I agree with you, Nana. It's an uphill battle. SM

I do my part by being very lenient with the MTs when reviewing work -- i.e., I don't count off for using cc versus mL or for typing Alzheimer's instead of Alzheimer, etc.  The dangerous abbreviations list is for written notes and orders on the patient's chart.

The flip side of me being lenient is when another QA person counts off for things I've been lenient on, then the MT throws a fit and says "well one QA says one thing and another QA says another."

So, there is a need for a standardized set of rules across the board that all companies should adhere to.  I'm just not sure AAMT or whatever they are called now are the people for the job.  It should be a committee made up of MTs and dictators.

JMO

• cc is for solids and mL for liquids - sm
  • RE: cc versus ml - klownmom
  • to sue who e/m'd me - sm
    • Why not just reply to her e-mail??? (nm) - joan
  • cc=mL from what I've seen - Not a mathematician
  • and the QA people wonder why we ever get anything right. It is always changing. - ME
    • QA didn't make the rules or change the rule. We have to learn 'em - SM - QALady
      • Well now, - nana
        • I agree with you, Nana. It's an uphill battle. SM - QALady
          • Agreed, standard set, so - nana
        • AMEN Nanna - Way to Go
          • You are so right on - nana
  • We have been told to use mL for all, regardless if dictated cc. Dangerous abbrev. blahblahblah nm - Bwhup
    • Ain't it great that - nana
      • I, for one, stand with you. - nm
        • I agree, too. I'm just so tired of it all, don't have the energy left to argue with 'em any - Bwhup

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http://www.cnn.com/2005/TECH/internet/10/26/internet.calls.wiretap.ap/index.html

For those MTs like myself who access their work over the Internet, would this consist of violating the HIPAA laws?

I am not very old, but have been doing this a long, long time.  I worked on a typewriter with carbon paper.  Strolling down memory lane!  What a joy!  I'm sure you found out like I did that the world of computers has made life easier to a degree; however, like you I am from the old school where I still pull out my Stedman's even though Google is just a keystroke or two away from me.  I guess I just feel better seeing it in black and white on paper.  I have had to learn to dwell amongst this wonderful cyber world!  I love this board, and I liked your post.  Well put!  We need you Nana!  Keep up the good work!  The new MTs coming into this field are the wave to our future, and I feel they deserve a chance.  We were all new once.  A lot of us were fortunate enough to work on-site for a long time before diving into the shark tank from home!  LOL - This helped me so much!  I am still learning each and every day even after this long time and I am loving every minute of it.  MT or BUST!     

Can I get more advice from you on that first way you do it - when I talk to my boss Monday? 

How long have you been doing this?  Is it working to everybody's satisfaction? 

Please write to me if you have anything more you can share about it.  I'm working for a walk-in clinic with about 5 centers and they are going a little crazy at the moment trying to figure out how to do all this.

keywestsweetie@gmail.com

Thanks

Chrissy

I wanted to move this discussion back to the top so I started a new thread.  She asked if I share any websites or information with the MTs I QA and my answer is, I do.  

For instance, when looking up a doctor's name, did any of the MTs here know that most states have a state department for professional licensing where you can look up MDs, DOs, physical therapists, nurses (both LPNs and RNs), etc?  So in addition to using the AMA, website which is great because you can do a sound alike search, you can also go to each state's licensing website.  I should add that no one ever told me this when I was an MT.  I just discovered it on my own because I cared enough about the work I put out to make sure I exhausted every resource possible.

Another nifty, self-taught, trick of the trade... I have the website for every facility for every account I work on in my favorites.  A lot of times a facility will have a doctor finder on their website.  In addition, they may say the name of a ward or department that you might be able to reference on the website.  Not to mention, it helps to know where the facility is located for future reference such as when a dictator mentions a place of employment in a patient's social history.  If you know where your facility is located, then you can look at the yellow pages online for that area.

I always share any great terminology or drug websites I come across.  There's a great website that will list most every hospital in any particular state and a link to that hospital's website.  All I had to do to find that website was do a Google search for "hospitals in Arizona or California or Texas" (whatever state you need) and I found theagapecenter.com website.

No one person ever sat me down as an MT and gave me a step by step on how to use my reference books or the internet.  I taught myself because I CARED.  That's the problem with a lot of the MTs I QA.  They don't care.  The say the MTSOs only care about the bottom line, well the MTs only care about the bottom line too and the end result is poor quality and subsequently loss of American jobs.

But so what?!?!  I'm just a dragon lady and most QA people are just big meanies anyway.  MTs can keep blaming everybody else for their low wages and offshoring, but it's time to step up and take some responsibility.

he speaks perfect English, especially when asking for money!  Also, in my opinion, blanks should be left in the doc's dictation if not able to be transcribed, maybe then they will know that are NOT understood.  With QA fixing them, what need is there for them to care if we understand them or not? 

I mean afterall there is no evidence that she is dead.  From the beginning I thought they were guilty and I still think that Joran knows something (not saying it was an intentional murder-- probably an accident)  The biggest thing that plays on my mind is why did they lie in the beginning if they were innocent.  I believe that they were covering up for something.  There have been theories that she went for a swim and drowned but there has been absolutely no trace of her.  No shoes, handbag, nothing, which leads me to believe that everything was gathered up and taken somewhere. 

I feel for the family but they need to let the Arubans do their job abiding their own laws.  I know the mother has said she will stay until she finds Natalee but you can't live in Aruba forever.

I think you have to blame Natalee herself before you blame the chaperones.  What was she thinking going in a car w/ three strangers in a foreign country???  And also, what about her friends.. what were they thinking letting her go to the bar or leaving the bar alone?  Back when we were in college and were on spring break or just bar hopping in this country..... you NEVER let your friend go off w/ some strange guys.  That is just common sense.

Evil does exist no matter where you go and my post was meant in no way disrespectful to you or your opinion (I hate it when a flaming war starts like the ones above).  I just know how one seemingly insignificant comment can start a whole line of growing misinformation...  Kinda like that game we probably all played as kids..telephone or whatever 

I did not hear about the comment of America being the Great Satan, that is interesting, I am going to have to check that one out! 

IN some cases we did, but do you really think the Indians didn't do the same?  There is a myth about indigenous peoples on any continent being "noble savages," but in truth, there were warring thieving tribes among the Indians here who leeched off the peaceful tribes before the Europeans got here.  Lying and cheating are not exclusively European virtues.

I still say they need to get over it.  We spend way too much time in this country talking about mistreatment and ills of the past - we need to spend more time and energy on building a future for the children and grandchildren we say we love so much.  The best way to give them a successful, peaceful future is to let go of our resentments and choose to love our children more than we love our grudges.

Degree in advertising and marketing and promotion and choosing to do MT. How pitiful is that?

I can do 1800-2000 lines a day, so 1000 is a piece of cake.

That is what I am working on, keeping at it.  Hard right now for me with 3 kids at home and in my face sometimes.  But only 1 month till school.  Ahhhhh, cant wait!  Still, I find that after my 1000, I start to dwindle a bit.  I want 2000 a day, so that is my goal I am working towards.  Have to find ways to motivate myself. 

I also strongly agree with you about the attitude component.  That plays a major role in our jobs.  With changes coming on board at my company, I find the better the attitude, the better it all goes for me. 

I have to look up every single lab test that she abbreviates (incorrectly) because our account does not allow for ANY abbreviations (for this reason, I guess).  She has listed over 37 different lab tests in this report and half of them she abbreviated incorrectly.  I have to look them all up in Stedman's path...if not in Stedman's path then in Stedman's abbreviations, and then if not in Stedman's abbreviations on google or path sites.  I spent over 2 hours on this one 27-minute report. 

I normally love the long, meaty reports especially if they're OPs.  But this woman obviously didn't know what she was doing...and the worst part is that she isn't new.  She does this all the time.  I cringe when I see her name show up in my job list, which it usually does about every 5 months and then 10 jobs in a row.  So I'll probably spend all 8 hours on just her 10 reports and be lucky to make 800 lines.  Yeeehaww.

I've read your post and Sandra's, and I agree with Sandra.  I would not want you typing my medical records or those of my family, I can certainly tell you that.  Lord only knows what would end up on there.

(Amy would type:  The patient had a right knee "baloney" amputation.)