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I just love it when our cat plops down on my note pads with my work notes....have to pull it all out

Posted By: Laura E. on 2005-08-26
In Reply to: Cat sits on monitor. - Meow

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Love OP notes, which I could do them always. nm
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I love ER notes and of course I never get them. sm
My favorite and I still laugh over this, was the patient that came in with a double AA battery in the rectum. Mind you the patient was about 25. Doc snickered all the way through the report and told the patient never to put anything there again.
I love doing OP notes

I love doing op notes. They are very difficult though and i do recommend that you go into them slowly if at all possible. I was doing strictly clinic notes when I came to work here, but lost a girl that did the Op notes and we decided to send our clinic notes out to someone else and I started doing OP notes and other types of dictations. They are my fav.


 


I love op notes.
I have very little experience in acute care (only about a year), but op notes are my favorite. I have applied to positions for op notes only, but of course, I don't have the experience to get the job. I find them to be much easier than other types of acute care reports since they are so repetitive. I loved the days I got a lot of op notes because I always got better line counts just because of how repetitive they are.
They better have SE because no way is my insurance riding on the BS they pull with no work all the
time. They can hang you out to dry with that 12,000 line deal unless you work 24/7 lately. No way does my health insurance ride of that deal.
LOVE clinic notes
I do clinic work and I LOVE it.  I transcribe for 3 docs.  There are 4 girls on the acct.  And we ALWAYS have work.  When I am bored on Saturdays or Sundays, I sit down and type for a few hours.  Rarely is the server empty by Monday morning.  I have never been at a loss for work.  It is so repetitive and easy.  Each doctor has his own way of talking and I have tons of shortcuts for each doc in my autocorrect in Word.  So easy, so fast, so fun!
I get 12 cents line/pull work off their VPN, transcribe in --sm
Word and send back via their encrypted e-mail.
I love 'em too but type everything else but and Progress notes (sm)
DOUBLE YUCK.
Our cat (yes we have a zoo) plops on my desk right in front of me - sm
usually on my note pad or a patient list, makes it interesting too. But she doesn't usually stay long, and if the dogs are in she hides ---her and the Husky are mortal enemies, granted it does not help that he tried to eat/kill her a couple weeks go-- our signals got crossed and my husband let the dogs in before I could up up the gates to ensure her safety. Luckily I was right there and was able to grab the dog before anything really bad happened. So my husband learned an important lesson that day...communicate with me when you let the dogs in, or put up the gates first.
That's funny, I *love* ER's. Also Ops, procedure notes. Can't stand anything LONGGGGGGGG. n
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Why do so many people LOVE operative notes? I see posts about it all the time...
how they make good money on them, they could do them all day, feel cheated when they don't get them? I have been doing this for years and years and still kind of groan when I see them come up on my screen. Fill me on the secrets and maybe I won't whine so much when I do them. Thanks gal!
Just as a note, Windows Media player will NOT work with a footpedal.

Unless there's some voodoo magic out there that I'm not aware of.


previous note: "filing job falls through" as in the job runs out of work after
you get it.

Sorry about the expansion question - I forgot your history of 15+ years in the biz and having been a teacher. Sounds like you could be a supervisor in a transcription department or be in sales for an MTSO or a TX equipment company, etc. if you live near a big city???
Can anyone tell me the best company to work for if one wishes to do only do op notes...sm

I have 30 years experience in MT work and for the last few years have been able to do exclusively operative notes which is what I love.  I have been very happy with current company but have to start my work day early in the a.m. and now my account has been overstaffed to the point there is no work in the morning.  While there is plenty of work late in the day, there is nothing in the morning and so I feel I must look for another company for at least part time op work initially and if it works out I could go full time.  I have left my email address so please feel free to contact me.  Thank you very much for any help you can offer. 


Any Lotus Notes users? How does this program work? Thanks!
Thanks for the info.
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.
Hospital work - history and physicals, op notes, discharge summaries,
s
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
Lilly pads. sm
Yep, not surprising that they have several lilly pads because they're growing.  Matter-of-fact, they have an ad posted on MT Stars.  They do have posted EXACTLY what qualifications they're looking for and the available schedules.  Good luck and I hope to see you happily perched  in my lilly pond.
sponge ear pads
Where do you buy these?  I have looked everywhere including Radio Shack and Walmart and can't find them. 
Any more lily pads in your pond?

You can buy USB touch pads on E-Bay, usually cheap.
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I can't testify to the steno pads

But when I started I used tapes and a selectric typewriter with 3 carbon copies.  We used to use a scapel blade to correct the carbon copies and then slide a little piece of carbon paper in to re-type the correction. 


I think it started going downhill when the  MTSO's started showing up more and more.  Only because, they cut the wages because after all, you got to stay at home, didn't have to pay for work clothes, transportation, meals, etc.  And you could write off part of your house mortgate, utilities, etc. as long as you had a room that used only as an office.  Everyone bought into it saying they wanted to work at home and thus they bought into the little less in wages that they offered.  I still think there is a distinct advantage to knowing the doc's you are transcribing for.  Working in a clinic or a hospital and getting to know the doc's make it alot easier to look at them and tell them they sound like they are gargling with peanut butter, they acutally laugh, and listen and I found they would make a bigger effort to be a better dictator because of it.  Better dictators = easier to type = faster TAT = less errors = less need for as much editing.  We used to transcribe all day and our work never went to QA (what was QA) QA was the doc complaining about our work which = counseling from your supervisor = getting written up = out the door if you didn't fix the problem.  That was what it was like when I first started 30 years ago.  I didn't have google, I had little notes taped all over  my workstation for those words I had never heard before until they came naturally to me, then that piece of paper was replaced by another one.  I had what I called my "bible" of phrases, etc. certain doctor's always said, no short cuts or expanders, we typed it all out.  That was real transcription.


I put one of those pads they use for dogs size large (M)

under the cat box.  If he misses the pad absorbs the urine, it does not go through the plastic on the other side, and then I just throw away and replace with a new one. 


the service that works on our hospital account definitely pads
Many of us inhouse have tried to point it out to the supervisors, i.e. tons of spaces after a header, three or four spaces after a period, using spaces instead of tab button, for god sakes, spelling out milligrams and computerized axial tomography and every single abbreviated term that you can imagine and stuff like that. they even make their blanks verrrrryyyyy long!

Thank goodness the contract with them is going to be coming to an end by March. It just burns us that we get monitored for it, and the outside service does not. They also do not get penalized for mistakes either.
Hillbilly site even tells you how to make your own sanitary pads! (sm)
Okay, after posting before how impressed I was with the websites, I went back and started reading again....so much info!  They even tell you how to make your own sanitary pads!  I don't think I'll be doing this, but I have to say I am loving the cheap, easy recipes.  There are so many that sound really good!  Okay, I'm going back to read more now, but the sanitary pad section just threw me for a loop and I had to come back and share!  Really is very good information though, all kidding aside. 
I keep alcohol pads at my desk to clean the sponges on the earphones.
That takes away the itching and keeps the bacteria away!!


It's basically a phone w/o the handle. Has number pads. A headset plugs into it sm
so you can listen to the dictation via a phone line. So, if you use one you will need 2 seperate phone lines unless you want your phone to be tied up all day.

Docs love it because they can just pick up the phone and talk their dictation right into the phone.

You would access those files by dialing a 1-800 number and then putting in your codes, etc., and then the voice file will be there; kind of like dialing into a voice message box to retrieve your messages except you are retrieving dictation instead. Very simple to use. GREAT quality. Excellent quality.

I am 99% sure I am taking a job I was just offered yesterday that requires the use of one. Right now I am on Doc-Q-U-Suck and can't wait to change.
I work PT and LOVE it!
I think what you may be looking for are actual experiences from people who have done this on a part-time basis, not as a full-time career. I'll tell you...it is very possible to do part-time to supplement your income, and it can be very enjoyable (and even somewhat rewarding) IF you find the right fit as far as specialty, employer, schedule, etc.

I started an on-line course about 4 years ago, it took me just under a year to finish it at a very casual pace, and I found a position as an IC when I was about half-way through the course. Over the past 3 years, I have applied with about 10 different companies and have received employment offers from the majority of them. I have a very good work ethic and track record, have never been a "job hopper," and it has paid off in this field, as this caliber of employee seems to be a rarity and it is therefore appreciated by employers.

I currently am working about 15 hours a week, make about $350 a week, and I love it. I won't lie, though, and tell you it was a piece of cake to get to this point. I had to work hard and "cheap" for the first year, but now I am so glad I did. It is actually very relaxing for me, and I look forward to working. However, I do not have a baby OR a full-time job. I have a husband who makes good money and supports the family and provides insurance and financial security. However, someday should I ever need or want to work full-time I at least have that option available.

I worked full-time (plus some) in a professional office for about 15 years, but after my first child was born I cut way back and have NEVER regretted it. My kids are now teens and pre-teens, and my time with them has been precious, to both me and to them. They are very well-adjusted, confident kids and have made me very proud.

Good luck with your decision, and I'd say "go for it." You seem like a very level-headed person with a lot of drive and ambition. Sorry about all the "negativity" on this board; you just have to learn to consider the source sometimes and read between the lines. It's really too bad, but there's no use fighting it; some people will just never be happy I guess.

Best wishes!
Love psych notes. HATE, HATE, HATE, HATE,
HATE ER notes.
I would love to proof your work and see how that looks but I am sure you will tell us you are 100%.
:
I love the company I work for - sm
MDI-MD.  Flexible schedule, wonderful and friendly staff and supervisors, pay always on time. 
I also work on eScription and LOVE it.
.
because I LOVE transcription work.

I am 60 years old and neither need the $ nor the bennies, I just love doing transcription (of course with the caveat of having all the appropriate demographics provided as well as clearly enunciated dictation).  Doubt, though, that you can understand this.


I would love to work inhouse, but...
those jobs are getting scarce. I would like to know how all us newbies are supposed to start in-house when those jobs have all been outsourced.
Can you share who it is? I would love to work for either sm
them or whoever gets their accounts. That way, I know that it will not go offshore. If more health systems do this, we will be in good shape down the road.
If all docs love your work, and only one is - sm
complaining about the bill, I would NOT lower my prices! Chances are he is more of a pain to transcribe than the others, too -- am I right? Stick with what you're doing, don't let them (or him) intimidate you into selling yourself cheaply. You are most likely already worth more than you're charging! Why work harder for less money, especially when you're very familiar wih the docs & their dictation, you do good work, and they AGREE you do good work? Sticking to your guns (AND raising your rates when your cost-of-living and other overhead go up) is one way to weed out the bad apples in the customer-pool. They can be easy replaced; your time, health, and financial security cannot. And finally, you just KNOW that they're raising THEIR prices to their patients every year. Some of that should be trickling down to you, as well. If not, you're being cheated.


LOVE them-- won't work without mine.
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Don't ya just love having to work when the Superbowl is on? OMG....
Too many of the docs dictating are obviously watching the game and NOT paying attention to their dictation....pausing way too often, repeating themselves, stopping to say, "WHooooooo" 

 

Just go watch the stupid game and THEN do your dictation! 

 

Done venting. 

I work on eScription and love it.
With the part-time position I have using eScription, straight transcription I average about $27-$28 an hour and with VR I can average up to about $34-$35 an hour. It did take me a little time and concerted effort to get there, though. I had to learn to keep up with the dictation and I have to really pay close attention but even with difficult dictators, I still do as well or better with VR than straight transcription.

I get 10 cpl for transcription and 5 cpl for VR.

I agree. Love Canadians, but we need our work here.
What about their socialized med system? No work for them there? Nope, I love Canadians as our neighbors, but I agree we need to keep it in the USA.
I love my vet, the only blood work she does is an occasional - sm
heartworm test, about every 2 years. Only take the dogs (and cat) in for shots, no extra or unnecessary stuff. She is cheap (and good) too, compared to where we used to live. I'd say if there is a hint of a problem, then yeah it should get monitored. But if there is nothing wrong, then why? Once every few years should be adequate I would think for blood work. As for teeth cleaning, I have only done it once with 1 of dogs because she was going to be out anyways getting some teeth pulled, a tumor removed too, so we had her teeth cleaned. As for my other dogs, forget it, that is what Milk Bones and Dentabones are for. I already spend enough on shots for 3 dogs, Frontine, heartworm pills, special dog food for the 1 dog, etc. Some vets do whatever to get more $, others though don't get greedy (country vets) and think of the animal, not on pumping up their bottom line. If you aren't happy with your vet then either tell them you only want the 1 x a year visit, shots only, none of the extra crap, you can say NO, it's your pet. Or find another vet. Though we are in the boonies, we have 2 vets within 2 miles of each other, who are both very reasonable, go into town though and you pay a lot more.
I work in Meditech and love it. Like anything else, you have to get used to it. There are two vers
is awesome. The other is OK but it depends on the hospital. I worked at home for a hospital that used it and it was slow. I work for a service now that uses it and there is no lag time at all. It is radiology, so that might make a difference, not sure.
I work with eScripting doctors and love it. sm
However, some of them are such conscientious dictators AND the machine has them down so pat that, if they were in charge of their own dictation--like independent practitioners--routing their reports through an editing service might turn out to be completely unnecessary. Office staff could give them a quick glance-over instead. I know nothing about the business end of this, just what I'm seeing on the screen.

And, yes, I was also really intrigued to see that some of the most horrible-sounding dictators quickly developed a very good working relationship with the machine. For sure, accents are totally irrelevant as the machine doesn't know they exist--if a practitioner can't get his tongue around h's and r's and always pronounces "heart" as "et" the machine thinks that's the way it's supposed to be pronounced--by that doctor.

I do much prefer editing over transcribing-fits my skill set better, but undoubtedly fewer editors than transcribers per report will be rquired in future.
Yes and absolutely worth it. I love to work
outside when weather permits.  I don't do it every day because hooking up and unhooking and having to carry everything gets to be a pain, but I do it on occasion.  I also like to travel, which is why I got a laptop to start with.   It allows me to work in the car or a couple of hours a day wherever we go so there is still some income, but I also have time to enjoy time with family.  
sorry...not a great experience. I do love the work,
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Yes, I work for one and love the work.
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IF by PT you mean Physical Therapy -- it's EASY! I love PT, don't get it where I work now tho
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I work in-house for doctor's office now and Love My Job!
Good Luck.  I accepted an in-house position at a doctor's office after being laid off from a very large hospital. It is wonderful to be able to go and ask the doctor questions and get feedback directly from them.  It really is the way to go now instead of working for the really big transcription companies.  I feel like I am appreciated.
Does anyone use a Herman Miller Aeron chair for work and if so, do you like/love it? nm
nm
no i don't love being MT but it beats McDonalds. no i don't work for a great company.
no raises and constant shift in management. no i don't make more than enough money to just pay my bills but i have cut down on overhead of regular job outside of the home.

it's an okay job relatively speaking.