As long as your end result is verbatim, it should be up to you how you get there! nm
Posted By: Busy MT'ing on 2005-07-15
In Reply to: Thanks! Maybe I'll remove the caps from Failure!! I do use all expanders - Failure
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Verbatim is verbatim, but I defintely to the little things to make the doc look better such as..sm
an eye problem instead of a eye problem. I definitely wouldn't change too much. Stick with what they say and only make changes when you absolutely think it is necessary. I took a test last night and have an interview today and this is what I did. FYI, I do clinic work.
Verbatim = verbatim......flag it...NM
x
I did exactly what you did and had the same sorry result
I came down with repetitive stress injury after typing for hours each day for years. Now after an hour of typing my fingers are sore and stiff. I went to DNS for the same reason, did the Know-brainer, got the excellent mike and trained the a** of the thing - after months, I still could not get any production out of it. I can type circles around the thing-- except I can't type! Furthermore, the thing is so touchy, requires frequent re-boots to get quality production, and I would have to redo my dictationary every three months because of a **known** glitch in the system. Then the thing has to hear the whole sentence and think to make sure it gets context right-- you are dictating the next sentence while it is posting the previous sentence and you're trying to do both at the same time. hated it.
VR done by other companies uses the Dragon platform but then changes the software so that edits are easy - not the bulky, slow, fingers off the keys editing that DNS has. Our hospital had the radiologists go to Dictaphone's Powerscribe and in 30 days they were doing all their own dictation without ANY editing by MTs. So depends on the platform. VR definitely works.
what is the result if you make the same
checking on a free AV?
Actually, the testing is a direct result of...SM
all of the schools and training programs out there that don't begin to teach a person what they need to know to be able to do this work. People come out of the training programs and think they are ready to go to work, but in reality they haven't got a clue. The only way to weed through these people is to require testing to be sure the person being hired can actually do the work. That's the long and the sort of it, in my opinion.
I agree I learned more as a result of the
I never worked on production back in the olden days, though. I was always paid hourly at my in-house positions. I never received production pay until I went home to work. It's a whole new mindset, and I believe wholeheartedly in using whatever tools are at my disposal to increase productivity. However, I'm very glad to have learned the old-fashioned way, too.
And the result is like a Catch-22. Clients/MTSOs
so they turn to alternatives like offshore or VR. But they don't look far enough to see that the root cause of not enough experienced MTs is because the experienced don't want to stay in a sinking ship. I think they feel that using the excuse that lack of experienced MTs validates them turning to cheaper alternatives, which in turn, makes the ship sink even further.
Think it's a result of that darn "vote-for-the-worst" sm
group that is skewing all the results. Wish that site could be abolished.
Sage advice. Consequences would result in being out of the loop
But I can live with that.
The result of MTs' efforts to make a living wage are (sm)
And of COURSE we don't want less - we DO want more. That goes without saying. But you see - the type of verbal attack that you and other "Debbie Downers" like you launch every time an MT says, "Wait a minute... maybe there IS something we can do is so typical of the type of thinking that holds not just MTs, but women in general back. I have already checked and made sure my doc's MTSO doesn't offshore. If that changes, my ins. (which is just your average, run-of-the-mill HMO) STILL allows me to go to other providers. If you "don't have many options", have you ever wondered WHY? Could it be that you keep SETTLING for less and less? And could it be that other MTs, when they read the gloom and doom in your post, will think THEY have to settle, too?
As for pulling other endeavors out of other nations, hey - there are quite a few that I think others would LOVE to see pulled out. Such as tech help for just about everything from your PC to your cellphone being sent to places where they can't understand what you're trying to tell them, and vice versa. I have a friend with a Masters degree in software engineering who is working menial jobs right now in order to pay the rent, while he looks for a job in his field that is a full-time, benefitted position, rather than as a part-time IC with no benefits. He says even the part-time jobs are getting hard to find because so many employers are sending EVERYTHING out, including part time.
The old, "Go ahead and try! Why don't you quit MT? Oh, boy - more work for ME!" song and dance may fly for a while, but why sit back and seemingly enjoy watching your profession go extinct, when eventually it WILL affect you, too? Do you really want to sit there all day as an "editor" and stare at work typed by other entities? How boring is that? Where is any ounce of creatitivity? At least when you transcribe, you are producing something of value, and can take pride in it. And at a lousy 3-to-6 cents a line, where is the pride in speech-rec or editing work?
Anyone had a positive result of posting a resume through this site?sm
Once again, I am on the lookout for another service because work load is starting to slow down. Quite frankly, I'm a bit scared! We had no work for many days starting about this time last year, and it looks as if that cycle is starting again. I was just wondering if anyone would suggest I post my resume here.
This board's image problem is the result of complaining MTs.
 --should become the new logo.
Once had an ESL cardiologist who dictated every lab result done during hospital stay
and even the normal ranges for each test!!! 45 minutes long and of course it was a PRIORITY/STAT.. yeah right
If you google the phrase "Letterman sign" it is the fifth result listed ... sm
It seems to be the same thing as the Terry-Thomas sign. It was new to me, too.
Offshoring to India is the direct result of declining quality
being produced by American MTs. The declining quality being produced is the direct result of inexperienced, under-educated MTs being churned out by these online MT schools.
How common are server issues and other technical problems that result in downtime? (sm)
Do you get compensated for your downtime? I'm thinking of going to work for a national, but I've heard there are a lot of technical issues at these bigger companies. True?
If Joint Commission audits and finds "patient care" errors it can result in very...
...serious fines and repercussions.
Verbatim for ESL too?
Geez, if that were the case on my account (not MQ), you wouldn't believe the crap I'd be putting out - "59 years old pt, denies of chest pain, comes to ER for short of breath," and I could go on and on.
Verbatim
I still don't understand, for example I have a doc who does about 20 lengthy bypass operations a week. I have a 4-page "standard", that I just immediately pull up. He never dictates it the same way twice, I just simply pull up my standard, put ears on, follow along and delete, insert, change and so on as he dictates, and that is as good as verbatim.
Since I am on verbatim also, I use whatever s/he says..
Jim for James etc....however, if the doc is clearly off track, he starts calling Mary by the name of Frank for instance (it has happened) then I flag it.
verbatim
The docs at a big teaching hospital I formerly worked for did not put punctuation marks after the word HOWEVER. That's the way they wanted it and we were marked down if we added the comma.
verbatim, really?
Of course verbatim means typing EVERY SINGLE word they say, even when it's a side conversation, a snide comment, etc. One thing I do that may not help them at all but makes me feel that I've at least let them know that I know - I enclose such words in quote marks to set them off from the real words.
Verbatim
As a private IC there was a prominent heart surgeon from Iran whose dictation I "cleaned up" constantly or he would have been the laughing stock of the community. Sometimes you have to "save face" for the client. If I worked for a national and they QA'd me from saving someone from a drastic error, I would immediately "quit." Another ESL went to hospital admin to tell them I was "his friend," I did not change the meaning but there were several instances when I had to make sense of things for him to cover the hospital's reputation. I was taught never to "change the meaning" and to put certain language "in quotes" although as an IC, I would always call the client first and they usually thanked me. When you work for another service, you can't do this, so it makes it very difficult.I guess you have to go with who pays you, but I would never, never type a senseless sentence.Good luck to those who have "bad QA assessments." They should know better.
verbatim
it's stupid and dangerous to type verbatim. Some hospitals stupidly insist on it cuz they believe we can't think for ourselves. They say "We've always done it that way." Well God forbid you should TRY TO IMPROVE. they say "well, you don't KNOW what he meant." My answer to that is "well, YOU may not know, but I do!" They just don't want to be bothered with having to actually think about it. Any decent trx with many years' experience and worth her salt GENERALLY knows what the doc really means but can't spit out, for one reason or another. I'm married to a doc - I know. But he DOES want us to leave blanks if we DON'T KNOW - better that than making something up, which he does see all the time from Spheris trxs. That's what happens when you hire people with one year of experience and don't monitor them closely, of which Spheris is guilty. And leaving a message for them on ESA doesn't work, cuz the doc won't see it till he goes to sign if off, and by that time, he has no earthly idea what he said. Nor does he care!
IF they got verbatim EXACTLY what they said,
they'd probably be in total shock at how ridiculous they actually sound when they dictate. Don't you just want to give them what they give you sometimes?
Verbatim
The problem is with the client profile. It should not ever have the word "verbatim" in it because the word by definition means "word for word" and we all know all of us from time to time and doctors especially speak garbage and have to be cleaned up. If with followed the client profile and transcribed "verbatim," screams would echo across the country. So I am all for removing that word from all the client profiles unless they truly want reports transcribed verbatim, word for word. We could do that, but it would not be much of a record.
verbatim, no BOS sm
Who are they? I would love to throw the BOS out the window, please e-mail me. Sick of all the new rules which don't amount to a hill of beans anyway at most times.
verbatim
I must be getting old. I'm finding it more and more difficult to "follow directions" as I age regarding this subject. I can't believe these younger physicians don't want us to fix the glaring errors. The real trouble is there's no one who will be the intermediary between the transriber and the doc, maybe, like back in the day. Way too many cooks stirring the broth and complicating what used to be a common-sense and less complicated situation, transcribing, that is.
i do verbatim too, but still BOS has
many points of reference that are helpful. I am one that hated the idea of a BOS, but when i finally succumbed, found there was a lot of useful info in it. Its not a bad idea to have a common reference point.
They may want verbatim, but if they are in
an acute care facility BOS overrides what they want. JCAHO can give/withhold accreditation based on the medical records and they say follow BOS. It isn't that is is an issue of style as much as it is a patient safety issue.
Verbatim
The hospital I work for now is a verbatim account, but we were told to spell out everything in DX, Impression, etc. I spelled out a lab abbrev and it looked so weird, but QA/Trainer told me to spell it out. Very contradictory so if it ever comes back as getting "dinged" for it I am going to tell QA who told me and they better not takes points off my audit.
I hate Instant Text. It is expensive, long long learning
curve, and too much distraction for me.
How long should I wait after applying for a position before I follow-up. It has been as long as two
without hearing from some. Just wondering if I should send an e-mail to follow-up to see if they received my resume or not. I don't want to offend anyone but feel two weeks should be long enough for someone to at least acknowledge my resume and that I have applied for a position. Right now I would accept anything even a note saying no thanks. Any advice would be appreciated. I haven't had to apply for a job for the past 10 years so I am a bit rusty at this. Thanks again for any advice.
verbatim is hard for me too
It is very hard for me to deliberately type wrong words, phrases, etc. It makes me think someday someone is going to read that document and say "gads where did they get that transcrptionist!" not knowing we have to type it as dictated.
verbatim accounts
I thought the idea was to correct their poor dictation in most circumstances...I'm wondering why any client would prefer it verbatim, for legal reasons?
that is verbatim. QAs are only human too. nm
you could fix it if you wanted to or is it verbatim? nm
:
Well, now if it is a verbatim account and
the dictator said, "during this hospital stay" and the MT transcribed "during this hospitalization" -- that is wrong. It all depends on what the client profile outlines.
Seriously, do you *really* type verbatim? sm
I don't. I'm supposed to, but I've told my super that nothing with my initials on it will ever read like "Patient hand swollen." Yep, I take some liberties. I clean things up, I've added in words, taken some out, rearranged words. I think count-wise it comes out even because I'm not padding and I remove words probably about as often as I add them.
If you are on a verbatim account, are you really typing "Obese patient older than says age, no toxic"?
Only typed verbatim twice
once for a Russian infectious disease MD. After one week of strict verbatim reports, evidently she got a talking to by the senior partner and her style became acceptable.
The hospital is one of the larget and most respected hospitals in the US. All residents much pass a week-long course dedicated strictly to how to chart, how to document, how to dictate. Each resident must personally sign his/her own name daily on a log in sheet and anyone who misses a day does not get to start with the rest of peers. One day is devoted SOLEY to HOW TO DICTATE and accepting full legal responsibility for the dictation. They have to sign an agreement that the hospital will not provide legal support if their documentation falls short of their standards and the resident has to provide his/her own funding against any lawsuit. If they dictate a reversal of pulse rate/respiratory rate, I could switch them, but I had to send it to QA who attached a note to the dictator covering the MTSO from any repercution.
Best dictators I EVER had!
If these dictators actually got verbatim
reports, they would probably have a stroke and need immediate medical attention. It is scary to think that these people dictating take care of us and our families. I certainly hope they are better at treating than they are at dictating. 
is this a verbatim account?....nm
How can verbatim=garbage?
We transcribe what professionals dictate. These people went to college for a long, long time to learn their profession. Who are we to say verbatim=garbage!!! Become a physician, then talk that garbage! Give me a break! We average $25.00 an hour if we're lucky as transcriptionists, and these physicians are making much, much more than that because they went to school to be a physician and treat patients. Come on! Transcription is just that, typing what the doctors say verbatim, maybe correct a little inconsistency here and there (we're all human), but to say the physicians' statements are garbage is wrong, wrong, wrong! If we were so bright, we wouldn't be typing, we'd be doctors!!!!!!!!!!! Let's give credit where credit is due! Bottom line is no doctors-no transcriptionists! AAMT is just another company out there trying to turn a buck! They don't know it all and neither do we for goodness sakes! Do the best job you can because believe me if you are that important in the medical field (as a transcriptionist), you'd make what the doctors are making!!!!! I'm sure I'll get blasted for this one!!!! Oh well!
Oy. And I suppose it's verbatim.
So then you have to ask if you are supposed to leave the stoopid stuff in or take it out??
Hate verbatim, also, except
that *if* you get used to it, you really do not have to worry about THEIR errors...
that said, it forces you to NOT care about the quality/accuracy of the work and that sucks for those of us who take price in quality work.
I cannot wait until I can say adios to this work (or at least be able to go to part-time).
Verbatim dictation
The company I work types verbatim as well. I would not have it any other way. It is much better than trying to remember 50,000 rules by the BOS!!
Quality and verbatim
Even though you type verbatim does not mean you type all the mistakes the doctor's dictate. I would NEVER type an error. When in doubt, it is blanked and sent to QA.
The company I work for is known for their QUALITY and we type VERBATIM on all accounts except stated otherwise in account specifics.
Verbatim means, according to
the dictionery, word for word exactly as given. I think that means every single word even the little aside remarks, phone conversations, sort of almost corrections, EVERYTHING!! I wonder how long they would accept that before changing their minds, or do they really prefer lousy quality??
simply verbatim
Has anyone worked for this company? Just curious.
No. You said verbatim acct. Maybe that is why
x
Even on a verbatim account,
It sounds as if he was obviously having trouble organizing his thoughts. This is exactly why I no longer work on verbatim accounts. I like being able to use my brain and be trusted enough to make the necessary corrections.
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