Ditto and also dictate a sentence, then "scratch that", etc. --want to reach out and throttle
Posted By: XXX on 2006-02-21
In Reply to: Poor dictators that stumble over something and do not repeat the sentence to clarify, choose to mumb - 2teens
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Yep, they dictate in noisy nursing stations, dictate in the ER, dictate in the OR when they are
cleaning up banging around and we are supposed to hear them. So much for HIPPA.
they are already impossible to reach
18,000 lines and your rate increases by half cent, whoopee. MQ is a complete joke, a bunch of greedy, phony liars. This whole business is in the toilet and i'm just sorry I didn't start school for a dif career sooner to be out of it NOW. I'm gradually having to cut down on spending because my rate of pay is not up with the times, severe hand pain day after day, condescending technicians and supervisors. I feel trapped.
How do I reach them? What city are they in? Do sm
you work for them?
I have been unable to get through to anyone. I can't reach
anyone in Oregon either. I expect they probably flew out to Queensland to be with Terri and the kids. I've tried to send email but it's bouncing, so I checked the zoo website and it's been down more than up. I'm mailing out a letter tomorrow but it will be at least 10 days before she gets it and the staff roll through everything first to look for the nickname so that could be a while, too.
If that were me, I wouldn't be able to reach the desk soon! nm
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2000, and I usually reach or exeed that. sm
Big money, with bonuses, of course.
Yeah, I'll bet some MTs with bad QAs reach the
which unfortunately includes an answer to the blanks. Wouldn't be a bit surprised if sometimes they don't purposely send back the same thing, just to annoy a QA who picks on them too much.
The point obviously was that one sure way NOT to reach a supervisor is posting
on this message board anonymously. Give me a break!
It's not hard to reach $4000 a month as
Someone with their own accounts can pull in more money than an MT working for a company or another service. In California, I know of an MTSO who charges 16 cpl and the clients pay that willingly. Where I live, I couldn't get away with charging that much. They just won't pay it here. However, I do have my own service and I bring in $3000-$3500 on average. Some months it's less, some a little more depending on the workload.
Also, when you have your own accounts, you become quite familiar with the doc's dictating styles, can build up a huge library of Expander entries, and create normals or templates for the physicians, which boosts your production rate quite a bit.
I know I make more money with my own accounts than I would working for someone else but trust me, there are plenty of headaches that go along with having your own service, too, so it can be a trade-off at times. There are lots of times I think I'd gladly take a lower line rate to get rid of the headaches!! The only thing that stops me is the flexibility since I can work any hours throughout my day as long as I meet the agreed TAT. Since I have two kids, that's pretty valuable to me!
same here but hubby got me a stool to reach the top, hehe..nm
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Glad I'm not the only pokey one. I have a terrible time trying to reach 150 lph.
nm
This info would probably have helped reach your goal this morning! LOL Thanks! nm
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Actually, we put all entries in a hopper and pull until we reach that number. That way it is fair.
/
Wow, you'd be the popularity queen at the state penitentiary! Reach for those stars!
gross
YOU, Busy MT'ing, are one of those that fail to reach mature conversation when you mockingly add
x
I like what I have...Hourly PLUS incentive after a very easy to reach minimum line count.
x
Is it harder to reach your daily line count on acute care or clinic?
nm
ditto and double ditto
xxx
800 dictate can help you set it up.
Cannot dictate for MDs
You cannot dictate for a physician unless you have a PA or MD degree. We volunteered at the last in-house position I held to dictate the discharge summaries instead of paying quite a bit for interns/residents to do the dictating and were told it is not legal.
If they dictate
your hours, you are not an IC and the IRS will sooner or later jump on it. Do you file a schedule C with your income tax? Be careful, because if you're not a real IC your deductions may not be allowed.
I often dictate for a doc sm
that will send his patients to a therpaist named Candace Jones, but he always sends them to Candice Bergan.
If they dictate them, they want them on there.
x
Bad sentence
But if could affect the hysterectomy as if she kept bleeding it could cause complications with the hysterectomy i.e. transfusions, longer time, etc. which also could be what he means -- who knows.
Please sentence. TIA!
Cardiac catheterization showed mild coronary artery disease, osteocircumflex in the late mid right coronary artery 20% disease, normal LV function. Does this sentence make sense?
And they can't say a sentence without
Just to be cool - or kewl - or cool beans - whatever!
Need whole sentence.
The phrase high-resolution images is very common. Need more info before I can guess what else you are hearing.
YOU SAID IT ALL IN YOUR LAST SENTENCE...SM
They have to show something to justify their paycheck. Remember, for lack of a better way to phrase it right now, they're actually paid to find fault. If every MT turned in 100% perfect work (and you know they're not going to let that happen)...well, they'd just be out of a job. So the nitpicking continues. Turn in exemplary work, and they will find something wrong with it....do it their way, and tomorrow they'll like it better the way you had it the first time. For that reason, I avoid them like the plague, since I'm off QA. But recently I had occasion to e-mail QA regarding a STAT report I had sent in (required on the account for all STATs), stating only that it was a STAT report and that I had completed it. I received a dolled-up e-mail correction of where she thought a hyphen should not have been placed (where it was specifically dictated, no less). I e-mailed her back that this was not the reason I had contacted her in the first place...just to nitpick my work.
When they first did this to me, I thought I was imaging things...but as other MTs came forward, I got even more angry. All the (unpaid and unjustified) time I wasted on the back-and-forth nonsense that they were getting paid for, and all just so they could have something to show..see Ma, I'm earning my oats!
Also in your other sentence
Commas are confusing. Plus, we are trying to get through each report as quickly as we can. Often people tend to go more by sound/pause than by rule.
I think if we really look at it, the comma in your own sentence is not proper either: "I have been literally removing 10 or more commas in front of "with" every report, but only some MTs." - - I believe no comma is needed before the word but in this case since the remainder is not a complete sentence.
1-800-dictate (342-8283) [mq]
nm
so, where do you get the information to dictate?
I mean, how much time do you spend on listening to a report and turning around and dictating into your machine.
Just curious...a male friend of mine suggested I do this years ago already.
He said, why not get a voice recog machine, and use it with your job.
Is this what you do, Snow Bunny? I am awful curious, because I was thinking of asking my employer, if they would pay for one of those machines so I can do my job better.
We could probably eliminate about half the MT work force...maybe that is what is happening already, why MQ is always out of work.
If that is the case, however, the only problem I have with that is that everyone should be able to have access to this technology, and it should be above-board from employer to employee...it should be like general knowledge that a company either uses this or allows this...
You have been doing this a long time and whether you know it or not are probably paving the way for the future.
I am the one who keeps trying to get everyone to check out what the MOHCA is doing...within a decade (my opinion) med records may not even need editors at all...
They are pushing for standardized text rather than free text, where a doctor does not even dictate anymore...will be a thing of the past.
My question is, then what?
Thanks.
they seem to be trained to dictate that way.
I worked at a hospital that had a podiatric residency program, and the residents were often required to do the dictation for operations performed by others. Obviously the long format wasn't something the resident made up on his own, it was something they had been trained to do. Other doctors tend to stumble into dictation without much in the way of instruction.
before they dictate....I presume...nm
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Yeah, become a PA and dictate really WELL.
most surgeons dictate very well sm
That is one of the best things about ops. When I say "dictate well" I mean that they normally know exactly what they are going to say and use the same phrases over and over, which means a better line count for you. Plus, you are much more likely to get normals doing ops than you are consults and H&Ps (especially in acute care). Instead of doing one of these docs who repeat everything, or change everything, or a resident who is all over the report back and forth. That is what slows you down. I absolutely love op notes; they keep you up-to-date on equipment, etc., and the line count is great, but most of them get farmed out to Spheris (gee, I wonder why?) However, if you never type OP notes, they can be difficult at first.
Will it is true that not just anyone can dictate
notes, you have have other degrees and dictate. They have to be certified by the hospital to be able to dictate, at least at the hospital I work for. With psych dictation I often have RNs that dictate. I also have lots of NP that dictate.
LOL, did granny dictate????? NM
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the doctor themselves dictate SS#
You are way off base here dear.
If this is your only job and the dictate when you work - sm
then by the IRS definition you are an employee, though it does not sound like you are having taxes taken out. I take care of this problem myself by having another IC job that all I have is a deadline and I must have my work in by then, they could care less when I do it, as long as it is done on time. I have another IC job, where they asked when I would be working, a schedule of sorts, sort of what you are doing, but I do not firmly stick to it. I think it is more to give them an idea of what days you plan to work and what time of day. They do not chew on me if I vary my schedule as long as I log in and do the work. They know as an IC they cannot dictate the hours I work. I don't/cannot write off my home office as it is in my bedroom, but I write off everything else I can. If you need clarification call the company you work for and tell them of your dilemma and how your tax person says the IRS considers you an employee and since they require "set" hours then they should start taking taxes out, etc. from your pay, and see how they backpedal on the set hours issue.
There are some accounts that do not dictate - sm
every day, very true, but some people also refuse to do anything but one thing. If they only want one doctor, then yes they can expect to run out of work. I work many different specialities and can type the majority of docs (and have). This LTS is in Richmond, VA; I have never heard of another but you never know.
I have several who regularly dictate sm
30 minute reports. Unfortunately, they only give me 100 lines. On the other hand, I have a female PA who dictates 4 minutes notes and that gives me 100 lines, too, because she dictates at the speed of sound. I have to slow her down to turtle speed to hear her correctly. I prefer to do the 30 minutes ones since they talk reaaaalllll slowwwww and I can run the voice file at chipmunk speed and zing through it.
Do counselors dictate? sm
I was going to send out another round of postcards to drum up business and was going to send to counselors but wasn't sure if they dictate like psychiatrists. Maybe any of you know this?
I don't believe it. I don't think even the doctors can DICTATE 700 LPH! sm
I think she's yankin' your chain.
She has to be using templates or something to get that.
As an IC the employer cannot dictate the
times you work. They can ask you when you will be working or you can tell them. If they have work available and you are not working, they can let you know so that if you want to work you can; but if there is no work available when you want to work, they do not have to supply any. You, as an IC, decide when you work.
Express Dictate
Hello
I currently use Express Scribe software for dictation. I was wondering if anyone has used the Express Dictate system. I am looking to expand and add more doctors and was wondering how this system worked.
Also, if you have any advice on a cheap start up not using tapes please let me know.
thanks!
Thank God for some nurses who DO dictate...
for the docs who are horrible dictators. I do progress notes for an ICN nursery almost nightly. Thank GOD for those nurses. There are 2 docs right from the old country who can't string a sentence together in English though good docs they may be. We're talking 7-8 page very detailed reports on some of these babies. The other night, one of these gals dictated the first part, God love her, and actually handed the phone to the doc to give his 2 cents worth, awful dictator. Hey, the best thing some of these docs can do is let their PAC's do the dictating!!!
I had one dictate from the jon and flush over and over again sm
Through, get this FOUR DICTATIONS!!! The pregnant pauses, the bobbing of the roll as he pulled out paper, the echo of the small room followed by FLUSH!!!
Express Dictate
My doctors are considering using Express Dictate. I did a search here to see if there were any comments one way or the other about this and if it was hard to set up and use, but I didn't really find anything recent or helpful. We went from a Lanier Voicewriter to EMR, and now there is 1 doctor who doesn't want to use the EMR and a couple others who just want to do a little bit of dictation, so they are putting me on contract to do this. I don't know much about how things like this work. I have used Express Scribe to test for on-line companies, but I don't know anything about Express Dictate. Any comments?
My take on how these physicians dictate
I question and I mean question about every day whether the person coming in as physician is really that. I have 1 that basically cannot string a sentence together, changes sentences 3, 4 or 5 times each sentence. I have physicians who pull the same stuff, going several paragraphs down and then asking you to add or delete something. I get really ticked when I hear all this and don’t hold my cool. The person in the room with me usually hears my ranting and raving. It is hard enough to get through the ESLs, mumbling, crunching, snorting, eating, sucking, sniffing, sorting papers and the list goes on without putting up with this. One change that was made at the hospital I work for was to tell dictators they could NOT use a cell phone to dictate. It worked. I only wish I were in charge so I could tell them more about how to dictate!
Actually, they can dictate a schedule and even pay.
It's not a black and white line on those issues. It is very gray and very subjective.
A client/company can state when they want the work done (time frames) or even how much they are willing to pay and even other issues.
Our working at home blurs the line and casts so much problem in defining this accurately.
But yes, they can definitely define those factors.
If only they would dictate/speak - sm
as clearly as they did when going for their interview for medical school or hospital position. If they spoke then they way they dictate now - they'd never have gotten into school or gotten their MD jobs -- so WE KNOW that THEY KNOW how to speak intelligibly when they want to; they just don't think we're worth the effort.
I appreciate and respect the ESL who puts forth an honest effort to be understood, over someone (usually English as FIRST language) slurring at 78 rpm, going through the HPI/PMH with ..ah, ... um ... (2 words) ... er ... (1 word) ....uh, ...(2 minutes pause) ... uh...uh... and then speed-racing through meds, labs, and whenever reading diagnostic reports verbatim .. so everyone knows that they know how to say those long words and which they wouldn't be able to come up with on their own. My pet peeve?? We're BORN knowing how to spell any doc's name, just because THEY know how: i.e, ."CC to Dr. Kryswkowskizhausen and then spells J-O-N-E-S.
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