H&P, Consults, OP reports & Discharge Summaries. nm
Posted By: MTisMe on 2009-06-24
In Reply to: Basic four? - Arkaidy
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- Basic four? - Arkaidy
- H&P, Consults, OP reports & Discharge Summaries. nm - MTisMe
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Discharge summaries are the pits. Consults and H&Ps might get better, maybe not.
Discharge Summaries
Hello, can anyone help me? I have done medical transcription for three years at an acute care clinic. The doctor I worked for bought me text books and tested me until I had sufficient knowledge in the subject, and I became his medical transcriptionist.
I am now trying to find a job doing MT work at home, and I am currently taking an online test for a company. My question is, if a specific format is not indicated, which format do I use as a default, for
discharge summaries, acute care, operative, and radiology.
any help would be appreciated.
amber
Discharge Summaries (sm)
Do any of you do all discharge summaries? If so, can you build up speed if given the appropriate time to learn the account?
Discharge summaries
Not a mental block. Just a REALLY slow work type for me too. Hate them too, but as perverse as MQ is, I get them all day long!!
Ask to start out on discharge summaries. I'm sure you can
NM
Basic 4 = op notes, consults, H&Ps, Disch. Summaries.
Most services want at least 2 years of experience and a high score on a screening test. Consider your options carefully and read the archives regarding pros and cons of working for services. A few are great; most are not.
I do OP notes and discharge summaries and type about 500 lph
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absolutely love discharge summaries nm
nm
Are acute care discharge summaries (sm)
Considering job for small hospital doing DS. Rating 1-10, difficult being 10, easy to learn. What is line count compared to clinic work.
I used to have to type DSs (discharge and death summaries.)
It was tough, especially the young mothers or children.
Hospital work - history and physicals, op notes, discharge summaries,
s
Lot of 5 to 8-minute reports, preferably ops and consults. nm
nm
LOL!!! Consults sm
I got a bang out of your Alzeimer moment there. Today is Monday so I'm having plenty of those myself. Join the club.
Consults. nm
x
Same here, but I mostly do H&P, consults . . sm
on elderly people. So boring. I actually like when I have to look up a word because it breaks the monotony. Of course, I don't get paid for that so it is a catch-22.
Consults.
xx
on my account, they do their H&Ps and Consults
How does one get by with saying they don't do correspondence?
Oh, I thought consults were H&Ps.
Usually on inpatients, they are admitted under a service depending on the problem. I do not have a whole lot of acute care, so it is interesting to hear the responses.
death summaries
I've typed several that have left me sobbing, spilling tears on my keyboard quite literally, over the line: The patient passed away peacefully with his entire family at the bedside. After I would dry my tears and wipe off my keyboard, I would wonder why that statement was deemed medically pertinent?
I meant, do you have choice of discharges, consults, H&P's? Just
???
The basic 4 are discharges, op notes, H&Ps and consults. Sometimes
referred to as acute care.
Discharge summary TAT?
What is the minimum and maximum TAT for discharge summaries have you had?
Breast discharge
I saw my doctor today for breast discharge, amber colored, from several ducts in the right breast. I am having a mammogram Friday. My doc did not feel any lumps. I am very nervous.
Has anyone had an experience similar to this and have some possibly reassuring words for me?
Thanking you all in advance.
how about 54 discharge meds??
That's got to be a record, at least from my end -- i was thankful when he dictated that reader was referred to chart for most of them -- wow. how can a body handle all that really??
I have an account where former MTs dictate dishcarge summaries for docs. sm
Believe it or not, they are the WORST dictators!! For people who should know the terminology and pronunciation of medical words and meds, they sound like first-graders trying to sound out every other word. I absolutely hate doing their charts. They are both American, but they're worse than ESLs for even basic medical words.
The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
Your English teacher does not do medical reports. This is for medical reports.
.
rad reports
I've never heard of such a thing and I wouldn't want to do it. Just curious. what company is it?
I do OP Reports also, about 500 lph. nm
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X-ray reports
One of my accounts are beginning to do simple x-ray reports, chest, foot, hand, etc. Anyone have samples as to headings, etc. I have not done them for so long, cannot remember headings such as Exam, Indications, Findings, Diagnosis, etc. They just told me to take what they say and make it "look professional, nice and neat." "As you always do with our reports" they say.
Thanks for your help.
ER Reports
I am going on a job interview and I have to type some ER reports for the skills part of the pre-employment exam. I was wondering if anyone knows where I can find some examples of them. I have been out of school for a while, and right now I just do surgeries and clinic notes. Any help would be greatly appreciated. I need this new job so bad, it has great benefits.
ER Reports
If you follow this link you will find something that might help. You will do fine. 
http://www.mtdaily.com/mt1/ersample.html
Every 3 reports
Now that you mention it, I usually feel the need to break after about 3 reports or so depending on the length, but that sounds about right. I noticed that one day, but I never thought of it again until you mentioned it. I keep a written log myself aside from what the computer keeps, I always have, it is a habit. Anyway, I usually keep my reports documented in groups of 3 or 5.
ER Reports
I just got a new job at a company that services emergency room docs, so I will only be doing ER Reports. I have not had much experience doing them. Are they pretty hard? How should I prepare myself I start Monday?
ER reports
My secondary account is an ER account, and I love it. They are short and sweet.
ER reports
Just smile - you're on easy street! Hopefully you will have good software that lets you make your own normals with stop codes. You just jump from spot to spot with lightening speed most of the time.
It's reports like these
that help me realize that I don't have it so bad afterall. I guess we all take things for granted from time to time. I appreciate eye-openers like this and try to be more thankful, even when times are tough.
Op reports
I have been doing surgeries for 10 years and just love it. I do radiology all day so at night, surgeries are a nice change.
ER reports
Was there a posting on the boards recently about doing mostly ER reports? What was the name of the company? I cannot find it now. Thanks.
Can someone tell me about how many reports 250
minutes of dictation is? This is for a radiology account.
My company tells us the backlog in minutes and when I ask them about how many reports that is, they can't tell me either.
Just curious and to help me decide how many hours to work also.
those of you who do op reports
I checked archives but didn't find much info - I don't do many op notes, and therefore don't have many reference books. Do you use Google or could you recommend a really good book for me to get? Thank you in advance.
lab reports
If there is ever on thing worse than a speed demon ESL, it is a speed demon ESL doing labs. Anybody know where to get a good full sample of a completed lab report?
same as any other reports...
around here it is about 11-12 cpl for a 65 char long line. No reason to charge extra because it is a sleep study.
ER reports
I dont know about you, but I think you need a cast iron constitution. Some of the ED reports I have typed have almost made me sick. But for variety, you can't beat them. Be prepared for a lot of ESL's and docs that dictate all in one breath.
Different pay for certain reports
Does anyone else's employer pay more for some reports and less for others?
Our employer pays 92% of the standard line rate for ER reports and yet pays 105% of standard rate for operations. I have a real problem with this. My skills don't vary based on what type of work I do so why should the pay scale.
Fax reports
And don't forget to count the time you spend on the faxing, even though you can hardly charge by the hour, your time is valuable and should be included.
Reports
How many lines does 25 reports yield, approximately, anywhere in the range between 3 to 7 minutes long?
What I like about OP reports...
I find OP reports easier than even consults or discharge summaries. I think it is because they are almost the same every time, i.e. there is a standard way to take out a gallbladder. You just have to learn the doctor's style of dictation.
The hardest part for me was learning the names of different types of instruments. I invested in a Stedman's Surgical Equipment Word book and I use Google and get most of the terms that way.
and their OP reports
are horribly long....
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