ER is the epitomy of acute care. How is this bait & switch? Were you hired for op notes only? nm
Posted By: Deb (who thinks ER work rules for lines) on 2009-04-01
In Reply to: Hired for acute care and... - grasshopper
nm
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- Hired for acute care and... - grasshopper
- ER is the epitomy of acute care. How is this bait & switch? Were you hired for op notes only? nm - Deb (who thinks ER work rules for lines)
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And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
Hired for acute care and...
Kinda curious what the consensus would be on this issue. If an MT is hired for acute care, why would you find 99.9% of your queue full of ED/ER job types? Is this not a bait and switch technique? Trying to get people in the door with lots of experience and then give them whatever is convenient for them. This just doesn't seem right to me. Upon inquiring why this was happening, as this was not what I was being hired to do, they dismissed the issue without a plausible explanation as if it didn't matter or it shouldn't matter like I was being annoying to them. 
Well, it is a tad annoying to me. How would you deal with this? Put up and shut up or get out?
I thought acute care MTs were hard to find with 20+ years experience and usually on the job boards all you see is acute care needed.
Can a transcriptionist be hired to type both Rad and acute care for Medquist?
nm
clinic notes to acute care
Has anyone gone from doing clinic notes for different specialities to acute care in a hospital? I have been a Transcriptionist for four years and lost most of my work to India. I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital. I never did hospital work. This will exclude lab and X-ray reports. I am a little scared. Any good sites to brush up on for documents or any words of wisdom?
Thanks!!
OSI bait and switch
I probably would have stayed with OSi but they did the same to me. I got the contract signed it with the accounts they were assigning me. Started working noone ever gave me the list of people in my group so I could chat with someone when I needed help etc., supervisor would never follow through with promises, was given accounts I had no information for and was not even in my contract. BREACH OF CONTRACT on their part. Keep looking there are some out there.
OSI, bait and switch
Want the name out in the forefront. Don't want to mislead anyone.
Bait and switch.
You have a right to be  . It is nice to vent here too. We are routing for you! 
Bait and Switch
I hear you loud and clear. My take on this current trend is that when you state what you want (job types) you are showing weakness for what you don't want (unfamiliar ground). Employment is tight now so they want people that say "bring it all on as I have no favorites. I like the variety and challenge of new territory instead of same old, same old.
They are favoring people who can step up to the plate without whining and do it all and with a smile. They are sick of catering to some MTs who cherry pick their way to a paycheck and leave their left overs for whomever.
So bite the bullet and start learning something new and get good at it. If you don't someone else will come along and only be too happy to do it for you.
Yea, it's a little bit of a heads up I would say. It's happening across the boards now. You are not alone.
This sounds more to me like bait and switch.
company offering clinic work exclusively. This sounds like gravy work for newbies, and then switching them into something more difficult.
I don't mean to sound unkind, but if you are working for an MTSO, then no account belongs to you. The accounts you transcribe for belong to the MTSO and not you the transcriptionist. The only time an account belongs to you is if you contract the physician him or herself and give your rates. Once in a while you'll find a physician or facility to employee you as an MT, but they usually expect you to work on-site. Good luck in your endeavors.
Most of the time, an MTSO is not out for the MT, but for the client and making money for themselves. They don't really concern themselves too much with whether the MT can make any money or not. It's just not high on their list.
Bait and Switch, tired of it!
Oh, I just had to come here and vent. So, thanks in advance for listening!
I have had 1 employee job and 2 IC jobs since Christmas-time and have been bait and switched up and down in all 3! Applied for certain types of work type, certain types of benefits (the employee job), and got zip. Then, went IC and again, applied for certain work types, certain accounts, hired and promised the world, and then never ever got the work types, instead got all the ESL and all the resident's ESL discharge summaries and that is it.
What is the deal? These places think that when we don't get the benefits promised, the paycheck promised, the work promised (I will do all work types mind you and am very flexible, just hired for certain kinds of work and then only put on the very worst ESL discharges at all jobs), we will be broken down because we are afraid of not having a job, or not having the ability to get another?
I am truly burnt out at this. I worked for years at one hospital, and when they cut incentive and sent work to outsource, since I have been in the world of MTSOs, bait and switch up and down. And this includes the very well thought of and highly rated companies here from last fall (you probably can guess the ones).
Of course, perhaps they think the MT needs to be quiet and be happy to have a job (which by the way, all 3 ran out of work and slim pickings recently) since everything is going to India. Is this some kind of scare tactic? Shut up and put up? Really. I am interviewing as an employee again, and hoping to stay because I just cannot take this bait and switch, no promises kept, demeaning treatment anymore... Thanks again for listening, and hope there are people on here who do not have the same sob story, who actually get the pay, benefits and work types they were hired for and promised! Have a nice day.
Yep, I hear ya! They pulled the bait and switch on me before I even got started!
Unreal - Recruiter promised one thing - got the instant contract through email with the exact opposite! Bailed before I started! Sorry for your bait and switch.
Be cautious...great bait and switch routine, you can do much better...
they also outsource overseas (a percentage). you will do well if you have low self-esteem. everyone great until you get thrown to supervisor...hehe, you'll see.
my opinion, my experience.
I'll agree. Have had the bait n switch happen to me several times. nm
s
When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
s
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies. It goes on and on and it means and acute care hospital setting, not a clinic.
Not OP and don't care to discuss details BUT OSI hired for a specific
specialty that most MTs love and then overstaffed the account. When MTs ran out of work on that speciality account, OSI offered to switch them to another speciality on a more difficult account. To go to work with OSI required much time testing, negotiating, training and specific equipment purchased so you have already made a time and financial investment only to discover that the specialty you were promised doesn't have enough work so to survive you either take the back-up account which is not as financially rewarding as the one you were promised or you lose the money and time you have put into going to work with OSI. I also quit my other job so I could work full time for OSI based on promises made that were never intended to be kept.
. (This is me after discovering what OSI was all about and not at all as promised)
1/2 rad and 1/2 acute care
Does anyone have an acount where they do some radiology and some acute care? Do you get paid differently for rad/acute care on this account? I get paid the same and have one radiologist that slows me down considerably (I transcribe for 2 radiologist alternating weeks). I make 1/2 with him than what I would make doing acute care or the other radiologist.
Acute care
Can someone please explain acute care setting in detail?
Yes, and also known as acute care. (sm)
To me, the next thing would be OPs right after doing radiology, because you have lost most of your drug names by now. But it is hard to break into OPs, especially exclusively. You would also likely do well with (office) orthopedics or gastroenterology. I'm not saying you can't do acute care, but you would want to be in-house with a mentor nearby for the easiest transition. The drug names and all the various mispronounciations will be a thorn in your side.
I do know that the acute care...
would benefit me in the long run because I would have more opportunity to learn more. I currently do not take on the variety of work that you do, hence, the boredom. I only do discharge summaries on a regular basis and just started with consults and H&Ps. I have yet to do any regular workload of OP reports, etc.
I have always been interested in the psych field. Maybe that is why I think that I would be more interested in doing the transcription. Also, yes, I am on the hardest account we have. Thanks for the input though.
Acute care, 0.07 and 0.075....maybe??
I was hired making 0.08 cpl doing acute care for a national right out of school. Personally I think your numbers are a little low compared to what I have seen out there.
Acute Care & QA
I guess that is where my problem lies. If I send a blank to editing/QA, I do not get the corrected report back so I never know what was filled in for the blank. Obviously, that hinders the learning process quite a bit. Since I have only worked for 2 companies (the first one I could view my corrected reports, second one not), I am wondering if this is the norm.
how many lph on ave is everyone doing in acute care? sm
i know there are lots of variables. i am just looking for a general idea of about where most people average, lph. TYIA
Acute care is
all the basic work types found in a hospital, H&Ps, consults, discharges, op notes, cardiac reports, the whole shebang. The work is so varied and you get to touch on just about all the specialties, especially if it's a larger hospital.
acute care
Just to clarify, in no way did I mean that as an accusation that she was misrepresenting herself. I wanted to make sure she knew the difference between acute care and clinic work, as she seemed new to the world of transcription outside her experience with her doctor for the past 3 years.
Acute care...nm
.
I would go with acute care, only because
I have a short attention span and doing clinic notes day in and day out would put me to sleep. It is bad enough when I get a bunch of monotone dictators, but it helps when they talk about something other than GERD and immunizations. JMHO.
acute care........
acute care
I started with a company back in June of last year as a newbie. Due to a terminal illness, the owner sold the company in August. The company who bought the business kept me on, which I am thankful for. When I hired in with the original company before they sold out I transcribed clinic reports for a general surgeon who was an awesome dictator. When the other company bought it out they said they no longer had that account and put me on acute care. A huge hospital with tons of doctors. A lot of ESLs. Doing everything from H&Ps, consults, op notes, discharge sum., cardiac caths, sleep studies, etc. Needless to say I was lost. I am so thankful for the opportunity but isn't this a bit much for a someone with not much experience. Anyway I came to find out later I was lied to and they still had the clinic account but gave it to someone with much more experience than me just because they didnt WANT to do acute care. Now since I know they still have the account they let me do leftovers and use me for when no one else is available to do the clinic account but otherwise I have to do acute care. Shouldn't a company give accounts based on the exp. level you have not what another MT wants to transcribe? I think I should have gradually worked my way up to an account like this acute care account. It is a very difficult account which slows down productivity a lot. That and I am only making .065 cpl. Which I know I have to start somewhere. But on an account like that it is hard to make any money. I don't have a lot of experience with companies but have you ever known a newbie to do a difficult acute care account when there was more appropriate accounts available?
Acute Care?
Subject: Acute Care?
I have been applying for jobs but all or most of them say Acute Care experience. I am not sure what that means? I have been with a small company for almost 3 years now and type several different docs for them. What is acute care? Sorry. May be a dumb question but this is the only place I have worked since I started transcribing! thanks.
acute care
I could be wrong but I think acute care means you have experience transcribing the basic 4.
You can try searching "what acute care means" here on these forums. Just type it in the search box up above.
acute care
It means you have experience typing hospital reports, i.e., discharge summaries, H&Ps, consults, operative notes, and the like. If you type doctor's office notes that is considered clinical, not acute.
Acute Care?
What about in hospital acute care patients? Will all their records also be generated via EMR or is that the plan in the near future also?
Unfortunately, they do not have acute care.
It baffles me that my experience does not seem to even be considered. I am a quick study and I learn and retain well. I really want to expand my horizons and I am open to suggestions. I am a good Transcriptionist with 99.8% accuracy and I am motivated, yet I just keeping running into wall after wall. Would testing on company websites be helpful at all? I don't want to waste my time, but I am almost desperate.
Rad Vs Acute Care
I've done both and, to be honest, I think it depends on your dictators, their use of normals, the length of the reports, etc. I've had rads that will blather on for 12 minutes (yes, 12) on an essentially negative CT abdomen and pelvis. And it's not 12 minutes of dictation. It's 12 minutes of start/stop dictation, with lots of pauses and dead air time, which is a total line killer. I've also had rads that have a normal for this type of report, have it blown in, fill in a few blanks, and wrap it up. I've also had dictations that show up as a 6 or 7 minute total time dictation, only to find the first 3 minutes are actual dictation, the rest of the time is "Transcriptionist, go back up and where I said...", and proceed to spend 3 minutes changing the first 3 minutes of dictation (always a delight). In an 8 hour shift with the right dictators, I can slam out about 1900-2100 lines of straight transcription in Rad; on the other hand, I've had 8 hour shifts where, depending on the dictators, I've been doing good to eek out 1400 lines.
Having done both rad and acute care, I'd say it's a crapshoot as to which one actually pays more. There are a lot of variables with accounts and it's difficult to really differentiate which of the two would pay better. It all comes down to the account...doctors' style of dictating, usage of normals, ESL physicians, etc.; the same things that impact one's line count on an acute care account.
Good luck to you. I really think with the right account, you'd see your line count increase dramatically.
I did rad then acute care...sm
Did Rad work for about 4 years then switched to acute care elsewhere. I worked in-house for about a year and that helped me a lot. As GothMT said, it was overwhelming, but now I definitely prefer acute care.
Do you do acute care and
there are people here who tell you the certificate is not worth much, employers are wanting experience. It would seem if you are working 2 days in the transcription department, what is wrong with working more or do they not have any more than 2 to keep you occupied?
HAHAHAH.....bait, bait, bait
Laurie is too happy, happy, happy to take the bait. Besides she is waiting for her doctor to finish chewing and swallowing. His cookie.
Can you apply for both acute care and rad at MQ?
/
I just learned rad after 16 yrs of acute care.
just by having a couple of good reference books and some live body to ask a few questions of has been all that I've needed. It's different, but like anything else, after a while they're just saying the same things over and over again. No different than just doing a different specialty in acute care. I can't imagine needing to go back to school for radiology. That's overkill.
I do acute care ASR every day and if you think it is perfect you had better take a better look
because I spend a tremendous amount of time fixing those reports and many times delete them and type from scratch. What planet are you from.
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! 
differences in acute care and
Basic 4: H&P (history and physical), CN (consultation notes by specialists on staff), OP(erative) reports, DS (discharge summaries) - reports dictated while patient, having experienced a(n acute) problem, is admitted and being treated in a hospital. They encompass all disease processes, procedures, specialties, medications, analyses, surgical equipment, tools, anesthesia, etc.
Multispecialty clinics, i.e., specific specialists consulted by outpatients including OB/GYN, opthalmology, neurology, psychology, psychiatry, orthopedics, urology, hematology-oncology, internal medicine, pediatrics, gastroenterology, family practice, etc., etc.
ACUTE CARE-RADIOLOGY
I have noticed a couple of companies are asking for Rad transcriptionists but they want you to have acute care experience. Why?
Oh, my. 30 years doing acute care. sm
I started VERY young!!
27 years, all in acute care. NM
x
30 years, doing it all (acute care now)
x
Acute care for 5 hospitals. Don't run out, but
z
Is your background in acute care?
Sounds like your experience may be in clinic and you are testing for acute care. Is this the case?
What would be the best way to go about getting good at acute care
(particularly ops) when you only have clinic/ER experience. I've got 10 years of experience but none in acute care and I'd like to expand what I can do. I don't have much extra disposable income so can't see taking any formal education at this point, but can you give any other suggestions? I know I can just read up on stuff, but there's just so much to know that I don't really know where to begin! I'm also very wary of just jumping in at a big national. I guess I'm worried that I've done the same types of reports for so long that my terminology beyond that would be too rusty.
Thank you!
How about finding PT acute care, sm
If you can handle an extra part-time acute care job, they would be paying you and you would be getting the experience. I think the tapes are a joke and a complete waste of money. I never learned anything about MT from the practice tapes in school and I went to a reputable community college for a year for transcription. The true skills come from doing live dictations where you get actual feedback from the dictator or QA staff.
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