. My pet peeve?? We're BORN knowing how to spell any doc's name, just because THEY know how: i.e, ."CC to Dr. Kryswkowskizhausen and then spells J-O-N-E-S.
anything that does not have a specific board
look to the left
<<<----
if there's not a spot for it there, then you can post it here
how hard is that? rofl
Is there a specific panel/s you are looking for?
.
This is specific and helps.
nm
That's not working, could you be more specific please
xx
Yes, you would need the specific software.
DocShuttle integrates with the other pieces of the Bytescribe system which basically allows the software to do the work of uploading and downloading. Without your piece, you wouldn't be able to send or return work.
is this regarding a specific post?
nm
Radiology specific CMT
How can I become a CMT which is radiology specific? Do I contact AAMT? It is my hope that the focus of the test is primarily on radiology and anatomy as I have been out of the other fields for such a long time, it would be impossible to pass the test (I have heard the standard CMT test is quite difficult, is this true?).
Thank you and Happy Holidays Inspite of It All!!!!
CalfRadMT@aol.com
specific points
Any specific points that you feel are meaningful to you. Whereas in my situation I am going to make the point that I applied at a hospital and intended on working for the hospital and not being outsourced after 10 years. The benefits aren't going to be as good for me, and also with outsourcing like that they put so many people on the account to get that turnaround time real fast that you run out of work. Those are just a few of my points. What I am going to do is make an outline of why outsourcing is a bad idea for the hospital and bad for us on a personal level just to sum it up, and then I am going to proceed on with my letter.
That's a specific problem
that the Canadian gov't has promised to address. I think it has something to do with very expensive MRI equipment and a huge country to cover. I don't think anybody is demanding that their single-payer system be abandoned over MRI delays.
Naturally people who can afford to go somewhere to buy "fast track" care are going to go there. Ever hear about the private Saudi jets lined up in Rochester, Minnesota?
Would you mind being a little more specific
on the hospital? It's always nice to know where there might be some potential job openings if needed.
Called that great 800 dictate and the
guy who answered did not even know what I was talking about !!!!!
So where do I go now????
I don't see how any company can dictate what you send to QA
That is preposterous to think that you can have say how many to send to QA!! At any given time, ANY doctor can dictate something that you would question or something you have no idea what it is. Noise, ESLs, mumbling.. just to name a few factors involved. All that does is tend to make the MT quess in order to keep down a QA count. The company I work for has NO limits on what goes to QA. They would rather it go to QA than guess. Under no circumstance, would they say to NOT send something to QA. You can't control the doctors, PA-C, NP, etc. to make them dictated where all could understand every word!
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