Hospital work - history and physicals, op notes, discharge summaries,

• acute care basic 4 - Teri
  • I think with just the limited background you have had - Doing 4s
  • Hospital work - history and physicals, op notes, discharge summaries, - and consultations. nm

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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

Do any of you do all discharge summaries?  If so, can you build up speed if given the appropriate time to learn the account?

This is to the person that posted about Diskriter and why she did not take the job. I am also posting on this board as well.

I do not work for Diskriter, however, I can say with complete accuracy (I have a relative that works as a private criminal investigator for large and small corporations) that the reason that a lot of companies (not necessarily just transcription companies, in particular,) that have at home or offsite employees are requesting a physical and drug screen and background check is because:

a) background check is necessary in some cases because the potential employee will have access to SSN#, credit info, addresses, DOB, etc on many many people.

b) physical and drug screens are necessary because the company may be partly footing the cost for benefits, health insurance, life insurance, etc. Maybe they do not want to pay for drug rehabs (think about it)

c) drug screens - let's face it, some of these companies are sending equipment, vital information on people in the US, paying for travel for employment, etc (i.e. carrying drugs on planes, stealing ID for credit card info, stealing and reselling computers and equipment that was shipped to the potential employee, etc)

You would be surprised the things I was told about, including arrests for identity theft!! In the last two years, a TON of arrests have been made by investigators and agencies on people working at home!! Police are making drug arrests at homes and low and behold, some of the arrests are people that work at home doing a "day job" while dealing out of their house. Nice little sideline income, don't ya think.

So think about this - if a company is going to pay for a physical and drug screen for you to be employed with them, don't be offended by it. They are protecting themselves and their clients from potential identity theft, druggies, and thieves.

I'm sure I will be slammed for this post, but I know what I am talking about.

You could easily be the victim of identity theft and guess where the source could potentially come from? Transcriptionists. Think about it - we have access to some hospital databases that require us to put in patient information from the patient database, that means addresses, ID#, etc.

I PERSONALLY knew of a transcriptionist from NYC that could barely function more than 2 hours a day because she spent the rest of her day stoned out of her mind! Did you read the thread about traveling transcriptionists and drug screening? Do you want somebody stoned or high or meth'd up typing your hospital records?  So what's to stop them from taking it a step further and commit identity theft. 

I have 30 years experience in MT work and for the last few years have been able to do exclusively operative notes which is what I love.  I have been very happy with current company but have to start my work day early in the a.m. and now my account has been overstaffed to the point there is no work in the morning.  While there is plenty of work late in the day, there is nothing in the morning and so I feel I must look for another company for at least part time op work initially and if it works out I could go full time.  I have left my email address so please feel free to contact me.  Thank you very much for any help you can offer. 

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.

I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 

They called it a 'CryptoCard' and it was about the size of a credit card.  You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time.  It always changed....security precautions.  I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.

I have a physician list and I have a website to look for other doctors. But how can they expect me to know how to spell patients' names? They can't. I have a disclaimer at the top of my log sheet that says common or phonetic spellings will be used where patient name spellings are not provided.

That was the thing that held me up when I worked "live" from home for a hospital. All that diddling around finding out whether it was "Kathy" or "Cathy"  -- I don't do that any longer and you're right, it makes a HUGE difference.

I would think you applied there.  Anyway, we get paid by production in-house at 9 cpl.  Only time hourly pays is when we take time-off, equipment malfunction and of course meetings.  The only thing I don't like is that the hourly people (coders, clerks) dont' understand that and want to visit and get offended when we tell the we have to work.