Basic 4 = op notes, consults, H&Ps, Disch. Summaries.
Posted By: sm on 2005-09-15
In Reply to: Need some advice - soon2Bmommy
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- Need some advice - soon2Bmommy
- Basic 4 = op notes, consults, H&Ps, Disch. Summaries. - sm
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The basic 4 are discharges, op notes, H&Ps and consults. Sometimes
referred to as acute care.
Discharge summaries are the pits. Consults and H&Ps might get better, maybe not.
H&P, Consults, OP reports & Discharge Summaries. nm
x
I do OP notes and discharge summaries and type about 500 lph
x
Hospital work - history and physicals, op notes, discharge summaries,
s
A basic recommendation for a basic expander use plan SM
If you use your Expander mainly to store text for specific doctors and their specific reports you will 1) Find it extremely difficult and expensive to change jobs (critically so, to the point of eventually feeling you can't or even leaving the field when your employer lets you go) and 2) as someone said, find yourself spending a whole lot of time editing your expansions to the current report.
I strongly recommend instead contacting Linda for her system, then day by day developing your expander vocabulary of INDIVIDUAL words and phrases, untied to any specific report. I can take my abbreviation for "denies any fevers, chills, or sweats" (dyfcos) to any of dozens of companies and use it for dictations of thousands of doctors. No having to change it, because I also have one for "denies fever, chills, or sweats," one for "denies having fevers, chills, or sweats," and so on and so on. As Linda says, with a system the individual abbreviations don't have to be memorized. As you can see, these terms are merely the first letters of the words in the phrase(with Y standing in for "any" instead of A because that's my abbreviation for the word "any" itself).
BTW, regarding that last, editing gets very fast when all you have to type to drop in the word "the" here and there as you cruise through is a T, "his" a G, a "that" a V, et cetera. No special reason for those letters for those words, I was just looking for a one-letter abbreviation I could cut them down to to speed up.
Hope this makes sense. Linda will understand what I mean about the extreme importance of developing an independent dictionary of expansions that will work with any dictator.
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
LOL!!! Consults sm
I got a bang out of your Alzeimer moment there. Today is Monday so I'm having plenty of those myself. Join the club.
Consults. nm
x
Same here, but I mostly do H&P, consults . . sm
on elderly people. So boring. I actually like when I have to look up a word because it breaks the monotony. Of course, I don't get paid for that so it is a catch-22.
Consults.
xx
on my account, they do their H&Ps and Consults
How does one get by with saying they don't do correspondence?
Oh, I thought consults were H&Ps.
Usually on inpatients, they are admitted under a service depending on the problem. I do not have a whole lot of acute care, so it is interesting to hear the responses.
Discharge Summaries
Hello, can anyone help me? I have done medical transcription for three years at an acute care clinic. The doctor I worked for bought me text books and tested me until I had sufficient knowledge in the subject, and I became his medical transcriptionist.
I am now trying to find a job doing MT work at home, and I am currently taking an online test for a company. My question is, if a specific format is not indicated, which format do I use as a default, for
discharge summaries, acute care, operative, and radiology.
any help would be appreciated.
amber
Discharge Summaries (sm)
Do any of you do all discharge summaries? If so, can you build up speed if given the appropriate time to learn the account?
Discharge summaries
Not a mental block. Just a REALLY slow work type for me too. Hate them too, but as perverse as MQ is, I get them all day long!!
death summaries
I've typed several that have left me sobbing, spilling tears on my keyboard quite literally, over the line: The patient passed away peacefully with his entire family at the bedside. After I would dry my tears and wipe off my keyboard, I would wonder why that statement was deemed medically pertinent?
I meant, do you have choice of discharges, consults, H&P's? Just
???
Lot of 5 to 8-minute reports, preferably ops and consults. nm
nm
Ask to start out on discharge summaries. I'm sure you can
NM
absolutely love discharge summaries nm
nm
Are acute care discharge summaries (sm)
Considering job for small hospital doing DS. Rating 1-10, difficult being 10, easy to learn. What is line count compared to clinic work.
I used to have to type DSs (discharge and death summaries.)
It was tough, especially the young mothers or children.
I have an account where former MTs dictate dishcarge summaries for docs. sm
Believe it or not, they are the WORST dictators!! For people who should know the terminology and pronunciation of medical words and meds, they sound like first-graders trying to sound out every other word. I absolutely hate doing their charts. They are both American, but they're worse than ESLs for even basic medical words.
Basic 4
 Can anyone tell me what Basic 4 MTs is?
THanks
basic 4
Where I have worked, op reports have always been a part of the basic 4...DS/OPS/H&P/CONS. Letters were just a part of the overall package. ER was in a class all its own and not considered as difficult at the basic 4 (on par with clinic work).
I know it's very basic, but have you...
tried Yahoo Geocities? I have an 'information only' site I made myself, and I think it's about $10 per month.
The basic 4s are so much different
than your clinic work. When starting in MTing I thought it would be a breeze. It took me a full year to get up to the expected number of lines per day. The lines they are asking for in order for you to go home, in fact, is probably less than most require in this field. I always transcribed over 2000 lines per day and now with voice recognition and straight it is over 3000. That is the world of transcription. I think their count is lenient myself. Transcription work is not easy as you are learning.
What is the basic
equipment and software that one should have before working as an IC? I currently work full time (supposedly) for a hospital and would like to supplement my income but am afraid of not having the right equipment to start. Also, can anyone suggest a good company? Thanks!!!
Basic 4
The 'Basic 4' work 'types' we speak of are: History and Physical Examinations, Consultations, Operative Reports (including Procedure Notes) and Discharge Summaries (including Psychiatric reports).
Basic 4
What is meant by Basic 4 - NM
Basic four?
Well, imagine the dive my confience took as a new MT looking for work, when I started hearing the term "basic four" and had no clue what that meant. *sigh*
Enlighten me, please?
The basic 4s were around in the 70s
Heard it then, has nothing to do with the MTSOs because I never knew of companies existing before the early 2000s as I was only working inhouse at hospitals. If a person does not know what they are, then how do you suppose a person might be able to do, just wing it? This is a newbie asking the question, not a dumb question but just one that maybe she should know because if not, might hinder her in the ability to do a job.
Basic 4 question
I am a bit confused... I thought that the basic 4 included (Op, DS, H&P, and ER) But I've read that it entails (Op, DS, H&P and Consults). Is this correct? If so, how do I go about finding ER work as an IC? Thanks!
I used to make .10 cpl but have been bumped down to 9 cpl and with new platform just implemented, I have totalled it to be a 40% reduction in pay. I'm bummed...
Any advice? 
Basic equipment
I know I am of the "old school" but I think that you do need to have some basic equipment on hand when you are advertising to do transcription. You don't have to have everything but a basic microcassette is not that much money. Any account that I have gotten -- though it was years ago -- asked me what equipment I had and if I did not have what they needed --they searched elsewhere. That is why I invested in my transcribers starting with the micro, then standard and then mini. All accounts had me start within a week of talking with them. Last year when I was thinking of expanding and had a couple of inquiries when they found out that I was not immediately set up to do digital -- though I told them I would buy the equipment and get set up -- did not hear back from them. So I think you need the basics so that you are ready to go when they ask. Since she has been working for a national already, she has her foot pedal and can do digital, just get a transcriber for the tapes --most of the smaller offices still go with the tapes. But again, I am of the old school and have not looked for new clients for a while. But I sure would not advertise or attempt to get accounts without the equipment and being ready to go at a minute's notice since they might use me for overflow and I could get my foot in the door. A client does not like to hear, I will be set up in a week for you or ten days. Though they can say it, when they want your service and you are solicting for the business you had better be ready to do it. Just me.
I would just keep it basic, without details. - sm
When I left my ex-employer, I had all kinds of grievances. But the bottom line is, they already knew each and every one of them, because I had already told management about them (in addition to the other MTs telling them the same things!) As an inhouse job, they also dud exit interviews. I skipped that, too. If there was something they didn't know about why I or anyone else that worked there was leaving, they could just figure it out for themselves.
Basic 4 report
Where could I see an example of a basic 4 report? I've only typed SOAP notes.
While ER isn't one of the basic 4, I'd gladly
take ER reports any day over acute care. They're very repetitive & good lines.
acute care basic 4
Could someone please explain the major differences between acute care basic 4 and multispecialty clinic transcription?  It seems that the job ads usually specify which one and how much experience is needed with each of these categories, but I am curious to know the differences and why someone with several years of multispecialty clinic experience may not do well with acute care hospital transcription.
TIA for any info provided! 
Of course, that's basic living *grin* ...... nm
xx
Have you ever known anyone in mgmt. with ANY basic intelligence? (nm)
?
Are there companies that mentor you on Basic 4? sm
I worked in a hospital, but it has been 8 years. I need to get up to speed and want to work part-time for someone doing the basic 4s where I could be mentored until I'm up to speed. Are there any companies out there like this?
acute care basic 4
what exactly does acute care basic 4 mean? I mostly do ortho and PT and am looking for more work, willing to branch out but Ive only done it for 1 1/2 yrs and not exactly sure what that is. thanks
clinic work vs basic 4.
Both are very different. One thing that I have found extremely helpful is a good word Expander program. When I used to train MTs when I worked outside my home, one rule of thumb was it the doctor says it twice, it goes into your word expander. I use Instant Text which is a little pricy, but it pays for itself in the long run. If I have to look up and medication or a specific work, it does into my word expander; I never have to type it again. Whatever expander you choose or buy, it is money well spent. Acute care is higher difficulty, but it can be done and a Word Expander can help you.
it is basic English grammar, without that, you can't do the job.
x
Just the basic preferred edition could never
x
basic PC/phone line
Windstream (Houston area) charges about $16 a month for just a basic, no-frills line. That's why I hoped to hear if anyone else had any luck with MagicJack. I got one, but something just isn't working right. May be an OE (operator error), tho!
Basic 4 isn't one report, it's 4 different types. sm
H&P's, discharge summaries, op reports, and ....i'm blanking on the 4th, sorry.
I think it should be changed to the basic 5, and include ERs (sm)
A lot of hospitals have their med rec dept MTs (or MTSO) do ERs, as well. Those reports are usually sort of a combination H&P, OP (minor procedures) and/or DS--more detailed than clinic SOAPs.
Acute care basic 4
Please refresh me on what the acute care basic four are. Thanks to anyone who can jog my memory.
Sorry, an "MT" should never make such basic mistakes,
FLAME AWAY.
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