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Ever think that maybe 15% is going to QA because of LOUSY DICTATION? nm

Posted By: more than one factor here! on 2005-07-19
In Reply to: I think you need to see it differently ... - Busy MT'ing

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I will not put up with lousy
accounts solely to profit the MTSO and doctors. The bottom line is if they can't provide me with profitable accounts, I'm outta there. I am so tired of being given the ESL and rambling dictators just because "nobody else can do them." TOUGH! Why should I make peanut wages doing the tough work because other people can't hack it?
I must have a really lousy account.
I can do anywhere from 100-150 lines per hour at my job WITH an expander.  I rarely have to look anything up, except for patient information and addresses, which is time consuming and really annoying.  The work is not difficult at all, but needs to be "cleaned up".  However, I felt completely inadequate seeing my crummy production rate.  That is, until I figured out my lines per hour with my small IC account.  210 lines per hour WITHOUT an expander.  And this guy pays me by the gross page.  Imagine what I could do for him WITH my expander.  Hmmm....  Gonna have to think about what I'm going to do here to even out this production disparity.  I wish I could find another job like this guy.
Not a lousy reason!!!!
since it only takes a course that you can take on-line!!! 
I can't believe what a lousy attitude this MT has
That certainly isn't the way to get a better raise next time.  If I were in your position, I would start training someone else for this job. When that person is up to speed, sayonara, Ms. Bad Attitude.
Lousy dictators
Hospitals and clinics have no policy or rules against speaking to a physician about his lousy dictating habits; however, they just dread the situation. I've been there and done that.

For those working within the hospital, you usually know which docs you can and can't speak to about this. Seems their egos are so fragile they might bruise, but really, who cares? We are talking patient care, which is what all of this is supposed to be about, right?

MR directors are usually the ones put in charge of "talking" to them or transcription supervisors but it all depends on the doc. Some are open to suggestions and really don't realize they sound so pathetic. Others know and just simply don't care...like I said before; they think they are gods and no one should dare approach them and even if you do, they then make snide comments while dictating and I have seen them get even lousier with their dictation....which says what about them? They DO NOT care about the patients, just themselves....
How about fine for lousy .... SM

dictations?   It costs us time and money with every ..uh ... aah ... ug..."The patient ..(shuffles paper) ... is a ... no, this is the wrong chart" . ... zzzzzzzzzzz .. 


"Okay, let's start again", please go back up to the top ....  "Please delete that first paragraph " ... hiccough ..... aaaach ....   Uh .....  ...hmmm ... let's see...


lousy accounts/dictators
I also lost my best & longest account because the hospital did not renew their contract...so ok, took the bait about a new account with great dictators, their biggest unbreakable rule is it is VERBATIM all the way, don't clean up the doc, etc.
Have the nicest sounding, very polite, all american dictator who can not keep his concentration or needs to go to MT school, I swear. I actually typed the report verbatim...then counted all the Patient's, patient...both billaterally...15, count them,15 times throughout the report!!! If I could have put in the ummms, and ugh's, I would have made my line count just on his dictation alone
Are you a bad MT with lousy quality work?
My calls are answered immediately, i've been on the same account for years, i'm praised for my work, receive emails thanking me.  Maybe its YOU and not THEM?
No...not Mass....but QA is pretty lousy
this isn't the first time I've had trouble with them.
If you're lousy at speaking up for yourself,

It sounds awful, I know.  But you've just got to TRY to get past that uncomfortableness!  If you don't speak up for yourself, no one else will.  Don't sign that contract.  Call them up and tell them you need to raise your line rate.  Raise it a reasonable amount, and stick to your guns!  I know it's scary, but there are a lot of places out there hiring if your current place is going to walk all over you.  Good luck!


Even to start with, $14.00 an hour is lousy pay for ANY MT work...NM
?
a good post, NOT; lousy focus you have
first you sling insults at MQ as a 'nonbusiness' -- do NOT back up your accuations with anything whatsoever substantial and then drift into 'mumbo-jumbo' about how the profession has degenerated --

MQ is the giant because they are VERY good at business -- and they give me and lots of other MTs a fabulous job and are always improving as a company...as far as the profession, yes it is changing, as everything else in our world. So we either adapt, or get left behind and whine. If you are all that unhappy, it looks like time for you to move on to greener pastures in another line of work.
I wouldn't work as an MT for a lousy $7.50 an hour OR
.
oops, meant yes, it is a lousy wage
.
Opinions: Do You Think $12.00 An Hour Is A Lousy Hourly Wage For An Experienced Medical Transcripti
Opinions?
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.
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?