Depends on how picky they are (verbatim)....
Posted By: mq_mt on 2005-11-17
In Reply to: Allergic to "cillins." - PJ
I personally would prefer to type "cillin"-type medications or something like that. Maybe check with your QA point person. If you have never been told who he/she is (would not surprise me), his/her e-mail should be listed near the top of the client profile.
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I guess that depends if it is a verbatim account...
I think even so I would type feces....
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
Picky
What kind of pickiness? Was it for style-related issues or things like type-o's? Do they give you account guidelines to follow?
Same here too. They are VERY VERY picky...
that every single word of radiology is done just so. Even if WE mess up a word, they rads catch it and bring it to our attention. They'd never be happy with VR.
Nit picky
I was doing some subcontracting when business was a little slow about 3-4 years ago and the gal would send me back little corrections circled in red and on the margin was the correction -- it was like a teacher but she would get me for not putting punctuation in the address, (which the post office wanted no punctuation) abbreviations for Ave or street or really pickly things that did not make sense and did not change the meaning of the sentence. But to her defense I also noticed that I had been getting sloppy, like driving a care for 20 years and then taking a driving test, and some things that she brought to my attention I did appreciate but some were just ridiculous. So after a while when business picked back up I could give her up. A learning lession for me.
If you are so picky about the pay, then
As long as there is work and you do it, 8 cpl adds up quickly.
I was always picky about what I ate
but I have learned to eat a better variety than I did as a child. Chitlins haven't made it to my list though. Used to hate, hate, hate cabbage too but I love them now! Who knows, maybe I'll be brave and try chitlins one day. Umm, probably not. What made you finally give in and give them a try?
Picky, picky, picky, picky, picky, picky!
I have a picky little kid who doesn't like
it when the bread gets soggy from the PB&J. I make sandwiches ahead of time and use hamburger buns, which are inexpensive at the thrift bread store. The buns are more dense than bread, so they don't get soggy. You can also make the PB&Js ahead of time on bread and freeze them, although I've never tried it. Or put a light layer of peanut butter on both pieces of bread, then spread the jelly. The jelly won't soak into the bread through the peanut butter.
I do like the other Mom's advice about prebagging things like cookies and chips. I prebag carrot sticks and celery in the fridge. We use a lot of yogurt and applesauce cups, granola bars, fruit bars, juice boxes, and that type of thing. It does add up and costs as much as a hot lunch, but the kids don't like hot lunch. It takes me maybe two minutes to do a lunchbox.
Some accounts are picky and
some are not so, just depends. It sounds to me like you are frustrated and are not feeling appreciated. Do they also give you positive feedback? I personally would love to get some QA back, especially on correct style. If you are unhappy with them, there are a a lot of job openings. I would try looking around with someone you might be happier with. Better yet, get your own accounts.
Picky eaters
Dealing with picky eaters is really hard. I have 2 kids, and their dad is really picky, and my kids inherited his pickiness. My daughter is 10, and she has never, ever had any type of beef before. She only likes cheese and bread and can't stand anything wet, such as salad dressings, or ketsup. She hates any type of fruit, vegetable, pizza or meat but will eat tofu and soybeans.
The way that I deal with it is this. I make a normal dinner, but I make sure there is 1 side dish that my kids will eat. They have to try at least one bite of everything if they want desert, but I never force them to eat anything.
I also have my kids each pick out 3 TV dinners each week. (Even that is hard, since they frequently have a hard time finding a TV dinner that they will eat). If they absolutely cannot stomach what I've made, they are allowed to make themselves a TV dinner instead. They know that if they ask for more that they have exceeded their "pickiness allowance" and that they have to eat what I make or starve.
picky eaters
My daughter is 9 and fairly picky. I agree with M, I always try to make sure there is a side dish that my daughter will eat, and if there is something in the main course (i.e. onions, tomatoes,) she is allowed to pick them out and eat the rest of the meal. However, if I make something new she has to try one bite of it. Many times she ends up liking them, although since your boyfriends kids are older that may not be easy for you.
My husband thinks the kids should eat whatever I make, regardless of if they like it, but I disagree somewhat. I think that we should all be allowed our taste buds, and that it is normal for one person to like what another doesn't. He has learned to come around to my way of thinking. LOL
Good luck to you!
I'm gonna seem picky here...
Anybody have any ideas for appetizers that are simple, quick, and relatively cheap? I know I'm particular, but I'm not a good cook, don't have much time or money!! This is just for a card game, so I don't want anything extravagant anyway. Thanks bunches!
It's a very picky platform
That's an issue they need to address big time. However, they do have adapters for that kind of stuff. I had to get a USB-to-Serial adapter for my food pedal when I used EditScript.
Picky vets
You're right, landroverlady, the vets are incredibly picky about their reports, yet they are far from perfect themselves. It is a relatively new trend that the veterinarian offices are turning to "professional" transcription services to have their reports typed, so they have no clue what the "norm" is in transcription. If they weren't so darned picky, it would make my job a lot easier in hiring and training. Any time someone makes even the smallest mistake, I am sure to get a phone call or email from an unhappy doctor! Life would be sooo much easier if they read their reports in the same manner that they dictated! 
It's kind of like with picky little kids.
You have to serve them certain things at least 10 times before they get used to them enough to eat them. And always serve the vegetables first so you eat them when you're the most hungry. I'm not a vegetarian, but I do try to make at least half my plate at each meal vegetables or fruit. There are some veggies I won't eat cooked, but they're great raw. There are some veggies that taste better fresh and steamed than canned and reheated. I finally like onions and red peppers but it took forever to adjust my tastes.
I'm waiting for hubby to make some Italian veggie omelettes right now. Spinach, tomatoes, onions, peppers, fresh garlic with eggs, Italian seasoning, low fat mozzarella and a sprinkle of parmesan. 12-grain toast, cantaloupe and Italian dark roast coffee on the side.
My picky eaters were all told sm
as soon as they were 15 and working that if they didn't like what I put on the table, they could cook their own or order out. My oldest boy, 29, always ate anything and everything. He still does. My second boy, 22, only liked pizza (minus the cheese, go figure),chicken nuggets, popcorn, tomato soup with bacon bits, apples with peanut butter, and cereal. He has a girfriend now and eats more of a variety, like Chinese food. My third boy, 20, eats only freshly cooked food. He hates leftovers. Would rather go hungry than eat leftovers. He gets a lot at Subway or Burger King or he orders from the restaurant. My hubby was picky at one time, too, but not after 26 years of marriage. I always tried to keep whatever they liked on hand but that is as far as it went. I cooked the main meal. If they didn't like it, oh well. I told them I was not a chef in a restaurant. That solved a lot of problems. Sounds mean but I came from a family of 7 that had only 1 income and we ate what was put on the table and if we complained too much then we had liver and spinach the next night. We learned in a big hurry. 
Picky is the name of the game IMHO. Either it's right or it's not.
nm
AND they are trying to throw in more nit-picky things about what this doc wants...
and this doctor always needs to go to QA and this resident needs an extra signature line and make sure the visit you selected was at the right place and be sure to change this worktype for this doctor because we cannot teach him to do it and we can't tell this doctor that worktype 800 is really not an EEG because we don't think he'll get it and no we can't get the software to recognize a visit ID when its entered and no you cannot start the audio in the document information screen so you can verify the patient and please automatically know when the doctor gives one name at the beginning of the dictation and a different one at the end who he is really typing about and take the following VR sentence and make it a lucid part of a medical report - CT scan guided biopsy performed February refills banding is without mucus brain which is negative.
My VR plan is quickly shaping up like this...take a 20-hour a week job at the local nursing home for full health insurance benefits and find an IC job doing transcription for supplemental income and repeat year after year until ready to be in nursing home.
Any advice for dealing with picky eaters?
OK, I'll try to explain this the best I can. My boyfriend has two children...one is a girl who just turned 18. The other is a boy who is 15. These two children will not eat ANYTHING! The girl is pickier than the boy, but still he is bad enough on his own. I have an 8-year-old son who will eat more of a variety than these two put together.
I am really getting tired of eating the same old thing every week. They will eat chicken, pork chops, burgers, hot dogs, pizza, and steak. It gets very old. My boyfriend and I love italian food, but if we make it we have to cook something separate for the kids (not including mine) to eat!
The girl doesn't like ham. OH, but she will eat ham that you put on a sandwich...but if you cook a ham, she turns her nose up?!?!? She likes baked potatoes, but not mashed?!?!? The boy would live on pizza ANYTHING if you let him.
I know that since they are older there isn't much I can do about it. Plus, they aren't my children, so I feel strange saying much about it. Their dad tries to get them to try new things, but they won't do it. In my opinion, he doesn't really try hard enough. My son has always been made to try at least a bite of something new...if he really doesn't like it he doesn't have to eat it, but most of the time he thinks it's good.
I just am sick and tired of the dinner menu choices being so limited. My boyfriend is a great cook (I am a good cook too, but he loves to cook, so he does most of the cooking). I'll ask what's for dinner and then almost feel sick to my stomach when it's chicken AGAIN!!
If anyone has any advice I would appreciate it. I think I needed to vent about it more than anything.
QA that is so picky it makes you go back and relisten to the whole thing.
when it causes people to live in fear of losing their jobs because they get a major error from doing a new specialty, you wish you weren't helping out on the new specialty, and tend to turn off the computer.
I hate to be picky but it is "advice" not "advise". Come on now, we are supposed to be
.
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.
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.
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