I guess that depends if it is a verbatim account...
Posted By: lb on 2005-11-18
In Reply to: He just dictated she has lots of poop in the - cowgirl
I think even so I would type feces....
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Depends on your account, I would guess.
Some accounts want a strict SOAP format, so you would disregard the other headings.
I personally work on verbatim accounts so we put in any headings they dictate.
Well, now if it is a verbatim account and
the dictator said, "during this hospital stay" and the MT transcribed "during this hospitalization" -- that is wrong. It all depends on what the client profile outlines.
is this a verbatim account?....nm
Even on a verbatim account,
It sounds as if he was obviously having trouble organizing his thoughts. This is exactly why I no longer work on verbatim accounts. I like being able to use my brain and be trusted enough to make the necessary corrections.
Is it a verbatim account?
I to am QA and the only way I would take the and out is if it a verbatim account and the doctor did not dictate it. I don't think QA changes things just to make a change. I know I don't.
Obviously you don't have a verbatim account.
The time when MTs were even permitted to translate jargon and expand abbreviations are behind us.
Hey, I forgot to add... I was on verbatim account
The poster below who said she shouts it back at the screen gave me a big laugh..Its seems funny.. if we say it, its okay, but don't let a doctor! I think, "How dare her!" But, I did get a laugh out of it, even though I don't like that word!
The account I do VR on is verbatim so can't fix sentences. nm
nm
Depends on how picky they are (verbatim)....
I personally would prefer to type "cillin"-type medications or something like that. Maybe check with your QA point person. If you have never been told who he/she is (would not surprise me), his/her e-mail should be listed near the top of the client profile.
The problem is if the account is true verbatim...
I only have one doctor on one account who insists her dictation be transcribed verbatim. She makes TONS of boo-boos, but I type 'em. The trouble there is, doctors like that regularly say really wrong and stupid things, we transcribe verbatim, and they say we transcribed it incorrectly. 
I honestly believe some doctors are just so arrogant they can't EVER admit to making a mistake. I am grateful to have docs who actually thank me for catching their errors. Unfortunately they aren't all so gracious.
Sometimes you just can't win.
Also some companies are caught up in the "no blanks" or "everything must be transcribed" - even if it is totally unintelligible gibberish. So, reports are sent with GUESSES (by QA) with OUR names (initials) on them. Or QA changes something (that we transcribed correctly) and again our initials are on it. Chaps my buns.  Now, QA people (and I QA a bit myself, don't get all uppity. Not ALL QA is like that. 
Thanks to both of you...verbatim account. Has to be as dictated unless in diagnosis.
If it is a verbatim account, I'd vote yes ... although with quotes around it. sm
Do you have a supervisor/liaison/QA person to ask?
I agree ... not really professional. Of course, I still cringe when I have to type "belly" instead of stomach. 
I should have added to type it as "corneals" if verbatim account.
.
I guess it really depends on how much you
enjoy the "freedom" you have and how much you enjoy the job you do right now. I know from experience that sometimes it's better to take less money and be happy in your job than to take more and not be happy. It's a tough decision and I wish the best to you. 
I guess it depends. Do you also do
Are you using ICs or hiring as employee status? That makes a difference, too. If IC, the turnover rate can be high with ICs (at least in my experience, even w/ good line rate/decent dictators) so it's quite literally a neverending process for some MTSOs.
Another factor is my first question, do you do some of the work yourself? It's really dependent on your personal goals. Do you want to free up your time to work or are you wanting to add more clients and build up your business? If the former, does having the help afford you the extra time necessary to do QA functions? If the latter, are you able to charge a high enough line rate to bear paying an MT and a QA person a decent rate and still earn enough of a profit to operate? How many ICs do you typically have on QA, how long, and how many QA people would you realistically need to handle the workload? I think those are all legitimate questions to ask yourself.
FWIW, I tried doing QA myself at one time and it was not a winning formula. My theory was pay the MT more of the line rate to attract quality help and they won't be on QA for long, but it didn't play out that way. I had a high turnover for various reasons, ICs going AWOL, not meeting TAT, too many errors, etc., and even with the really good MTs, you run the risk of losing them to bigger services that can pay more and/or offer benefits, or they simply find their own accounts. I was putting in very long hours in order to handle QA plus get my transcription done. It wasn't worth it for me, time wise or financially, so I gave it up. Again, it depends on your situation, your ultimate goal, and if you are able to find good reliable help. I just thought I'd share my personal experience with you, too. YMMV, of course!
depends on what you did I guess sm
Sometimes the less said, the better, but of course, only you know what you did and I don't think you should broadcast any personal info on here or the Web. You will have to decide for yourself, if you have the skills, maybe they will give you a chance; maybe they won't think it matters. Only you can decide. I can't give you advice and doubt anyone else on here would either. We're used to everything being confidential, etc., professional people here, at least most of us anyway! Good luck!
RE: Depends on the account
No it does not!!!!!!
depends on which account
It really depends on which account you are going to be working on as to how much of a response you will get. There is one account manager who manages several who is NEVER around, doesn't answer emails or the phone and it's been whispered she may even work another job. There is a huge group of clinic accounts without a manager, they got rid of her, probably to save money since there have been lots of money saving cuts going on. Currently that one is being overseen by the HR lady with no transcription experience (the second in command, watch out for her, really thinks anybody can do the MT or Editor job without having any experience). There was another account with a really good manager but a bad platform, but she finally left, so hard to tell who is there now. The actual owner is a very nice lady but unfortunately isn't much involved and only knows what her second in command tells her, and she makes it look like she has all under control, and in reality she is the second top reason most people leave this company. A new manager has been hired for the new account we have, but yet again she will be limited by what Ms. G. will allow her to do, which won't be much. This used to be a really good company but steadily has been on the decline. Tell me what editor will put up with bad platforms, 100% listens and low work for 3-3.5 cpl? What MTs will stay on with bad platforms and being ignored when there is no work?
Yes, it depends on the account (sm)
I do think it would be strange to have a PE section. The physical exam section is the "O" section, for Objective. It would be redundant to have PE within O. You may want to ask for samples.
Depends what account you are on. I have been
there just over a year. DocuScribe is easy to learn, not bad at all. I don't have that many ESLs, mostly they are residents, but still I don't know about other accounts.
I think it depends on what the account wants, and
In fact, one account I type wants it both ways: They want all abbreviations expanded in letters, and usually no expansions except in certain circumstances on all other dictations by that account. The 'twice a day' vs. 'b.i.d.' thing is trickier. If my account has no specific rules about it, then for the sake of continuity, if the first couple meds in a list are written one way (such as b.i.d.), then even if they say twice a day on the next med, I still type it b.i.d. That way there's a little more uniformity, and I think also the list is easier to read. Of course, it all boils down to the preferences of those you work for.
Pay depends on where you work, I guess.
I know if I have a midnight deadline, it's 4:00 a.m. my time because I'm on the east coast and my national is out of California.
Good luck with the 3rd shift. I was thinking of that myself, but my husband has been doing 3rd shift for 7 years and I do first shift and we tell everyone that's why we get along so good. 
P.S. He usually tries to keep his all night routine on the weekends, (his shift is 10:00 p.m. to 6:00 a.m.M- Th) but sometimes he'll stay up on Friday morning and go to bed at 11:00, but it messes him up sometimes because his week starts Sundays with a 12 hour third shift from 7:00 p.m. to 7:00 a.m. You'll get used to it. He loves it. No alarm clocks. No morning rush.
That depends on your company. You will need to ask your TL about that one, I guess. nm
x
Depends on where you live I guess. sm
My cats have been outdoor cats all of their lives. One is 13 and the other is 10. Where we live, they sleep in the street. They're both neutered and up-to-date on shots. They don't wander too far from home anymore as they get older.
We moved here from a farm on a dead end road and I tried to make them stay indoors at first, but they wouldn't have any part of it.
Like I said, it depends.
Everyone in our tiny neighborhood knows them by name and dogs fear them. :)
(They're 15 lbs. each).
Guess it depends where you live. sm
Clerk didn't care if I would lose day(s) pay and also said I wouldn't get the $50 a day reimbursement as I was self-employed and had to pay myself.
No, I guess it depends on where you live (sm)
Like I said above, I have heard it used in a derogatory way many times. I am definitely not the prejudiced one. Anyone can look at the term "ebonics" and see where the root word comes from.
I guess it depends where you live...
Some employers require or "prefer" certification, but I don't know whether that earns you any extra money or not. Most do not require certification, at least where I live, and do not come out and offer extra pay to be certified or encourage you to be certified. My opinion is that it is a waste of your time and money.
I guess maybe it depends on who you work for...
All I know is my boss is well aware of every single report that I proof every single day. I have specific accounts that are my sole responsibility, so if an error like this drug mistake got through on one of my docs' reports, it would be easy to know who saw it last.
Depends on account, but discontinued
would be correct (sometimes it means discharged)
It depends on what your clients or account wants. sm
BOS sometimes does not matter. The only thing that matters is what the people who sign your paycheck want on their reports.
It depends. If you have a very difficult account
an hourly rate would be great, but being paid by the line I make $20+/hour and I don't think companies would be willing to pay that hourly, so I guess I would have to say I'd rather be paid by the line, unless it is editing and that is a whole different story. I also think being paid hourly would make me maybe not work so hard to get lines and perhaps slack off occasionally. Depending on what shift I'm working I'm up and down every hour or so, putting a load in the washer, feeding animals, loading the dishwasher, etc. If I was getting paid hourly I should not be doing that stuff. I am not very disciplined and find it hard to sit still for more than 2 hours, so I would have to have a change in my routine. I enjoy the flexibility of being able to get up, even go outside and sit on the deck and watch the sunrise, etc. Another pro for the hourly wage though is at least you'd know what your paychecks were doing to be every payday and could maybe budget better.
I find it really depends on the account.
I really lucked out that I am on an account that has been doing VR for a while and the docs all speak pretty clearly. The reports come to me pretty clean. I only have to verify demographics and make minor changes to the report and I can get pretty good line counts.
On the other hand, I know MTs who aren't so lucky and end up having to transcribe many of their reports because they are so bad and end up making less money.
I love my VR account. I decided to do VR to save my wrists. I have had problems with carpal tunnel, but not since switching to VR.
It also depends on your account specifics too...
if it is verbatim, you type what they say...
It depends on the account guidelines.
For the majority of the accounts I work on abbreviations are only expanded in the critical sections, such as diagnosis, impression, etc. This is to the client's preference, and it is considered an error to expand an abbreviation when it is not necessary.
As far as dosages, I always transcribe what the dictator says unless it is a prohibited abbreviation or an error. Prohibited abbreviations are changed, per client preference, to the acceptable term. If it may be an error, it is flagged for review. If the doc dictates "twice a day," they get "twice a day." If they dictate "b.i.d." that is what I transcribe. It is also considered a error, at least at my company, to alter what is dictated.
Much depends on the account/accounts that you are on (sm)
Like everywhere else, I suppose... I've been with JLG for almost 12 years and have had the same main acct the whole time. It's a large hospital system, and yes, lots of ESL, but only a few that I would consider dreadful. Have been on some other accts with virtually no ESL. Have also been on work types where I could rack up lines like crazy, and other times (like now, for instance) struggling to get 1200-1300 per day. Have had times where I felt extremely micro-managed, other times don't hear anything from anyone for literally weeks. Paycheck has always gone out on time, but unfortunately no longer do direct deposit. I guess you could say they've been a little erratic since I've been with them, but overall I am pretty happy. I believe they have several different platforms - I'm on "EHR" (for the past year or so) and while it's a little slow going from the patient information screen to the document screen and back again, it works with your own Stedman's spellchecker and with Shorthand, so better than some others that I've been on. I will say that the support personnel have not always been the best, but, again, I've seen a lot of people come and go! Hope you find a position that's perfect for you - or at least nearly so!
I guess it depends where you live. Grocery
I don't know of anyone who shops at Walmart for groceries. Not one. No way I'd buy perishable stuff from Walmart. I was desperate one night a few years ago and bought milk at Walmart and BLECH! It wasn't past the expiration date but it tasted like it was nearing expiration and the coolers were lukewarm.
It depends what type of surgery, I guess. sm
Some are very easy and fast money, others are very detailed and long, nothing "normal" about them.
It all depends....Personally, they are my favorite and I specialize in doing only op reports, all specialties.
I guess that depends on how many hours you work. sm
Do you save yourself 2 hours because of your Expander and then quit for the day? Or do you work more hours because your expansions allow you to = more on the paycheck?
I have been paid both ways. Depends on the account. nm
n
I agree, it depends on who you work for BUT also the account
and how long it has been on VR. If it has been on VR for a few years, piece of cake. If it is just starting out on VR - tedious work, low pay as it takes longer to edit than to just transcribe it.
I have been doing VR editing for 4 years now with an account that has been on it that long also...can make up to $50 an hour, and some times as low as $30 an hour when we add new dictators.
Hope this helps.
Same for me, I made more 10 years ago. It depends so much on account, SM
work type(for me), and expanders. I find it hard to stay motivated when report after report is ESL and a work type I can't make money on. The above poster likes radiology, I like OPs. It is easier to stay motivated when you have that.
Depends - one account I make 40 an hour, other - s/m
I grunt it out to make 10 bucks an hour. If I worked just the ER account, I would definitely make full time money for part time hours.
Durn second account. :}
I guess it depends on which office you get switched to now doesnt it.
:
I guess it depends on what company or client you work for. nm
x
I guess it all depends on what part of the country you live.
I could not live on $2000 a month. Our house payment is more than that, not including electric, cable, car, etc. One day we will retire down south!!
depends on location, I know someone who lost a local account - sm
in Woodbridge, VA, was charging .12 a line (60 character line), got underbid and lost it after having had it for years. Now in order to get more but look less, she bids at .10 a line but a 50 char. line....comes out to .13 if a 65 cpl. You can't get much over .10 around here on your own which really stinks, or do some fancy accounting which in this case works.
Guess it depends on how porous his skin is-- try cold cream maybe? - sm
My kids have done all sorts of stuff, usually the face cleans up except for red in my experience...fades over a week or so. But cold cream is good for make up so maybe it will work, if you don't have any handy maybe a thick moisturizer? Obviously the hands are not an issue since they won't be in the picture, you can always try a liquid make-up if it doesn't come off and if the make up does not look weird. Good luck.....you can always keep him home or arrange for him to do the make-up picture for kids who are sick...they always have a make up picture day...find out when it is and just do it then.
I guess it depends on if it was a long-term affair or a one-nighter sm
Probably would try to make it work because I love him and want my daughter to have her daddy around.
I consider myself a pretty fast Mt, and I am lucky to hit 100 reports a day...depends upon account.
lines produced also depends on type of account, doctors, specifics, platforms.
nm
Verbatim is verbatim, but I defintely to the little things to make the doc look better such as..sm
an eye problem instead of a eye problem. I definitely wouldn't change too much. Stick with what they say and only make changes when you absolutely think it is necessary. I took a test last night and have an interview today and this is what I did. FYI, I do clinic work.
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