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I had questioned values/dosages by leaving

Posted By: see message on 2008-04-30
In Reply to: UGH - FLMT

a blank - QA filled it in with what was said -- totally wrong. All we could do was notify our supervisor if we caught it and who knows what happened there.

We could only send a certain percentage of reports to QA, if over that percentage, then our bonus/incentive/whatever they call it now was affected. Didn't matter the reason we sent it, it was the total number of reports sent.


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I only add the dosages for very few meds. sm
Toradol 60 mg IM = T60

I found that for most meds that have multiple possible dosages, it just isn't speed-friendly to have multiple macros for 1 drug...like I use "ty" for Tylenol, but having a different one for each possible dose would be like ty325, ty650, ty975, etc., but somehow I'm faster NOT doing this. I only use the toradol one above because I always, always, always here it that way for one of my hospitals.
Other meds..allo is allopurinol, sim is simvastatin, vanc is vancomycin, etc. I tend to use begining syllables for my drug macros.
Yes, you can get dosages on the FDA site :-)...sm
Just click on the name of the medication and it takes you to a page with dosages.
Normal Lab Values
Here are a few sites:

http://www.student.med.umn.edu/wardmanual/normallabs.html
http://www.mtdaily.com/mt1/lab.html
http://www.meditec.com/normal-lab-values.html
http://www.galter.northwestern.edu/reftools/normals.html
doctors values

 


Amen to that sister.  It is so true that it now comes down to dollars and (sense) cents.  I really can't stand when doctors are crying about money  when they have 2 loaves of bread under each arm and when we, the patients and employees stop treating them as Gods then maybe, just maybe this might change.  I personally think that it should be like the 'old" days and they should get paid with fruits,  vegetables and maybe even a chicken or 2.  It is rare today that you find a physician that truly cares about the patient's welfare not just their checkbook.


 


Anywhere to find lab values?

I tried Labcorp's site but the don't let you know what the normal value ranges are.  I need something that I can look up lab tests, and find out what the normal ranges are.


I do a lot of lab reports but most of the time I don't know if I'm typing the values and units right.  I'm not a darn lab tech to know these things!


I can't believe this is what is questioned!
Of all the horrid things I see from MTs and MDs, this is so BENIGN! Please..he probably meant the patient has never been pregnant and (therefore or so..) has never had a child. This is really too ridiculous to even respond to. LOL!
Either way.......that should have been questioned by
xx
Expansions for numbers/lab values

Do you all use Expanders for numbers and lab values?  - Ex.: 0-10 red cells, 10-20 white cells ... things of that nature.  I have a few, but it seems there are so many different combinations of number items that I can't come up with a good system.


Any ideas appreciated. 


 


Since the values are always different, I'm afraid we are destined
to always type out the numbers.
It is being questioned, as I stated, because (sm)
it is unusual.  It may not be unusual for you, but it is unusual for many of us (prayer is not unusual, but to hear this being dictated is, and that is coming from someone who prays 5 times daily without fail).  She has every right to question any dictation before placing it in the report.  If an MT has no right to question any part of a physician's dictation, then what is the MT good for? 
Scarry!!! Docs and nurses entering drugs and dosages into online charts. (sm)

Most of my docs cannot spell medical terms.  They can't pronounce or spell drugs.  The nurses are for the most part useless - no ARNP I ever asked could help me with a medical term.


I just spoke to my HMO.  They are now offering personal Online-charts showing


visits, tests, immunizations, etc. of what you personally had done.


I asked EXACTLY HOW DOES THIS INFO GET INTO THE SYSTEM, at what point?


The woman said:  It is input by the doc and the nurses.


I shuttered!


There goes the end of quality health care as we used to know it!


 


But you stated you questioned your lead SM

and nowhere in your original post did I read that anyone checked with the doctor.  That is the problem we have.  If you or the lead had actually checked and he said to change it, fine.  But neither of you checked.  You asked the lead, the lead said change it and you changed it. 


I remember all that, too. The parents rarely, if ever, questioned the teacher or the principal.

I wonder what the change is?  Do we parents have egos because now most of us have as much education as teachers do?  Are we unwilling to sit back and never question "authority figures"?  Do we remember being wronged in our own childhoods, so we're quick to defend?


I try not to be a buttinsky at my kids' schools, but sometimes I just don't agree with how they're doing things there.  One day, three bigger boys with bad home lives and a history of fighting jumped my son, who is the most peaceful kid you've ever met.  Two of them held him down while the third one was on top of him punching and kicking him.  My son had to bite the kids to get them off of him.  He was cut, bruised, and had a bloody nose.  Guess who got punished?  My son did, for biting.  I called the cops and intervened at the school because my son has my full permission to defend himself against bullies, especially on a 3-on-1 situation.


I also remember being punished for things at school when I did nothing wrong, then my parents punished me a second time because of what the teacher said.  I got detention for sneezing in class once.  One of my teachers publicly humiliated me and threatened to pull me out of all the advanced classes if I didn't publicly apologize to another teacher when I wasn't even the one who said whatever it was she was upset about.  One of my male teachers actually picked up a student and slammed him into the chalkboard, ripping the kid's shirt off in the process.  So yes, I'm going to stay on the schools and make sure my kids aren't hassled by any burnt out teachers who are just biding their time until retirement.  My kids aren't angels, but they're not demon spawn either.


There wasn't job insecurity, unanswered questioned, behind the scene events that could have major
dd
Leaving MQ
A friend of mine left MQ and went back into a hospital setting.  She went from barely making 1200 lines a day to over 2000 a day (8 hours).  She also went from statuatory with no benefits to all the perks of being in-house including insurance, vacation, 401K, paid holidays, etc.  She was also offered after training the opportunity to work from her home which she took.  She is so happy. 
Leaving MQ?
x
Leaving this
Hi Romey, you're not alone. I've done this for 20 years and I find I can't even look at it anymore because of some of the things that have happened in the field. Don't know what to tell you to do because I'm searching too. I should have listened to my common sense a long time ago.
Please consider leaving
Your local police department can give you information on shelters or organization that can put you and your kids in a safe place until you get on your feet. If he is abusing you, you must also consider calling the police on him so the abuse is documented. I'm sure you know of the fatalities that happen everyday due to domestic abuse. Please take action. If he is abusing your children and someone else finds out about it and reports your husband, they can arrest you as well for having knowledge of the fact that your kids are being abused and doing nothing about it.

My heart goes out to you. I have a background in counseling and had sessions with women for years who were being abused. It frustrated me to see these women twice a month for counseling because all they wanted to do was talk about how their spouse continued to abuse them but they wouldn't do anything about it. Your kids will always remember what they are going through. This type of environment often scars children emotionally as well as physically. They can grow up to have major psychological issues as a result.

Life is too short to be miserable everyday. He is not accentuating your life in any way. He is taking from you in every way possible. I beg you to give serious thought to removing yourself from this situation. I know it may feel like you are jumping without a parachute but think of it this way...how much worse could it get? Things can only get better.

Take care.
leaving
Yep, I left. It was NOT easy.  Some days i did not think I was gonna make it -- but you know what?  I left a big farmhouse and live in a small 2-bedroom apartment.  But it is near everything - the library, the school, etc. At first my daughter threw a fit......and my son cried.  But a month later...everybody is much much happier.  Now, when I walk out of my peaceful car to my peaceful door and lay on my rent-a-center peaceful couch -- I think.....God...where is the screaming?  How did I stand it that long?  No one is mad around here?  And my children are adapting perfectly.  And I walk in my room, take off my clothes, lay on my bed and grab a book and read...and it is pure joy.  Worth every tear.  You'll see.  All of us..all of us -- we want you to have the peace that you need and that your babies will thrive with.  It's tough..but you are gonna make it.
Did she say why she was leaving sm
I know Star and Rosie don't get along. What did she say? I haven't had time to watch in a couple of weeks.
tia
Leaving MT

Fellow MTs, I am leaving our once-esteemed position.  I am taking a position as a trainer at a large national insurance company.   More money than I've ever made, lots of paid time off plus holidays, and weekends off.   It's been 10 years since I've had a "real job" and had not had to work weekends and holidays. 


They are playing for my airline tickets, my accommodations, food and car while stationed away from home.  I am one lucky duck.  


I used to love doing MT, but it has been a challenge for me the past 2-3 years to stay focused.   To all of you who still love the job, I say hurray!    This is a blessing for me to make this move at this point in my life and I'm very grateful.  I intend to enjoy every moment of it.  


Bye, all!


 


 


Leaving MT
Congratulations on your new job!  There is a time and a season to everything in life, and this is your season for change.  God bless you.
Leaving MT

You know what?  I just cannot do this anymore.  My last day was 12/31/06.  I am moving in a different direction--not sure what all yet, but I just cannot transcribe any more.  After 17 years of listening to doctors chew, and waiting--listening to silence--with my pay rate DROPPING over the years  , not increasing--I have to leave.


There's only a tiny, tiny part of me that feels sad--it's the part of me that was so overjoyed to be able to do this at home and be here when my children were little.  I really thought I would keep doing this forever. Recently, though, I just cannot do it anymore!  One day I woke up and had had enough!


I am working on some things here at home that I had going.  Some home businesses, things I make, etc.


I just wanted to say BYE.


Lynn


leaving MT
I wish you the best.  I know how you feel.  After more than 20 years I too will be leaving transcription. Transcription is just not what it used to be.
Leaving MT
I've already left and felt kind of blue but after reading so many posts here, I feel a relief also. No money in it anymore and I have done this for 35 years! Now I'll turn my attention to sewing, selling on E-Bay, whatever, to keep myself active. Good luck!
Speaking to yourself? Because I'm not leaving here ... :)
..
My son is leaving for the Air Force
I am so proud of him, yet so worried with the situation the world is in right now.  Please pray for him if you would! 
thinking of leaving too
My hands are always killing me and i'm not as focused as I used to be. Plus i'm in school and having something going on the side.  But I need to keep a full time job, so i've been looking in the local papers in the health care sections.  CNAs make 8 bucks an hour!!!  Geez, we get paid more than actual caregivers, but my hand pain is so out of control I may have to take a caregiver job or get certified as a CNA or nutrition specialist and take a pay cut. 
Um, didn't I say I was leaving?
nm
Sorry leaving address
 I have almost five years experience, still probably considered a newbie when I see some with almost 5 to 6 times that much.  But I just wanted to email someone who knows more about transcriptions companies than I do at present.
Finally leaving MQ
Finally leaving MQ.  Will miss the nice people but not the new changes.  Thanks everyong on this board for your help.  It's kind of scary to make a change, but what the heck.  It won't matter in 10 years.
Finally leaving MQ
If you do not mind my asking, what company was that test for?
Leaving hospital
This is very common actually. Unless the patient has a braclet on that will alert hospital security when she/he exits doors, it is very easy to do.

You know the adage about "hospital security" being an oxymoron? People come and go all the time, as one of the other posters said.

Is your BF's father okay?
as you are leaving the store...nm
x
Leaving MT field?
I feel for you and can understand all your concerns. I think there are areas out there with great demands like teaching, nursing (get your LPN or CNA to get started in the field), radiology technology or a shorter schooling experience would be for medical coding, though won't be surpised if technology takes that job away too! You can become a certified phlebotomist and get started in the lab work area. These areas are just the tip of the iceberg, but change can be done and is not impossible. Good luck!
Who do you think will be leaving tonight?
I think Kevin.
Am in the process of leaving a job right now, and it's a very

Plan on leaving due to the
pay cut, is just bad timing, was told 11/01 would take effect 12/02. Financially, I am not prepared to make a job change until I receive my income tax refund check. I found it to be very degrading and looks like others did also and did actually quit as of 12/02 because the stats are now backed up 4 days since 12/02.
C-Phone - Leaving mid-job

When using a C-Phone can one leave a job on hold to take a break or leave for a period of time?  Or do you have to finish the job before you leave?


I think leaving blanks when you are new...sm
to an account is normal. You have to get used to the account and the doctors.
Yep and I'll be leaving them for ATT
Yep and i download at least 60 voice files a day 6 days a week and my kids download music and videos and college assignments-if I stay with Time Warner I might end up paying $100s a month for internet.  This way with ATT I can type anywhere; at our cottage, if we go camping, and not have to worry about it.  Time Warner is just greedy.
Did you try leaving the .09 and adding .09.vox? nm
nm
I hate the thought of him leaving!
I am listening to Kaysar explain the future plan to Howie (who I love, but seems dumb as a rock sometimes) and Janelle (who I think is smarter than she appears). It is making sense what he's saying but isn't something I'd think of. Kay is telling them to get rid of James next, that the best chance to get rid of him is next when the Friendship will help to evict him if he is up against one of their own. Otherwise if Maggie goes, James will take her place as leader of the 4 followers. Makes total sense what all Kay is saying. He is one smart cookie... if it weren't for his trusting nature, he would win this game easily. Jen will get hers when she comes out of the house and has most of America on her back for evicting their favorite houseguest.. but of course she will pretend she doesn't care what people say or think.. She is so insecure though that we all know she does. :-)
gas shortage/leaving for ohio in the am
Here in Brunswick stations closed at 6 pm and not open until Friday and can get only 5 gallons then. Trucker said Atlanta was getting $5 a gal and now Atlanta is completely out of gas. I am leaving for Ohio in the am and concerned if this shortage is just here or all the way up. Any info would be appreciated.
It's none of their business why you're leaving.
**
scared into trying harder or leaving?
Why do some QA folks think they can really make you feel this way?  It will eventually lead to leaving, I think.  I have never QAed or feel qualified, but geez, leave the poor transcriber a little positive feedback to go on.  Anyone else share this thought?
scared into trying harder or leaving
Well, it is simple things really, more style than anything. I am not a newbie, I have 5 years under my belt. Gosh, what co. do you work for?
scared into trying harder or leaving
I forgot to add: it is the way the make the feedback, like are you attempting to look anything up... or I can't believe you didn't hear what I heard....ugh!
So AI fans, who's leaving tonight?

My bottom 3:  Bucky, Ace, Katherine.  I think Katherine is going home.  Now what do you think?


Leaving this Saturday for a week...

in Bethany Beach, DE.  My parents rent the house and my family of 5 and my sister's family of 4 plus Mom and Dad all go together.  The beach is almost in our back yard and there is outlet shopping paradise in Rehobeth, not to mention seafood, seafood, seafood!  Can't wait!



No Luka is not leaving and Sam is back.
They were going to fire Luka but Weaver finally stepped up and said that she was responsible.  Now she is no longer Chief.  Luka is staying.  It ended showing Abby taking the baby home and Abby was finally bonding with her own mom.  Sam had her big-money friend come get her and bring her back to the ER.  She had a rape kit done b/c her ex raped her.  She also shot and killed him but they ruled it as justifiable homicide so she is fine.  It is really rather interesting this year I think.  I've been watching since the very first episode all those years ago.  I have to say they almost lost me last year with all the episodes with them being in other places like Darfur.  Like they were trying to hard to make statements and it was too confusing trying to keep up with all the goings on in other places. Much better this year.  Looks like it is going to be really good next week too.  Don't miss it!