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And all this time I thought the bottom line was patient care. nm

Posted By: silly me! on 2005-07-17
In Reply to: Bottom line is the $. - of course not

nm


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    We don't care what kind of education you have or how many websites you know about, bottom line

    is your lacking of personality, and your [ pointing the finger ] attitude that you have.  You go back to transcribing all the YUK that we now get after VR skims off the cream and see how well you do sitting listening to that for an entire shift, and you may take off that crown on top of your BIG HEAD !! How did you find one big enough to fit?


    QUEEN  Made just for QALady


    The bottom line is doesnt matter what they pay if there is no work you make no money. Bottom line.
    :
    Bottom line, if your time is adequately
    x
    Hmm..patient information, name of facility, etc. on top of page is a header. Stuff on bottom like ph
    ,
    Probably something in patient care, maybe CNA. sm
    They make about as much as I am making and with benefits on top of that at the hospitals around here.
    Bottom line is the $.
    x
    The bottom line is
    You always type it the way the client or your boss, company tells you to. And you are right, ibuprofen should not be capatalized unless at the beginning of the sentence because it is the generic name of a drug. As far as the BOS is concerned...there are many people that believe that book is the Bible as far as transcription is concerned. Again, it all boils down to the way your client or company wants the information transcribed. The BOS is not always followed to the letter.
    bottom line
    nobody likes to see the officials produce the outcome of the game.... Of course they have to call things that are obvious, but in a championship game you cannot call the "iffy" calls and potentialy change the outcome of the game. Just let the players PLAY!!
    Bottom line -
    It can make a WORLD of difference how you feel about this profession depending on the accounts you have. I used to have nice accounts and made tons of money because I also got paid a huge line amount. I now have really tough accounts and do not get paid as much as I previously did. I work on four different accounts with all different specifics, tons of backround noise, grunting ESLs, you name it. I also have nearly no contact with the company itself, unless they need something from me. They then have no problem with calling me up.
    Bottom line.......sm
    You need to decide if this account is worth the aggravation. If it pays well and you make a decent wage monthly, then you need to put up with the aggravation.

    If this account is not worth your time, then let it go.

    If you are an IC, you can not get involved in the politics of the office or any other "petty" nonsense.

    From the business owner perspective, only you can decide if the account is prosperous for you or not.

    All this stuff about missing notes is aggravation and time consuming. Time is money. Is this account worth the headaches that come along with it.

    Believe me, not all accounts are like this and some accounts are worse than this.

    Again, the question becomes.."does this account make you enough money a month that you are happy with?"

    Only you can answer that...Going back and forth with the office staff about missing notes is not the answer.

    Ask yourself....Is it worth the effort to negotiate your contract under new terms, and if so, will you be happy with the new terms, and will these new terms eliminate your problem of missing notes?

    As an observer.....the answer is probably "NO". But good money to me and good money to you may be different.

    Good luck!
    Bottom line is don't sub it out if

    I would like to know bottom line here
    I have been working in this field for 35 years and hope to continue. I work mostly VR, some straight. My pay is low, 4 VR and 8 straight. I only work part-time now because am at a point where that is sufficient. Can anyone tell me what their final pay is for a week's worth of work? If I worked full time it would be at least as much as I made in the 80s working inhouse. I know the pay is less than we made years ago but I figured out how much I needed to type to make X amount of dollars and that is what I do each day.
    Do you think patient care will suffer any?
    will treat the laptop like it is you, and ignore you, the patient.
    I think the average patient would care and
    would think, 'Wow, they sure don't know English.' And what about all the abbreviations a lay person woudl certainly not understand.
    where did you get the idea we were involved in patient care?
    We are typists with a specialized vocabulary. If we were doing this for NASA, it would not make us rocket scientists.

    I am neither advocating, nor participating in, low quality - I do the very best I can with the experience, knowledge, and tools that I have. The fact that employers do not want to pay me enough to survive, thus making my trips through *QA* a little more thorough, ensures that I will get through reports as absolutely expeditiously as possible.

    My bottom line is MY survival. Good luck with altruism - it doesn't buy much at Safeway.
    vent on failure in patient care

    My husband took my son to see the doc for a tetanus shot after he stepped on a nail.  I'm always transcribing and couldn't go there myself.  After coming home from the doctor's office, my son and husband tell me that his foot was never even looked at by even a nurse, let alone the doctor.  My son got the tetanus shot, and the paperwork said "do not give if a fever is present."  Woops, they didn't even take his temperature.  Rather than looking at his foot to determine if it was infected, they just asked my son if it was infected.  I called the office totally irate, and they reduced the charges from $88 to $7.  Wow, didn't expect that.  It's a crying shame that we're a society so hung up on paperwork and billing (HIPAA, etc.) that a doctor or nurse would not even take the time to actually look at a patient's wound.  What's really ironic is that very day I transcribed a report where the doctor states the patient shouldn't self-medicate with vitamins and supplements.  So, we're not smart enough to determine what vitamins and supplements to take, but we are expected to determine whether or not we have an infection?   


     


    OR, instead of being funny, it could hurt patient care.
    nm
    A 2-day strike will not hurt patient care
    it will give the physicians something to think about when they have to hand write their STAT H&P for patient's surgery tomorrow.
    just like quality care for the patient is going out the window-nm
    nm
    Anything an MT can do when you have grave concerns about patient care?

    Is there anything at all an MT can do when you have grave concerns about the care a patient is receiving? I know the answer to this is probably no, but I am so completely frustrated with my one of "my" doctors right now.  I know that one of his patients is not receiving the proper care, and I am really worried for this patient. I wish I could contact the patient's mother and let her know my concerns, but I know that is not allowed and I would be fired for doing so. I know that I'm not anywhere near as smart as a doctor, but my son has the same condition that this patient does and I know that the patient is not receiving the proper care or even the correct diagnosis. It is hard to go into all of the details for confidentiality reasons. I just know, 100% sure, that this patient deserves better care than he is receiving. 


    Sometimes the virtual world that we work in is great, and other times it really stinks. If I were working in the doctor's office I could gently share my concerns (maybe I would still be fired but I could give it a shot). Here in this virtual world where the doctors don't even know I exist I can do absolutely nothing.


    I'm just so frustrated at the doctor and so very worried for this patient.


    Yep, for Wedmedx. Bottom line, if you are an MT
    x
    Bottom line, in the loop. nm
    x
    bottom line it's what client wants...sm
    and all of her corrections, most of them were right on....sorry to say that to you.....but it's p.o. b.i.d. and 82-year-old and all that good stuff.  If they want you to EXPAND GERD that's in your favor.....you get more characters which equates to more line counts.  But bottom line, it is what the client wants and all the clients are different with different things they want......hence why you think there is no consistency.  Best of luck!!! 
    always remember -- the bottom line is it's about
    Errors in transcribed reports can and do lead to adverse outcomes for patients. Are we as MTs pushed to be perfect ?? Heck yes - the documentation we help produce will impact a patient's care not only in the current admission or office visit but in the future when other docs are asking for copies of records. Medication errors, diagnosis errors can haunt a patient for years to come. No one can be 100% perfect all the time, but the goal is to strive to that - take the feedback as constructive criticism - learn from your mistakes and always consider the patient's needs above your own need for validation. It's not about you, it's about the patient.
    Bottom line for EVERYTHING is the almighty
    x
    Well, bottom line is money

    If the administration at the hospital are feeling financial strain, rather than cutting back on their own 6 figure salary, they seem to think hmmmm....how many people can we get rid of and get the job done at a cheaper rate."  At least that is what happened at a hospital I worked it.  They were 16 million in debt and there had to be some lay offs and others that were left took the slack.  They don't sacrifice, they expect everyone else to work harder and get paid less. 


    It is not just us.  H works for a car dealership.  People are leaving and are not getting replaced.  The owner expects the workers that are still there to pick up the slack with no raises either.  When the finance manager left, the new car manager filled in.  He went and asked the owner for a raise because he is having to work 2 jobs now.   The owner told him no, he is just filling in.  The man said, no filling in is 2 or 3 weeks, this has been a year.  The owner said, well, we don't really need a manager, we need you just to sell cars.  In other words, the guy got demoted.  After being there 10 years, he left.  H's boss is going in after the first of the year to try to get them all a raise.  I have to put it to him, he is brave to do that after what happened to the other guy.   


    I guess the bottom line is
    can I make a decent living doing mostly VR at 4 cpl?
    ONLINE nursing program? Do you not care about the patient's well being?
    /
    I agree that if it hurts the patient's care you should speak up.
    s
    Can I actually just buy sliced bread and line the bottom?...
    x
    It is all about the bottom line. One of the largest transcription sm
    companies is Cbay and they are pricing everyone else out.

    I have spoken to several doctors and many other people about this issue and no one, and I mean no one, gives a hoot who types the report up.

    This is about dollars and cents and it is not going away.
    Bottom line is they need the worked turned around

    quickly.   Most companies overhire and one of those reasons is because there are lots of MTs  who don't work their usual schedule, take a day off w/o notice, etc., so they have to have extra to cover for that.   My company does their best not to overhire, but at times that means we have to work like dogs because there is so much work.   I think some companies also offer incentives/benefits based on production and if you can't reach them they don't have to compensate you for them.   There are times that work is just slow and a company can't give you work they don't have, but not being able to make any lines is a consistent issue then there is a problem.  I would call your supervisor and ask for a backup account and/or look for another position. 


     


    Hosp not right but bottom line was with CIGNA.
    x
    Bottom line, if it ends up in court, it is on the
    x
    It is not MT versus MTSO we have a bottom line too, & right now it is -
    NM
    The bottom line is if the work runs dry, then

    It's not rocket science.


    With state and Federal, you 40% of your earnings GO, bottom line.
    I don't know what's up for debate, it's fact.

    Housing prices have gone up 40% in the past year alone in California.
    Bottom line, just worry about your own butt instead of kissing theirs ; ) LOL
    x
    I guess the bottom line is any one of us would go back to in-house... SM

    given the chance.  I re-read my previous post to you and I sounded like a b*tch and I wanted to apologize.  You sound like a very positive person who takes criticism and not so pleasant advice very diplomatically.


    If your problems with your boss are more of a personal nature, rather than the quality or quantity of your work, I would maybe go over her head.  You already have an adversarial relationship with her anyway, so why not get it on record that you feel she is treating you unfairly?  Or maybe confront her yourself?  I would probably do the latter.  I'm not someone that can bite my tongue which probably explains why I work by myself at a computer all day rather than in customer service! 


    Just an FYI, I actually am starting an in-house MT job at a hospital tomorrow!  I've decided that if they try to lay me off in favor of outsourcing, I'm just going to refuse.  I'm going say "nope, I'm sorry, I refuse to be laid off.  I'm going to get back to work now."  I wonder what they would do? 


    Spoken like true "suit". All about the bottom line,
    ,
    Lets bottom line this, say she leaves and goes to another company
    What do you think would be her chances of them going to VR? Do you think it will go poof and disappear? Do you think refusing to take lower wages makes the companies take notice and reverse to go back to the golden days when we had really good salaries? Be willing to bet that next paycheck most would go along with their companies going to VR rather than changing, going to a new job only to find out the same thing happens there.
    Could your hubs become a patient of a home health care agency and then you could work for them
    s
    The hosptial administrators aren't interested in safe patient care.




    I venting as a patient! No doctor cares if I live or die--could care less in my eyes!!!

    Webmedx has shortened all the hours too, for which they pay a differential. Bottom line, always.
    w
    Bottom line? Religion, of any kind, IS a problem. The world
    So there.
    Study found that electronic health records did not boost patient care. sm

    Link to article on yahoo news stating that electronic health records fail to improve care, study says.


    http://news.yahoo.com/s/nm/records_dc;_ylt=AsT2t1nasUEaoOxgIsyoMUOs0NUE


     


     


    So, bottom line is it is a fraudulent web site and viewing it may have exposed us to a virus?
    dddd
    Just be patient and give yourself time, you will get
    x
    That's what I thought...I wouldn't care what anyone
    was serving.  It's just the idea of getting together with friends, some I haven't seen in ages! 
    I always thought that acute care sm
    included ER reports. To me acute care is hospital MT and usually hospital MR departments do the ER stuff. I don't like ERs either but I accept it as part of acute care. If you want to keep working in this, you may have to just accept it and go on.