Dictation pet peeves!
Posted By: Scribe 46 on 2008-09-29
In Reply to:
Most days, I love my job. I always strive for the best work I can do, and I hope most of other MTs here do as well. I know you can empathize with me on the following.
Medical professionals - you don't sound professional at all when you do the following while dictating:
-Constantly sniff and/or swallow snot because of a bad cold or allergies. Doctors, nurse practitioners, whatever your title may be, your transcriptionists really do not need to hear that! PLEASE take some medicine and blow your nose before you pick up the dictation device.
-Eating, or chewing gum. For an MT, hearing dictation along with chomping, chewing, swallowing, smacking lips, gulping, belching, farting, etc., is just like listening to nails on a chalkboard! We understand your time is valuable, but so is ours. Please be more considerate of the person transcribing your dictation. Get your meal break in before or after you dictate, not during.
-Using the restroom. Enough said there.
Thanks for letting me vent!
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MT pet peeves
I can't stand it any longer. I have to vent! I have two pet peeves that are driving me crazy.  Number 1 is music playing in the background during the dictation; not the overhead "elevator" music that's piped in....I'm talking a radio sitting right next to the dictator! Number 2 is the dictator carrying on a conversation with others in the room....laughing, telling jokes, discussing weekend plans, while the dictation system is running. I have to sit here and listen to the whole conversation because I don't know when he or she will decide to resume dictating. Ahhh....I feel so much better now. 
pet peeves
I know exactly what you mean!  Would they honestly yawn, burp, fall asleep (and who knows what else...ha!) if the patient were sitting there in front of them?!! Of course not. It's like they forget (or don't care) that there is a real live human being sitting on the other end of that dictation system. Well, at least we MTs have each other when we need to let out a little steam, eh?
Pet peeves
I feel your pain. I can't stand it when they yawn while talking, eat, and I had one yesterday that answered her walkie-talkie and had a 5 minute conversation without pausing the dictation system. It drives me nuts!!
My Pet Peeves
Spelling words the wrong way. What is the point? Better yet, spelling easy words and not the more difficult sounding, mumbled words. Talking at the speed of lightning, especially when it gets to the important part of the report. Moving around papers and radiology films...hello, I can not hear what you are saying while you are making so much noise!! Dictating while noises are in the background and not just your everyday office noise, vacuum cleaners running, etc. Doctor thought it was a good idea to talk a little louder rather than wait until someone finished vacuuming. Repeating the same phrases over and over again. Saying "uh", "ah" , etc throughout entire dictation. Constantly changing your mind about what you want to say, make up your mind already!
pet peeves
As I have stated before - the doctor who dictated to the tune of Mack the Knife - radiology - that was a killer.
I can top your pet peeves!
One of my doctors does all of the things you have all listed plus moves his bowels, grunts, groans, calls his office staff every name in the book, speaks with the phone in his lab coat pocket and with the TV in the background. When I have to leave blanks in his reports and ask him to speak louder, more clearly, in a quiet area he just says no!
pet peeves
end of shift priorities - you give your availability, work more than what you say and after 13 hours of working they ask for priorities. Then get a small (yet there) attitude when you sign off. I don't mind going the extra mile - money is good, but jeez, the priorities were dictated at 1 pm and it is 11 pm now. what was I doing all day?????
Pet Peeves
These are not very big pet peeves, but they drive me nuts.... a dictator who dictates about the patient's medical "regiment," states that the patient is "alert and orientated."  As I said, very minor but annoying to me!
RE: QA is one of my pet peeves
Sometimes you just get the feeling that QA is way too busy to provide feedback, and I think that's really unfortunate. There have been times that I've blanked the very same thing in multiple reports by the same doctor and never hear from QA so that blank could be avoided in the future. It's frustrating on the MT's end, and it's gotta be frustrating on QA's end as well.
QA is one my pet peeves
I have been in this industry for quite a number of years. I have been a QA person and I am currently doing the MT side. Because I have been in this so long finding a QA who really does know more than I do and can teach me a thing or two, has become difficult. It makes me uneasy when QA doesn't correct things like this because I feel that it shows they don't know what they are doing. By not providing you with feedback, they are promoting their own job security!
Verbatim is verbatim. If you come across something that doesn't fit, flag it. If QA wants to put the dictated word in there, right or wrong, that is their business. MTs are not paid to guess, nor are we to second guess doctors and change terms when it seems right to us. We are not the physician, we do not sign off on the report to reflect that we think it is accurate or not, the doctors do.
I am less concerned that the QA person filled in an incorrect word than I am concerned that you are not receiving feedback. I am of the belief that as an MT, if don't learn something every day, you are not working hard enough, and if QA is not helping you learn these things, QA is not doing their job either.
FUN THREAD......PET PEEVES....
So, I am sure we all have our pet peeves on things we WISH the doctors would not do while we are trying to type their dictation for them. I thought it would be funny if we pointed them out:) I personally can't stand when they continuously yawn while talking and just assume I was to understand what was said mid yawn, rather than repeating themselves after the yawning is complete. I have a lot more though, lol.
One of my biggest pet peeves, since most of
Dictating on a speakerphone: One of my biggest pet peeves!!
It simply should not be allowed. It is hard enough to understand a lot of these people, and then they sound like they're speaking from the bottom of a pit with the annoying mechanical, buzzing sound quality as they "push to talk". Not to mention all the extraneous noises on top of that -- drives me nuts!!
It's THEIR dictation. They want what THEY are
dictating. If they use poor grammar, etc., that's not the MT's fault!!
Many don't trust the MT to make appropriate corrections and I can certainly understand that.
dictation by doc's
you're absolute right about the hospitals doing something about how doctors dictate and it probably wouldn't take that much effort to do it, but they're not going to do it. If the dictation is wrong, the MT will get the blame regardless.
low dictation
This is several hours of time just disappearing.
? min. of dictation per day
What is considered the average amount of minutes for 7.5 hour day. I'm thinking 45 to 60 minutes???
PA dictation
You must be lucky! Our group had two PA's and they literally "outdid" each other to see who could dictate the fastest. I got used to them, of course, listening to them all the time but many times had to stop and look up a med to be sure of the dosage because I couldn't tell if they were dictating 5 mg. 50 mg. or whatever! They seem to have an "attitude" too; we had one female one who really thought she was hot stuff. If they were that good, why didn't they spend the extra time and $$ to go to med school???
RE; Dictation
Kept forever. Chart is microfilmed and kept. Regular transcription is kept for 10 years supposedly at hospital I worked for.
I just had a dictation where
he stopped dictating mid sentence in the chief complaint and I Iistened to silence for about seven minutes (maybe he fell asleep, I dunno) and then he says, "hello? hello?" and hangs up!  Gotta luv this job! 
60 min of dictation
How long should it take someone to do about 60 minutes of dictation on average.
Thanks you.
60 min of dictation?
My own personal average is about 1 hour for each 15 minutes of dictation.
Can't help with the dictation but...
 LOVE YA!
Hope that helped.
Dictation
The problem is that MTs are rarely in the workplace any longer. When I originally started in transcription years ago, we were in-house and accessible to the doctors. I would tell the the speeders to slow down. We had one ER doc who loved to look through reference books for words to use. I would tell him nicely, "If you have to look it up, spell it and save both of us the hassle." That usually worked. But now, most of the time, they have no idea who is transcribing their work and as long as it gets done, that's all they care about.
Ever think that maybe 15% is going to QA because of LOUSY DICTATION? nm
x
You never listened to the dictation to know.
No, decent dictators can form complete sentences. They don't erase every single word interlaced with ah, um, er, then sit there so long that a 15 minute dictation only has 43 lines. If a person can't complain about having a bad day to her fellow MTs without getting jumped on, what does that say about your personality? The only B**** I see here is YOU.
Same here. Give me the dictation, I do it - sm
I return the reports, give me the money. End of story.
Worrying about a friendly supervisor is pointless. Just do the work and take the money.
80-100 minutes of dictation
Can anyone tell me approximately how long 80-100 minutes of dictation takes to do with variables I know of a good or bad dictator but on average. A 60 minute microcassette tape on both sides of 120 minutes, is that something to compare this to? Thank you.
235 seconds of dictation...sm
and less than 20 lines!!!!  And he ends the dictation at 200 seconds, then proceeds to shuffle papers and say "end dictation" 50 times...come on already, END THE DICTATION! No respect! 
re:243 seconds of dictation
I actually have a picture of my cat laying on my Dorland's sound asleep...he was looking for the definition of "uhmm"
Bad quality dictation
What in heavens name do you do after starting work with a company and the dictation is so lousy qualitywise with static and the voice fading in and out. Is this normal? Left lines in every report. ??? Help?
Dumb dictation
Review of systems was not obtainable from the baby, obviously, due to the baby's age of one month. Review was obtained from parents. DUH!!!!
dumb dictation
Don't you just love these..I had one with the 11 MO understanding the assessment and agrees with the treatment!
Specialty dictation
Just wondering how many lines within 8 hours do you "speciality" transcriptionists type? Not acute care, not SOAP notes, just the specialty accounts?
I type for 11 different specialities that just feed into my "pool" of dictation randomly and am lucky to accomplish 1000 to 1200 lines within 8 hours -- any suggestions on how I can increase this number of lines would be greatly appreciated.
Oh, it wasn't in his dictation, it was an aside to his PA sm
I think he just had never seen that size before, nothing indecent intended.
I don't think it's the dictation itself that's the problem, it's the SM
kissing of individual arses and making 300 MTs remember which cheek you're supposed to kiss on Doc A and which on Doc B. :(
dictation funny
Mitral valve with moderate anus calcification. What was calcified? LOL
Doc asking for instructions on dictation
A wounderful young man at my church is in his 2nd year of general surgery residency. When he found out what I did for a living, he asked me if I would please help him with his dictation and give him some pointers so that he could do better on his dictation. No one had critiqued him and he wanted to be sure it was o.k. Now THAT'S a good guy. He's a good Christian, he'll be a good doctor, and I know he won't ever change. You cynical so and so's just keep your opinion to yourselves. This was so refreshing to be asked for help like this. It made my day.
No, I'm not dialing in for dictation...
...I'm in QA. They want the at-home QA team to train new MTs over the phone, call MTs regarding stats or if work is missing, call the clinics to follow up on any issues, conference calls, and call the home office with daily issues that pop up. We were told their clinic contact people and the front desk staff have too many other duties so feel QA should do this now. I'm fine with that responcibility, just found it odd that they will not reimburse us.
Perhaps it's not a big issue but as an employee I was curious if there were laws regarding these issues. And this is a new protocol they are implementing so it's not like I recently accepted the job knowing this is how it would be. The at-home QA team never had to do this before. I do realize there are pros and cons to working at home but there seems to be a fine line where an employer can take advantage of an employee 
If I were an IC I would completely understand this.
How do you do dictation from a wav file?sm
How do you receive and send dictation on a wav file???? I know that may be a silly question, just wondering. Thanks!
late dictation
 Sounds like joint commission is coming to call!
Practice dictation
Does anyone out there know of a website where I could get some practice dictation? Have been away from transcription for a few years and want to get my "ear" back and some speed before trying to get back into it. Thanks for your help.
nasal dictation
 Do they teach doctors to dictate in a flat, monotone robotic-like voice on purpose? He's got the same flat tone through the whole thing !Doubled with the fact that it is rainy and gloomy here, I am about to fall asleep with this guy !
What is the going rate for ESL dictation?
NM
Wow! If you do 240 minutes of dictation in...
8 hours, that is great! Congratulations!
winscribe dictation
My company is currently using the Winscribe Dictation system. Its quite pricey but overall it is good. You can set it up to do most anything.
Job id#, dictator, type of report, etc and you can also put a spot for chart number to find things easier. I just wish my docs would use the PC dictate part, as its less combersome then punching numbers on the phone, but overall it is a good product. Just be sure you get it from someone reliable.
Practice dictation sm
This is a crazy question but I've had to take time off and feel really out of the loop. Never worked from home before. Is there any company who would forward some sample dication to let you kind of play with for awhile before you formally test for them? At this point, I don't think I'd pass the test although I've had plenty of acute care and specialty experience. I know it sounds really unprofessional but I thought I would at least ask. Hate to fail, spent too many years being a perfectionist, I guess. Are there any sites you could recommend for someone returning to the profession after a few years taking care of family business?
Funny ESL dictation
Thanks! I laughed so hard at your what s/l, that tears ran down my eyes. I might print it and hang it up on the kitchen bulletin board at work.
60 minutes of dictation
I take about 60 minutes of dictation each day and make between 50-60 dollars each day so yes, to me that is low.
60 minutes of dictation for $40
worth it or not?
longest dictation.
Mine was probably around an hour and 15 minutes to an hour and a half. The doc was awesome, best dictator ever and his H&Ps and DS were anywhere from 30 minutes to 90 minutes long. Boy I sure miss him! He was at a local hospital I used to work at.
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