I do OP notes and discharge summaries and type about 500 lph
Posted By: I'd be alot slower doing clinic work because do on 2005-07-27
In Reply to: line counts doing acute care ???? - dls
x
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
Hospital work - history and physicals, op notes, discharge summaries,
s
I used to have to type DSs (discharge and death summaries.)
It was tough, especially the young mothers or children.
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
Discharge summaries are the pits. Consults and H&Ps might get better, maybe not.
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.
H&P, Consults, OP reports & Discharge Summaries. nm
x
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
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 saw a couple of these same type notes go out
to people several months back and I too was flabbergasted. What happened to the professionalism in this profession?
I love 'em too but type everything else but and Progress notes (sm)
DOUBLE YUCK.
I know a group of Docs (GPs) that type their own notes!!! OUCH! nm
x
Generally 200 lph, but depends on work type, I can do more with OP notes, has to do with motivation
I hate HP, consults, and DS, but that is the majority of what I do. I always, always do better with OP notes.
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?
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.
don't type double spaces. Type single. Then no one will be cheated.
x
I can type with wine, can't type with coffee, though...too jittery.
x
That is, type the code above before and after what you want bolded in the text-to-type box. nm
nm
For me it isn't an account type but a dictator type ...
and that would be oriental. An oriental dictator (hahaha, that kind of sounds funny...hahaha) is the most challenging for me.
No, you don't type directly into ES. You type in Word -
or whatever their platform is, just like you did with your tapes.
Then you do your line count in Word or the platform.
You should type them. I usually type them in parentheses following the diagnosis.
x
remind me, type what they say, type what they say, type....
"He indicated that at the beginning of the year he complained of health problems recently but has gotten better." C'mon doc, which one is it?????
Shorthand users: Is there a way to type a word, use a slash and then type another word..sm
immediately following the slash and have it expand. For example if I needed to transcribe mass/sebaceous cyst, is there a way to use my expanded sebaceous cyst without having to back space after I type the slash mark? TIA
ER notes
Don't worry. It has been my experience being a Transcriptionist for a huge hospital that I loved the ER notes the most. They are really pretty much abbreviated H&P's and are sometimes the most interesting reports of all. Not nearly as difficult as some surgeries or discharges notes can be. Simple and brief and sometimes a really good story.
OP NOTES
I just started doing op notes at the hospital I work in and it is hard as there are so many different instruments they use that I have never even heard of. I use a surgical word book and Google a lot. That's about it.
To me, O.R. notes
 get really boring. I prefer discharges - just my personal opinion. Plus once I get used to them, I can go really fast.
Doc notes
I do two internal medicine Docs, SOAP notes only and minor procedures and love it I also did other specialities, but all that was lost to outsourcing to INDIA!
op notes
Operative notes. Perhaps as far a leap from clinic work as is possible. Not something for you to jump into with no experience.
Not op notes but
This site has brand names of surgical instruments. You can choose by speciality and manufacturer also.
http://ptiresource.50megs.com/about.html
Even for op notes? sm
I can see where being paid this way would have its advantages when doing DS and work types where there is a lot of paper shuffling, looking for values, etc., but I am concerned about op notes where the dictation is speedier.
OP notes
I love doing OP notes. They are so interesting. Anyway there is a website that I use now and then and it is
www.mt911.com it also has samples.com on it and has alot of different samples.
Also a good reference book is The surgical word book by Saunders.
Hope this helps.
OP notes
I only type OPs. I have done it for 8+years and LOVE IT. Its a niche that is hard for companies to fill, it seems. I would say it would be a great move on your part. Good luck!
Op notes
At my current company, op notes are paid at 9 cents a line for over a year experience. At my previous company, op notes were paid the same as any other type of report; cpl was based on difficulty of the account and ranged from 7.5 to 10 cpl, with op notes being paid the same as other basic 4 reports.
OP notes
If you already work for a service, maybe they have OP accounts. I would tell them you would like to learn. Ask if they could assign you a few each day and have them go to QA for feedback.
I would also buy a few surgical reference books. I feel the books are much easier to use than Google because so many instruments, brand names, etc, sound alike.
Good luck. I love my OP accounts.
RE: OP notes
Some people like OPs and some people like DS. I like DS. They talk too fast on OPs. If you can get them down, they say about the same thing. You can put that in your shortcuts and make more money just by popping it in there.
OP notes
Any good sites for OP notes?
thanks Lori
Op notes
Does anybody have any tips on the best places to specialize in op notes? I need a place where I can do heavy volume ops -- not interested in basic 4 stuff.
Thanks.
me too as far as the notes and sm
standard phrases for certain docs go. It was nice when the docs would come in and talk too or even fuss sometimes! haha Most MTs knew how to come back at them and didn't take a whole lot off them and didn't have to. They respected us (at least most of them) for that. I think there are actually docs now that don't even realize there is a "person" behind all of this doing MT. NEver thought I would see this profession get like this taht's for sure.
And probably her notes look like
Op notes do fit in expander (nm)
x
So if you've never done OP notes,
do they figure 3 out of 4 ain't bad????? 
Would like to exchange notes..sm
I'm thinking along these same lines..email me. I have some questions.
Love OP notes, which I could do them always. nm
xxxx
I'm used to op notes, been doing DS lately, hate them. nm
nm
Chart Notes
Was wondering if anyone could help me out. I need to see some example of different ways to set up chart notes. If anyone knows of a place on the net i can view these of would send me some blanked out that would be great!!!!!
Thanks,
Jackie
|
