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I have them for routine procedures for

Posted By: sm on 2008-10-24
In Reply to: Large Macros - Still trying to get faster!

the same doc -- T&A, cholecystectomies, appy's, and a lot of my orthopedic doctors. I also have them for ROS and PE exams. I just leave jump markers for values, right/left, and things like that.


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The key to doing this is you have to have a routine and follow it. (sm)
What might work for one person may not work for the next, but f you make it YOUR routine it will become a regular part of your day. For me (and I've been at this for a long, long time) my best hours are in the early morning. I get up, shower, get dressed, put the coffee on, take care of whatever needs taken care of so it won't interfere with your day (feed the cat, let the dog out, whatever you would normally do if you had to leave your house for the day and go out and work). Then sit and work for 2 hours, take a short break, work another 2 hours, break for lunch, and so on until your work day is finished. It also helps if you keep your work area clean so you can have a fresh desk to start off with. NO TV. Don't answer the phone while you're working to take personal calls. Do that on your break. These are just some ideas that work for me.
My exercise routine
Walk to the fridge, open door (works arms), lift food (good strength training, lifting weights), put in mouth, close door, walk back to desk while lifting cup of coffee to lips.  I gave my legs and arms a good workout, also my mouth.  Transcription is hard.  But I know if I keep up my exercise routine, I will be buff.
That is pretty routine for them to want
I have had both office accounts and surgery center accounts that requested that I send them that information.  I'd rather not have to do it, but sometimes you just have to do what comes with the territory.
I think getting back into a structured routine
may be difficult and then there is the office politics.   At least you can do your time and come home and leave work at work.  
What is your best at-home work routine?

I'm curious what hours you work, how long and often do you take breaks.  What schedule allows you to be most productive? e.g., frequent short breaks, less frequent longer ones, split shifts, etc. 


Oh honey, sounds like my daily routine.

You just gotta push through.  I've noticed that as my kids get older, it has gotten somewhat better.  I have a 9 and 11 year old and they have gotten to the point of seeing after themselves while I'm working.  They were 3 and 5 when I started and it was really tough.  Now If they make a mess, they clean it up themselves.  Unless the house is on fire, someone is dying, etc. they are to leave me alone when the headset is on.  I have had to really draw the line with them.  It didn't happen overnight, it took quite a while for them to understand.  Fortunately my husband understands all this and has really helped me work with them on this issue. 


Friends and family on the other hand haven't been so easy to train.  I screen my calls with caller ID and let the machine get the ones I don't have time to deal with.  My machine has a message stating that "I am working at the moment and am unable to answer your call.  Please leave a message and I will return your call as soon as possible."  I have also had a put a sign on my front door stating "Please Do Not Disturb.  I am currently working and unable to visit at this time.  Please come back after 4:00 p.m., I will be available then."  I had to do this because people just couldn't seem to get it.  Just because I was at home, they thought they could just drop in.  I even have some to still ring the doorbell because they think that sign isn't for them.  But you know what...I feel that is very rude and disrespectful of them.  They can sit out there all day for all I care because until I'm finished working, I won't answer.


Your not alone in all of this.  I believe this is what most of us who work at home go through.  Eventually it will get better but you must put some rules into place for everyone and enforce them.  I know with very young children it is hard for them to understand this but if you begin now helping them understand, then it will get easier as they grow.  Also, if you have older children that can help with the younger ones, give them an incentive to help you out.  You've just got to be creative with it and find what works for you. 


Hope this helps!


This would make a good Seinfeld routine.
Of course probably only MTs would understand the jokes. Somebody needs to write a book about MTs and what they go through. It really would be touching and funny, and a bit tragic, I think. It could be marketed in the Stedmen's line of books or something. It could have cartoons. This title where did QA come from? This makes me want to be all creative. Of course, this MT is full of talk, but not a whole lot of action. LOL.
Where I am, using Winscribe, the supervisor on duty routine gives updates (sm)
with who is working on a particular account, how many jobs there are, if any have been kicked back (she/he can tell as they are out of sequence, obviously taken into someones local queue and then returned to the pool. The name of those working at any given time is announced, this lets us know if someone comes on board during unscheduled hours without clocking in.

It is great for me as I follow the rules. We are not to take jobs into the local queue (cherrypicking) and we are not to work outside of scheduled hours unless it is granted and there is ample work for the person coming on board so they do not take away from the regularly scheduled MTs. I love my job!
Be cautious...great bait and switch routine, you can do much better...
they also outsource overseas (a percentage). you will do well if you have low self-esteem. everyone great until you get thrown to supervisor...hehe, you'll see.

my opinion, my experience.
that's my routine to a T, 'cept I walk the dog instead of doing catbox duty. :) nm
s
ortho procedures
 It sounds like the MD is saying "oatsi"  this is on a patellofemoral procedure. Can anyone help?
If the clinic does procedures or is SM

accredited by the Joint Commission on Accreditation of HEALTHCARE Organizations, they have to comply.


I think gynecologic procedures
get me- it makes me sick to my stomach to hear some of the stuff they do, like I can feel it myself. And could there be a creepier term than uterine cry???
Mayor NO followed NONE of the procedures he was supposed to
Heard this on the radio.  There are certain steps in the city emergency procedures that are to be followed on a local level, state level, national level.   The mayor of NO for all his complaining about the Federal Government, did not follow any of the procedures he was required to.  Interesting.
I like procedures/ops, because of not fooling with grammar much or Sm
drugs, new stuff. I am lazy and don't like to work very long in the day!
Ask your QA what the account considers procedures sm
and make a list.

This really CAN be confusing at times.
What types of procedures? I love doing

cardiac caths because most docs will say the same thing over and over, same for bypass grafting, just different grafts and locations.  All in all the procedures stay basically the same.  This also works for cardioverting, just change the joules where appropriate.  When I do a cath or other procedure for the first time. I will make a normal for it then make changes as they come along.  These procedures can be good for the line count!.  Also, in your short keys, make short cuts for left and right anterior descending, ejection fraction, end diastolic pressure, etc., you get the picture.  They will use these a lot. 


I have found that most of the time the more difficult dictators are the ones that will basically go word for word in dictating their reports.  Good luck! 


Most vet. meds/procedures/techniques are
x
An operation involves cutting, procedures do not.
..
Link to watch live OR procedures

http://www.or-live.com/


Fascinating stuff! 


Need tips on being productive with cardiology procedures
Thanks
Repetative procedures you can template for faster lines..easy $$ nm
nm
Don't forget the "good Mayor" who did not follow standard emergency procedures
But he sure is quick to throw blame on everyone else. 
I love procedures, colonscopes, EGDs, cardiac caths - this stuff earns me the good money, ESL or no!