I agree that if it hurts the patient's care you should speak up.
Posted By: AzMT on 2006-04-05
In Reply to: Quick Question.. sm - KYMT
s
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- Quick Question.. sm - KYMT
- I agree that if it hurts the patient's care you should speak up. - AzMT
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Probably something in patient care, maybe CNA. sm
They make about as much as I am making and with benefits on top of that at the hospitals around here.
Do you think patient care will suffer any?
will treat the laptop like it is you, and ignore you, the patient.
I think the average patient would care and
would think, 'Wow, they sure don't know English.' And what about all the abbreviations a lay person woudl certainly not understand.
where did you get the idea we were involved in patient care?
We are typists with a specialized vocabulary. If we were doing this for NASA, it would not make us rocket scientists.
I am neither advocating, nor participating in, low quality - I do the very best I can with the experience, knowledge, and tools that I have. The fact that employers do not want to pay me enough to survive, thus making my trips through *QA* a little more thorough, ensures that I will get through reports as absolutely expeditiously as possible.
My bottom line is MY survival. Good luck with altruism - it doesn't buy much at Safeway.
vent on failure in patient care
My husband took my son to see the doc for a tetanus shot after he stepped on a nail. I'm always transcribing and couldn't go there myself. After coming home from the doctor's office, my son and husband tell me that his foot was never even looked at by even a nurse, let alone the doctor. My son got the tetanus shot, and the paperwork said "do not give if a fever is present." Woops, they didn't even take his temperature. Rather than looking at his foot to determine if it was infected, they just asked my son if it was infected. I called the office totally irate, and they reduced the charges from $88 to $7. Wow, didn't expect that. It's a crying shame that we're a society so hung up on paperwork and billing (HIPAA, etc.) that a doctor or nurse would not even take the time to actually look at a patient's wound. What's really ironic is that very day I transcribed a report where the doctor states the patient shouldn't self-medicate with vitamins and supplements. So, we're not smart enough to determine what vitamins and supplements to take, but we are expected to determine whether or not we have an infection?
OR, instead of being funny, it could hurt patient care.
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A 2-day strike will not hurt patient care
it will give the physicians something to think about when they have to hand write their STAT H&P for patient's surgery tomorrow.
just like quality care for the patient is going out the window-nm
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Anything an MT can do when you have grave concerns about patient care?
Is there anything at all an MT can do when you have grave concerns about the care a patient is receiving? I know the answer to this is probably no, but I am so completely frustrated with my one of "my" doctors right now. I know that one of his patients is not receiving the proper care, and I am really worried for this patient. I wish I could contact the patient's mother and let her know my concerns, but I know that is not allowed and I would be fired for doing so. I know that I'm not anywhere near as smart as a doctor, but my son has the same condition that this patient does and I know that the patient is not receiving the proper care or even the correct diagnosis. It is hard to go into all of the details for confidentiality reasons. I just know, 100% sure, that this patient deserves better care than he is receiving.
Sometimes the virtual world that we work in is great, and other times it really stinks. If I were working in the doctor's office I could gently share my concerns (maybe I would still be fired but I could give it a shot). Here in this virtual world where the doctors don't even know I exist I can do absolutely nothing.
I'm just so frustrated at the doctor and so very worried for this patient.
ONLINE nursing program? Do you not care about the patient's well being?
/
And all this time I thought the bottom line was patient care. nm
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Could your hubs become a patient of a home health care agency and then you could work for them
s
The hosptial administrators aren't interested in safe patient care.
I venting as a patient! No doctor cares if I live or die--could care less in my eyes!!!
Study found that electronic health records did not boost patient care. sm
Link to article on yahoo news stating that electronic health records fail to improve care, study says.
http://news.yahoo.com/s/nm/records_dc;_ylt=AsT2t1nasUEaoOxgIsyoMUOs0NUE
I know it hurts, but it hurts a lot worse when you
don't have a million(s) dollar salary and you have children involved that will be emotionally damaged for life regardless.
I'm not bitter, he was abusive and I didn't like him anyway after a while. It was over 20 years ago, but my 2 kids (notice I said "my" and not "our") still have emotional issues after years of counseling.
Hey, I learned how to make a can of "Spaghetti-O's" feed 3. And when the "father" had to start actually paying court ordered child support, he cut off ties with my kids.
Been with my second hubby for 13 years and he's a great guy. He gets the Father's Day cards. If he cheats and I find out, he won't have a leg to stand on. Not because I'll take the chainsaw to him, but because I got wise years ago and everything is in MY NAME.
"As God is my witness, I will NEVER go hungry again!"
I was referring to new MTs and I don't care if you agree
p
Agree. Not like pt's care hinges on whether U t
x
Agree, which is why I no longer do acute care.
I do think acute care work should pay a lot more than it does. I did acute care for quite a while and gave it up because I make so much more doing clinic notes with A LOT less stress. Why work harder for less pay? Makes no sense to me.
I completely agree. I don't care how long it's been a 'tradition'.
It's pure senseless slaughter in the purest form. Maybe they should have "running of the Spaniards" and see how they like it! 
I agree. And as someone posted on another board here, it's hard to care about it when the dictat
Being these are pretty darn important documents, it's equally as important for us to get it right as it is for them to slow down so we can truly actually hear what they're trying to say. It's a joint effort that often falls short on their end for whatever reason.
As far as company VR for critical care it is not very good and I agree with the other poster. I tend
to leave little words in or if I have to take a lot of words out an extra word gets stuck in. It is a mess. If you are speaking of your own person VR at home to help I know nothing about that. With companies at this stage of the game you will not increase your productivity as you think.
Putting patient versus The patient (sm)
When did this "rule" come about? I've been an MT/Editor/medeical records tech/ART for 30 years - Never, ever was I told to put that. You cannot make the sentence be "The patient sent to Radiology" but you can put "Patient sent to Radiology."
Thats just insane.
of course they speak english, with an accent but they speak British-English quite well.
And I can't speak Indian so I guess they have an edge don't they?
So sorry, I know how it hurts
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It hurts a bit - think of something else...
I have the ubiquitous shoulder tattoo (Pegasus) and I also have a custom design on the soft, inner part of my forearm. I like that one best because I can see the whole thing without getting into contortions. It has been touched up one time - the color red fades over time. Yeah, things change as you age, so what?
I got both after age 50 (over 10 years ago) and have never regretted it.
Never hurts to try!
I just got some the cover-your-whole-ear noise canceling headphones. They are Logitech and I got them at Staples for about 55.00. They are the best ones I have ever used. I got some stethoscope style ones not too long ago at Transcription Gear.com and they did not last more than a month. I did not even try to take them back though, I just hate returning things I buy on the internet.
Never hurts to ask. All they can do is say no!
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it hurts me too, but --sm
it would not necessarily be that way, the us vs them factor, if someone from either *side* had not criticised in the first place. It is what I call *defense mode*. what ever happened to the saying *if you don't have anything nice to say, don't say anything at all?* Why can't we all just get along rather than starting a war over simple *words*? just a thought.
It never hurts to ask. nm
that hurts to look at
Please never clatch two numerals together like that for no other reason than it hurts the eyes.
cherrypicking hurts EVERYONE sm
you are supposed to be part of a team! Do you even know or care what that means? As the other poster stated, SHAME ON YOU! 
It never hurts to try. It's actually, I thought,
easy to learn and I really liked it. Although, bear in mind, it has a language all it's own but once you catch on, you will do fine. Give it a shot. You have other transcription experience so that would be a big plus as well.
Why Outsourcing Hurts Us
Interesting article!
http://www.vdare.com/roberts/050822_hegemony.htm
America's Lost Hegemony
By Paul Craig Roberts
The historian who chronicles America's decline will lay the blame on free market ideology.
I say this as a believer in the market. My books and scholarly articles demonstrate the superiority of market systems over government allocative schemes. The problem arises when market economics ceases to be thoughtful and becomes ideological or a dogma.
A good example of the latter is a recent Heritage Foundation study that argues that global outsourcing is the best way to equip the US military with the best technology at least expense. The study brushes away concerns with the erosion of the American manufacturing, science, and engineering knowledge base by asserting that such concerns imply protectionism and that protectionism means the death of innovation. ['Buy America' Provisions Don't Help Homeland Security or National Defense by Alane Kochems, June 21, 2005]
Protectionism can be problematical for innovation, and the study is correct to point this out. Where the study fails is in ignoring that innovation does not take place in a vacuum. Innovation requires a material base and depends on a strong manufacturing, science and engineering foundation backed by R&D programs.
In an interview with Manufacturing & Technology News (August 8), the study's project leader, Jack Spencer, sees protectionism as the only threat to American innovation, which he otherwise takes for granted:
"Our belief is that subjected to the free market, the United States is still going to produce most things because our comparative advantages are innovation and new technology. If liberated from protectionism, we can compete and that is where we will always emerge as winners." [Heritage Foundation Says Congress, DOD Should Learn To Live With Globalization; Providing Troops With Best Equipment Usurps Making It In America by Richard McCormack]
This belief is simply untrue. As this belief is the basis for the study, the study has done nothing but confirm a preordained belief.
The US has no God-given comparative advantage in innovation and new technology. We were leaders in these fields, because we were leaders in manufacturing.
We were leaders in manufacturing, because Europe and Japan destroyed themselves in wars, and the rest of the world destroyed themselves in various forms of socialism and cronyism.
America's hegemony in manufacturing, science and engineering was the product of historical circumstances. Moreover, it occurred despite American protectionism.
The historical circumstances have changed. The US gave away its scientific and engineering education and its agriculture. It did this partly for idealistic reasons and partly as cold war strategy.
Once socialism collapsed in Asia, US corporations began outsourcing abroad the manufacture of products for US markets. Success with offshore manufacturing has led to offshore outsourcing of research and development and now innovation itself.
As a recent report from the National Research Council recognizes, "product development and technical support follow manufacturing." One consequence for America is the loss of many manufacturing capabilities and "the increasing availability abroad of unique technologies not found in the United States."
This development is taking a huge toll on America's human resources in manufacturing skills, engineering and science. The first American victims were blue collar workers. Millions of them lost their jobs and experienced sharp declines in the quality of their lives. But as research, engineering, design, and innovation followed manufacturing abroad, now it is white collar workers in information technology and university graduates in engineering and physics who are being displaced.
American university enrollments in science and engineering are declining because there are no jobs for graduates. It is pointless to invest money, sweat and toil in an education that has no payoff. Markets do work. Markets are working to shrink the demand for, and supply of, American engineers and scientists.
The next impact is going to be on project manager jobs, practically the sole remaining source of career related employment for many engineers and technical people. Project management jobs require people experienced with the technology of the job. The loss of technical and engineering jobs empties the pipeline of people who have the experience to assume management positions. Far from being able to innovate, the US will even lack the human resources to manage technical and scientific projects.
Many uninformed people believe the problem is that America doesn't produce enough scientists and engineers. Manufacturing & Technology News reports that "a group of 15 US business organizations has launched a national campaign aimed at doubling within 10 years the number of bachelor's degrees in science, technology, engineering and mathematics."
What is the point of this when there is a huge supply of unemployed engineers and technical people who have been displaced by offshore outsourcing and by H-1b and L-1 work visas for foreigners? I know an American software engineer in his thirties whose job was outsourced. After searching fruitlessly for a job for four years, he took a job in Thailand writing software programs for $850 per month.
The anecdotal stories are legion. Yesterday, a friend reported to me that the service technician who repaired his garage door opener said his company was flooded with resumes from college graduates and engineers who cannot find work and are willing to take jobs installing garage doors.
US executives, with an eye to quarterly earnings and their bonuses, continue to spend considerable resources lobbying for increases in work visas that enable them to replace their American engineers, scientists, and technical people with lower cost foreigners. These executives lie through their teeth when they assert the lack of qualified Americans for the jobs. The fact of the matter is, the executives force their American employees to train their foreign replacements and then fire their American workers.
In a word, American capitalism is destroying itself by dismantling the ladders of upward mobility that have made large income inequalities acceptable. By rewarding themselves for destroying American jobs and manufacturing, engineering and scientific capabilities, US executives are sowing a whirlwind. American political stability will not survive the turning of an American university degree into a worthless sheet of paper. Libertarians and free market ideologues who rejoice in freedom should open their eyes to freedom's destruction.
Dr. Roberts, [email him] a former Associate Editor of the Wall Street Journal and a former Contributing Editor of National Review, was Assistant Secretary of the Treasury during the Reagan administration. He is the author of The Supply-Side Revolution and, with Lawrence M. Stratton, of The Tyranny of Good Intentions : How Prosecutors and Bureaucrats Are Trampling the Constitution in the Name of Justice. Click here for Peter Brimelow's Forbes Magazine interview with Roberts about the recent epidemic of prosecutorial misconduct.
COPYRIGHT CREATORS SYNDICATE, INC.
Tailbone hurts
Need advice, my tailbone just started hurting about 2 months ago for no reason, have a Herman Miller Aeron chair that has been the best, but now need some relief for my tailbone. My rearend does not hurt, just my tailbone. Went on line and the good doughnut pillows are tailbone pillows are very expensive, anyone have any cheap home solutions?
i know that hurts but here are a few thoughts....
put the emphasis on your own mother, show them how a mother should be honored on that day (and always) and throw a huge party for your own mother next year. 3 siblings and I did that yesterday (which was also my mom's birthday) and the fact that my two grown children came and brought me little gifts as well was just frosting on the cake, and that had not happened for many many years! Try not to hold the hurt in and just resolve to show them you love them "just because" next time you see them!
It never hurts to include her even if she
doesn't come. It is about not having regrets. If you know that you always made an effort ...then in the end you will have peace about it.
Truth always hurts...
Hostility saying did not think a nurse should have some kind of background in transcribing??? That would be like my not having to have study in order to be a nurse. Stand by what I said in the first place, and you are the one talking about being "seasoned" as if 18 years made an authority. I never brought up my life, career or anything else in my post. Like I said, not anything ugly in my first post and stand behind what I said, a nurse still needs more than an RN license to transcribe. Oh, hey my husband drives an 18 wheeler. I also drive- does that mean I can drive one of those??? Double duh....
My wrist hurts sometimes....sm
And one time my elbow and all up my arm was hurting. I think I need to find some good wrist supports. I have bought 2 different pairs but I can't do the ones with the fingers on them. I need the ones that are just the wrist and no fingers.
I bought one of those, but it hurts my shoulder.
They're awkward to shove around and very loud. The only reason I bought it was because my good vacuum was in the shop. (12 year old Electrolux) Strange how different perception can be from one person to another. My husband keeps trying to give away my Dirt Devil, but I like it for cleaning out the cars.
really the only violation is if they hear it and use it in some way that hurts you...
people keep thinking HIPAA violation is just knowing it. It's not. It also has to be harmful to the patient in some way. Remember this whole thing started because some stu*id pharm tech came home and told her high school kid that Mr. So and So came in and got AIDS medicine, then her stu*id high school kid went to school and told other kids and that is how Mr. So and So's daughter found out her father has AIDS.
It hurts me to see this 'us VS them' mentality......sm
As far as critical thinking in nursing, it means something completely different that it does in MT.
Many of the errors that we see in reports these days are a product of VR. The push is on the MT to produce more and more reports for less and less compensation and unfortunately, some things get missed ----- and yes, they are sometimes hysterically funny. Being a former MT, I always let the person reading the report know that the account is being done by VR (which is true at the hospital where I work) and not a "for real" MT. Not one person that I have spoken to about VR had any inkling this was the case.
I worked as a trainer for a national and can tell you personally that I trained RNs who wanted to make the transition to MT. Some were excellent, some marginally OK, and some just terrible. I am sure that if the reverse were true, some MTs would make excellent nurses, some would be just marginal, and some would be just terrible.
There are different skill sets involved in these two jobs. If a patient were going bad, I wouldn't care if the nurse had good grammar and could spell, as long as she knew what to do clinically for the patient. By the same token, if an MT can produce an accurate, grammatically correct medical record (something that "verbatim" is making obsolete LOL) I wouldn't care if that MT couldn't insert a Foley catheter or start an IV.
I think it's just a case of not having a working understanding of each other's skill sets.
Just something to consider.
snow hurts my eyes
too much glare. It blocks my rays!
My heart hurts. I love House.
I've loved the Stacy/House story. That episode with the kiss in the hotel room while he was on the phone? Man. Can I just say under this cloak of anonymity that I didn't fall asleep on the couch that night. Well, I guess that's beside the point. I love that show..I love House. Hugh Laurie is so great in that role. I really wanted that story line to continue. I like Sela Ward and I hope she comes back. That forbidden romance story line is too good to let go. I think he let her go for more than one reason. He loves her but he is afraid. He knows that he can't change and he knows that at some point she will need more, like he said. He would rather let her go now, back to her husband who I think he likes. He doesn't want to hurt the guy, even though he's in love with his wife. If he lets her go now, she gets to stay in her marriage. He knows that if she stays with House, she will lose her marriage, and eventually things will go wrong with House, and they will both be losers in love. Make sense? 
Not having standards hurts. Some work types just (sm)
don't add up line wise as quick as others. For me Ops are the best line count, consults and discharge summaries are killers.
What good is "sacrafice" if it hurts, not helps,
x
It hurts to pick up a cup of coffee. I do not play tennis
but according to my symptoms, tennis elbow is the diagnosis. Am using a heating pad which gives me relief while it is in place. Am wondering if using the mouse caused this. Made it to 47 without CTS after typing MT since age 19 and have tennis elbow!
I am wondering if this is prominent in those who have been MTs.
Hate is like acid; it hurts the container it is stored in
You really should let it all go.
Only one knee hurts, have trouble with full extension
so I learned how to work the foot pedal with the other leg. The more I keep my post surgical knee bent, the tighter the muscles coming into the back of the joint get. I have to stand and toe and heel stretch to work out the stiffness. Summer will be here soon and swimming does wonders for the knees...it always makes my flares go away.
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.
The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.
If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.
States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.
Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
Absolutely Hysterical!! We did not stop laughing. My side hurts. nm
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