At-home transcription advice

• At-home transcription advice - Scott Schneider
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It's been a long time since I had to do this.  I've been given a couple of report types to do.  The first appears to be a discharge summary.  Should I just type in the headings the way I "think" they should be based on how I was taught in the past?? 

Also, is it best to transcribe verbatim or try to make the test report look as professional as possible (like we would be expected to when on the job)?  As far as listed items are concerned, i.e. medications.....The old MT in me wants to number them.  Is that acceptable?   I'm really concerned with trying to format the report based on how I "think" they would want me to. 

I would appreciate any helpful advice anyone is willing to share!!

I changed my phone number! I also signed up for a www.grandcentral.com #. I can give it out and change to voicemail when I am working.

Honestly we have had the best few days! :) We have had more time to homeschool and go out to play. I am getting my shifts in with less prep time.

Thank you for the encouragement and advice.

 I was offered a home-based MT job as a direct employee of the hospital with an extremely good per-line-rate.   But yes, apparently it was too good to be true!  Apparently on further consideration, the administrator now says it is too costly (technically) for home set-up; mentioned something about the Lanier DVI desktop and how costly etc. etc.  and some other MT has the license (?what's that about?); also mentioned "Cquence" transcription software program.   They presently already have 5 other off-site MTs.   Anybody out there with opinions and/or constructive advice...please.     Thanks in advance. 

I left a hospital job last year after working there for five years, strictly because of office politics and a hostile environment.  The department managers offered me the "opportunity" to resign because my coworkers found it difficult to work with me, despite my trying very hard every day to be pleasant, cooperative, and a "team player".  The managers didn't care how good my work was, nor how it compared to the other MTs - much less how hard I had tried to fit in in that dog-eat-dog environment.

The radiologists knew that I was the best MT they had, though. The next day one of them called me at home and said, "Who is going to take care of me now??!!!"  I was always catching his mistakes - some of them BIG ones - and bringing them to his attention. None of the other MTs at the hospital did that. I am now doing the overflow work from their outpatient office (along with another part-time job with a local MTSO).

I wouldn't go back to working in a hospital no matter how much they paid me. Yes, at-home transcription pay sucks. But you don't have to put up with all the cr@p that goes on in an office. And if it gets too bad, you can just move on to the next company.

Make sure you always say thank you.  It's a MUST for a man.  My husband and I decided to work different shifts years ago so that the kids wouldn't have to go to daycare.  Now I'm at home, but he still works 3rd shift for the same company that he's been with for 7 years because he likes it.

I've always thanked him.  I'd get home from work and he'd have dinner cooking and I'd say, "I"m so lucky to have you!"  And even if I didn't care for the dinner choice, I'd shut up and eat it. :)

Even just little things now, like if he washes the dishes or vacuums because he knows I'm on a deadline, I'll always say, "Thank you for doing that, you're such a big help."

Trust me, boost the old ego and those pots and pans won't sit in the sink. Complain one time that he missed a spot and you'll be scrubbing the broiler pan.

I've got Norton 360 installed on my PC and kept getting a popup all day yesterday that said my PC was infected and that I should click "here" to download Personal Antivirus.  Yeah right!  I ran a Norton scan and it said my PC was clean, but this popup box came up over and over to the point, I had to call Dell because I couldn't download software from their site.

Anyway, I finally downloaded Malwarebytes (free version) and it found and removed 12 Trojans!!!

I'm definitely going to keep the Malwarebytes, but need a really good anti-virus.  I've done my research, but have read good and bad about all of them.  AVG 8.0 didn't have the good reviews that the 7.5 had, but I found out last night that AVG 8.5 is now out. Anyone use it?

Norton sucks!  As soon as I find a decent AV program, it's gonesky!

Thanks!

Hi everybody. . . I have some more questions about at-home transcription.  Can anybody tell me the definitions to some terms or a glossary where I can find them. What is an IC? What is acute care? What are Basic 4 or Big 4 Reports? Also, when a company advertising for an employee says they will provide the software, does this generally mean just the transcription software? Does this tend to include text Expander and spellchecker as well? Thanks!

I have been an MT for over 10 years.  I also am getting burnt out, tired of my job, day in day.  However, I do love transcription and make excellent money at it, have grossed over $50,000 per year the last 5 years.  I decided to go back to nursing school and am very happy with my choice.  However, over these 10 years of transcription I have had my ups and downs.  My biggest issue with being at home working is lack of socialization, being home day in and day out with just the kids and the animals really gets to a person, sure hubby is home at night and thinks working from home is the easy life, thus the return to school and boy has my overall enjoyment of life changed once I realized I was the problem, not everyone else and I needed to find myself again.

Anyway, my biggest advice to you three-fold:

1.  Get into counseling for yourself, find out who you are and what your needs are, whether or not you think you need to, I sense you are feeling overwhelmed and need someone other than your family to talk to that can be nonjudgmental to your feelings and needs.

2.  If you're only making $100 after you pay preschool you can either keep doing it and be miserable, or quit because you are lucky enough to have a husband who can support the family without your income. (See how fast his mind changes just by losing the income you do have as to whether your job means anything.)  Or look for a different company or office that you like more and are more productive if you really want to do transcription (lots of fish in the sea as far as companies).

3.  Find a local "mom's" group where you can get out and socialize.  MOPS (mother's of preschoolers) is an excellent one that is nationwide, they have a website.  Also Mom2Mom is in a lot of areas.  They provide a once a week time for moms with kids the same age to get together, socialize, (some offer spirtual guidance some don't) and each week a different mom takes a turn watching everyone else's children at the facility that hosts it so the other moms can talk about things they have in common.  Every stay-at-home and work-from-home mom needs to socialize with adults, without their kids, or they will have a nervous breakdown eventually no matter how much they love their kids.

Sorry so long but it does get better but you have to take the first step at making yourself happy.

One on one with a kid is nice, too.

This summer has been absolutely crazy.  I haven't had a moment to myself for three months because all of my kids were home traipsing their friends through the house and yard.  My husband switched his work schedule, too, so he's around more than usual.  However, I like not having to do two loads of dishes and four loads of laundry a day.  There are no toys or clutter dragged out everywhere.  I can clean the house first thing in the morning, and it stays clean until everyone gets home at night.

I even got to relax with a cup of coffee and watch TV for half an hour this morning, something I liked for a change instead of cartoons or kids' movies.  I signed up for an online class that I've been wanting to take.  I can exercise without being interrupted.  Yesterday, I went to the mall and spent all my saved up gift cards.  I got some clothes, books, bath stuff, and a new coffee mug.  My work gets done a lot faster, too.  Call me nuts, but I've never had the luxury of being alone in the house for 14 years.  It's kinda nice.  I love my family with all my heart, but I love having a few hours to myself each week, too.

Except now the cat and dogs have been acting weird since the kids went back to school.  They must think that I need someone or something to clean up after and correct behavior on.  They're getting into everything and racing around the house behind me.

I have an interview today with a hospital...work in-house for 3 months, then go home, paid on production. I don't know as of yet what they pay production, so my question is to anyone who works for a hospital at home AND has also worked for a national at home...

Which would be the best to choose? The hospital offers great benefits, but the national I work for now also has benefits, not as good as the hospital, though.  Any input would be most appreciated!

I know this isn't MT-related, but it has gotten me so upset that I can't work, so maybe it is MT-related after all.  Anyway, if anyone has been in this situation, can you please tell me how you successfully handled it?  My son wanted to go away for the weekend and asked to use my credit card to secure a hotel room.  We went online to Hotels.com and found a nice place.  I put in my credit card number and was given a room confirmation.  I then received an e-mail from the hotel telling me there were no rooms available.  I called the hotel and they told me I would have to address it with Hotels.com since they were the ones with my credit card information.  I called Hotels.com and they told me that my card had been swept for the entire amount of the stay ($276.00!) but since there were no rooms available, the money would be credited back to my account.  I got my credit card statement yesterday and they only credited back $71.00 of my money, causing me to incur and over-the -limit fee of another $29.00.  I don't know where to turn to get this problem resolved.  Do I call Hotels.com and ask them to reimburse my over the limit fee?  Do I call my credit card company and tell them that it was Hotel.com's fault for hitting my account for the whole amount when they said they weren't going to?  If anyone has been through this kind of thing before, I would really appreciate your input.  Needless to say, I will NEVER use Hotels.com ever again!!  Thanks in advance for your help!

I just wanted to see if anyone had any advice to give.....I have been debating changing jobs.  I currently make $15 an hour doing transcription in office.  The delima I am having is that the whole reason I started doing transcription was so that I could work from home.  I have been doing transcription for 4 years and my job is really easy and I am happy with the money, there are however other down falls with the company and I am not able to have the flexability of working at home, therefore dealing with the stress of not being able to always be there for "home" things.  I have three school age kids, and they are all very active.  My question is....Do I have a chance of finding anything else working at home or do I just try and suck it up where I am at???   I really have not started looking, so I am not sure what is actually out there.  I hate changing jobs, but I also don't want to settle. 

Just need some outside help and opinions! Thanks, KL

Want opinions about something which has come up at work and need some advice. I am the lead Transcriptionist in a department with three other people.

Last year, one of our physicians in the practice was fired and rejoined another practice in town. He currently has a lawsuit against the company about the firing.

Today, I saw letters typed by one of the girls in the my department for this particular doctor. (because this patient switched physician groups). Apparently she has been working for him on the side since October of 2004. I am not sure if she is still typing for him or not.

My question is this, would this be something you would bring to the manager's attention, talk to my coworker, or just let it go.

On one hand I feel she is being dishonest and not loyal to our current company. I do not know if she is saying anything about our practice to the other doctor or not. Also at looking at the letters, she set them up exactly the same way we do. Isn't this considered a conflict of interest?

Any advice or help would be greatly appreciated!

I worked for a multispecialty medical center for 6 years that shut down and sent all transcription out to a service.  I got a job with spheris.  I love the company itself, they are great.  But the problem is money. This is my first experience with production pay. To make what I made by the hour, I would have to produce 1500 lines a day. I am now producing about 1000 a day more or less, depending on how much research I need to do, if my cable or power goes out or if their server goes down or is slow.-- I do ER, consults, admit and discharge summaries,  no operative reports. Cant really use a lot of expansions, only for simple phrases or individual words,  no macros, mostly straight typing. I figured once I got used to their system and compiled all my provider samples and got my Expander glossaries pretty much built  I would improve, which I have, but I really cant see myself ever doing much more than 1200 a day, and that would be with no "P" breaks. I am still having to stop multiple times during the day to enter drug names in my drug glossary so I dont have to look them up all the time to see if they are generic or brand names-their spell-check doesnt have automatic caps, which is another problem for me because I am having a hard time training myself to hit that shift key, I am constantly entering text into my expander.  The terminology is not a problem for me.

I am reading that a lot of you guys are doing 400 lines an hour.!!!  My previous job didnt have a word expander, so I know I need to utilize that better. How do you do it, what am I doing wrong, what can I do to improve, do I need to just forget it and apply at Home Depot? I LOVE transcription!!!!

This advice is given too late, but for future reference...

When you have a new program, just send the information out.

Telling people a month in advance that you are going to send the information out is just upsetting.  Calling people on the phone to tell them they will get information next month but you cannot answer any questions just makes everyone more agitated.

If you think you were offering a teaser to get people excited, I am sorry to say that it backfired. As you can see from reading this board, everyone is just nervous and upset. Some people are out looking for other jobs because they think they are going to lose their SE position.

Big mistake......

Wanting to change from Hospital to working at home and a little confused about what some services are looking for as far as experience like what is basic 4 experience?