And just how many MTs transcribe NURSES' notes?
Posted By: sm on 2008-10-17
In Reply to: EMR - workin'
Nurses document about 2 sentences, so their work is amenable to point-and-click.
Physicians who typically scribble very short notes don't dictate anyway, so you're not losing anything by them using point-and-click.
The ones who dictate do so because their notes are too long to write. It's just about as annoying to point-and-click them in an EMR as it is to type them out by hand, so most physicians who value their time do not wish to waste it fooling with computers. At our facility, they continue to dictate.
Hospital dictation is not usually suitable for point-and-click. It's too long and some physicians are able to dictate at the speed of light, so they would lose too much time writing it themselves.
I'll share one reason some doctors do want to do it themselves: the quality of the transcribed reports they get back is so bad they can't stand it. They figure if it looks terrible and is crammed full of nonsense, they might as well do it themselves. At least, it'll make sense.
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And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
That's almost as bad as having nurses do it!
n
MT Bashing by nurses
I found this on a nurse's blog - they were talking about MT mistakes they found in charts...
Nurse #1:
I tried to get a job as a medical Transcriptionist for extra money, and no one would hire me because my 15 years experience of direct patient care does not qualify me to be a transcriptionist. Oh really? Or, I guess I mean, Owe Reilly?
Nurse #2:
I have no idea why they wouldn't let you work as a transcriptionist - what sort of special training would you need that you wouldn't already have?! It might be a good way to make ends meet if there came a point where a nurse couldn't stand up for so long anymore. It doesn't seem like it would take much in the way of critical thinking skills...
We don't use critical thinking skills? Darn, then maybe I should look into the career opportunities at Burger King...
The nurses do all that, except maybe the scalpels.
x
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!!!
And Why?? Because nurses are presented
x
any previous nurses MTing now?
Hi there, I have been an MT for 4 1/2 years now, and I enjoy it for the most part, but I've really been thinking of finishing my BSN degree. I had started college as a nursing major back in 1988, but dropped out after two years of completion of the prerequisite classes. I have always had an interest in the medical field so MT'ing has been interesting, but I've really been wanting to finish up my nursing degree though, I have always regretted not finishing it. Especially when I do the operative eports I really would like to be in the operating room working. So, anyway, I have put my application in for the BSN program again and waiting to see if I get readmitted. Are there are any former nurses out there who are MT'ing on this board, or perhaps any nurses doing MT'ing too who have any opinions? Or are there any other fellow MT's going to nursing school on here and have any input about it? If you are a previous nurse who is now a MT how come, and vice versa, if there are any MT's who are presently in nursing school please let me know how it is going for you.
The very WORST MTs I have ever done QA for were nurses for 20 plus years!
Mind you, this was after they graduated from one of the *Big 3* schools to boot. I know most MTs can type circles around them. They were asleep at the wheel most of the time!
There are no dictators, physicians, nurses, PAs or the like
who don’t dictate on the VR I use, wish I did not have the crap dictators as you call them but they are not left out on my end. I really, really hate it now when I do get a straight report to type I am so happy with the VR I do. I think before long most big places will go that route, little ones not so much as I think VR costs quite a bit.
Then again you could end up w/one that nurses q2h like mine did! Lucky to get a shower in even. nm
s
Was nurses aid, then aide in ICU, then ward clerk, then
MORE medical terms cuz halo the docs were professors, and they let me play PA under their supervision, then w/comp supervisor, then pregnant, then had to find a PMs job and landed in transcription dept as trainee. If I could meet their requirements, I stuck. If not, I was fired. I stuck.
The docs and nurses enter from keyboard themselves. sm
It is VERY irritating. They spend all their time looking at the keyboard and screen and not at you, the patient. Worse yet, when you go back the next time, you find they entered wrong information.
nursing shortage includes nurses for instructors...sm
you can't teach nursing classes without nurses to teach the classes - that's part of the shortage and part of the reason why the shortage continues. Also more nurses are going for the bachelor's degree (4 years vs. 2 years) and that is extending the time before they are out in the work force.
remember when nurses wore the little hats...hahaha
nm
Do you think nurses and front office professionals look sloppy?
I don't like to go around looking "sloppy all day" either, but is it really practical to work comfortably in nylons and suit jackets when I am sitting and typing all day? No thanks -- I can't work well that way!
I refuse to wear sweats or jammies because I want my work to reflect my professionalism and I think the way I feel about myself reflects that -- hence, scrubs, which medical professionals wear. I am a medical professional and I don't think there is anything sloppy about wearing tasteful, professional, and comfortable scrubs.
Do you think that front office people, nurses, and doctors look "sloppy all day" by wearing scrubs?
Scarry!!! Docs and nurses entering drugs and dosages into online charts. (sm)
Most of my docs cannot spell medical terms. They can't pronounce or spell drugs. The nurses are for the most part useless - no ARNP I ever asked could help me with a medical term.
I just spoke to my HMO. They are now offering personal Online-charts showing
visits, tests, immunizations, etc. of what you personally had done.
I asked EXACTLY HOW DOES THIS INFO GET INTO THE SYSTEM, at what point?
The woman said: It is input by the doc and the nurses.
I shuttered!
There goes the end of quality health care as we used to know it!
ER notes
Don't worry. It has been my experience being a Transcriptionist for a huge hospital that I loved the ER notes the most. They are really pretty much abbreviated H&P's and are sometimes the most interesting reports of all. Not nearly as difficult as some surgeries or discharges notes can be. Simple and brief and sometimes a really good story.
OP NOTES
I just started doing op notes at the hospital I work in and it is hard as there are so many different instruments they use that I have never even heard of. I use a surgical word book and Google a lot. That's about it.
To me, O.R. notes
 get really boring. I prefer discharges - just my personal opinion. Plus once I get used to them, I can go really fast.
Doc notes
I do two internal medicine Docs, SOAP notes only and minor procedures and love it I also did other specialities, but all that was lost to outsourcing to INDIA!
op notes
Operative notes. Perhaps as far a leap from clinic work as is possible. Not something for you to jump into with no experience.
Not op notes but
This site has brand names of surgical instruments. You can choose by speciality and manufacturer also.
http://ptiresource.50megs.com/about.html
Even for op notes? sm
I can see where being paid this way would have its advantages when doing DS and work types where there is a lot of paper shuffling, looking for values, etc., but I am concerned about op notes where the dictation is speedier.
OP notes
I love doing OP notes. They are so interesting. Anyway there is a website that I use now and then and it is
www.mt911.com it also has samples.com on it and has alot of different samples.
Also a good reference book is The surgical word book by Saunders.
Hope this helps.
OP notes
I only type OPs. I have done it for 8+years and LOVE IT. Its a niche that is hard for companies to fill, it seems. I would say it would be a great move on your part. Good luck!
Op notes
At my current company, op notes are paid at 9 cents a line for over a year experience. At my previous company, op notes were paid the same as any other type of report; cpl was based on difficulty of the account and ranged from 7.5 to 10 cpl, with op notes being paid the same as other basic 4 reports.
OP notes
If you already work for a service, maybe they have OP accounts. I would tell them you would like to learn. Ask if they could assign you a few each day and have them go to QA for feedback.
I would also buy a few surgical reference books. I feel the books are much easier to use than Google because so many instruments, brand names, etc, sound alike.
Good luck. I love my OP accounts.
RE: OP notes
Some people like OPs and some people like DS. I like DS. They talk too fast on OPs. If you can get them down, they say about the same thing. You can put that in your shortcuts and make more money just by popping it in there.
OP notes
Any good sites for OP notes?
thanks Lori
Op notes
Does anybody have any tips on the best places to specialize in op notes? I need a place where I can do heavy volume ops -- not interested in basic 4 stuff.
Thanks.
me too as far as the notes and sm
standard phrases for certain docs go. It was nice when the docs would come in and talk too or even fuss sometimes! haha Most MTs knew how to come back at them and didn't take a whole lot off them and didn't have to. They respected us (at least most of them) for that. I think there are actually docs now that don't even realize there is a "person" behind all of this doing MT. NEver thought I would see this profession get like this taht's for sure.
And probably her notes look like
transcribe it
there is no reason not to. You are a "professional" which presumes the information will remain confidential no matter who it is. I happen to live in a small town where everyone knows everyone else and half the town is related. Nothing would ever get typed if that was a consideration.
I tried to transcribe one of those
*mask* things once (and ONLY once). What a crock! It's like trying to transcribe an auctioneer. I always wondered how the accuracy couldn't suffer with this method. (I guess I was right, considering the government is now using it.) They make less money because there isn't much skill involved in doing it that way. Legitimate court reporters go to school for quite some time and have to learn what's basically another form of shorthand. (It's been years, and I might be wrong, but I believe, for example, the letters PB=N (or something like that. LOL).
I was around when the court reporters in my area went from straight dictation to *the computer.* In fact, I did editing/scoping work for one court reporter who bought the new system, way back when the technology first became available. (She also bought my computer for me to do her work and anything else I wanted to do on it, and part of her *offer* was that after two years, I would own the computer outright!) It's a whole different world than transcribing. I didn't like it then, and I don't like it now. It's easier for the court reporter, who can pull his or her notes right up on the screen when something doesn't make sense and see where the *typo* was and figure out what it actually should have been. So in order to be an Editor for a court reporter today, you basically not only have to know how to read their notes, but knowing how to read their TYPOS is the important thing. This particular court reporter had the wisdom to know when her notes weren't that good, and rather than give me a very sloppy transcript to edit, she'd dictate it instead. She was a great person, and I miss her a lot.
Scoping/editing for a court reporter is a great field to get into if that's your cup of tea. If you're a typist, it's real difficult to get the "rhythm" that you can get when transcribing, and that's what I don't like about it. (Very same thing with VR in medical transcription today.) However, after doing this kind of work for 20 years, I might wake up tomorrow with carpal tunnel and might be forced to pursue it.
One thing about court reporters, from my own personal experience in my area: They are the most generous, easy-going, NICEST people I've ever encountered, considering the enormous amount of stress they're always exposed to. Back in the 1980s, I remember reading stats on suicide rates, and court reporters and DENTISTS were right at the top of the list!!
Do you transcribe too? How much are you
required to transcribe per day/pay period? What are your responsibilities.
Sorry for all the questions, but I think one of the biggest problems in this industry is lack of consistency. If the positions were the same, we could compare apples to apples, in terms of hiring and applying :)
How many of you transcribe while
using your telephone line as in you're 'on the phone' the whole time you work? How does that work out for you both with your phone usage but also with unlimited LD. Could you recommend any unlimited LD plans that are good? Our local one isn't that great as far as a high price, so I'm looking around. Thanks for any help!
I transcribe ...
IMEs, Consults, Re-exams, Followups, Treatment notes,etc.
I am located in Texas, but I work directly for a doctor in Florida and then I transcribe for a small MTSO out of New York also doing chiropractic.
Why don't you just transcribe it?
Get creative - and type ... the patient...peeing, peeing, peeing, more peeing... is a 38-year-old
sorry i could not resist
transcribe from CD
Is there a way to transcribe a church audio lecture from CD? It is a .cda file. I have "associated" the .cda with Start/Stop and ExpressScribe, but I still have no control with my foot pedal. any suggestions?
Thanks, Debbie
This is how I do it. I transcribe
a minimum of 2000 lines per day x5 days a week for 8 hours a day, making 9 cpl which equals out to $180 per day. That comes out to $900 per week or $46,800 per year. That is just at 2000 lines per day. This is w/o shift differential and line differential added in. We get a bonus for going over a certain number of lines per pay period and we get a shift differential for working 2nd and 3rd shifts, which then works out to over 10 cpl. Transcribing 2000 lines per day works out to 250 lines per hour. W/o using an expander, I probably type about 100 words per minute and with my Expander it is a lot more. My pay stub shows how many lines per hour I average each paycheck. This week it was over 300 lph. I use my expander to its fullest. I have macros for everything and anything you can think of. I do radiology, oncology, and ER transcription - lots of phrases said over and over. I do not cherrypick. I cannot see what report or doctor I am going to get, the chart just pops up and I type it. Some days are all good docs, lots of days they are horrible but in this profession you take the good with the bad.
Everybody's work habit is different. Focus on what you can do instead of what person A or person B can do. When I first started I set goals for myself. I wanted to be typing 1000 lines by so and so date in 8 hours. When I reached that goal I made the goal higher by 100, 250 and then 500 lines. To me, it's all in the attitude you have for work. I look forward to work each day because every day there is something new to be learned.
This sits over my desk: Do not let what you cannot do interfere with what you can do." - John Wooden
Does anyone use Transcribe+
that you can use Dragon naturally with? Starting the new platform and just wondering? TIA
You know ... just transcribe (nm)
what you hear!
I transcribe
250 to 300 lines an hour, is it possible to edit voice rec up in the 600 lines per hour to make an equivocal line rate to transcribing?
I don’t even know if I could transcribe
without my expanders. I have basically typed so long using them it would really be hard.
Sorry, but our job is to transcribe
what is dictated. If you leave out a word, you did not transcribe what was dictated. Where I work, leaving out a word is considered a "major" error, but it is "discounted" if it does not change the meaning, however, it was left out, therefore transcription was not correct. Not sure what you mean when you talk about deleting paragraphs. Our job is to be as accurate as possible for patient safety, if nothing else. Audits are needed.
Op notes do fit in expander (nm)
x
So if you've never done OP notes,
do they figure 3 out of 4 ain't bad????? 
Would like to exchange notes..sm
I'm thinking along these same lines..email me. I have some questions.
Love OP notes, which I could do them always. nm
xxxx
I'm used to op notes, been doing DS lately, hate them. nm
nm
Chart Notes
Was wondering if anyone could help me out. I need to see some example of different ways to set up chart notes. If anyone knows of a place on the net i can view these of would send me some blanked out that would be great!!!!!
Thanks,
Jackie
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