I used to type for a pediatric psych facility.
Posted By: me too on 2006-01-06
In Reply to: Depressing reports - A little bit sad
At first I used to laugh, thinking maybe I'm not so dysfunctional after all. Some of the cases were just out of control kids and this was the only option, but there were 7-YO or younger who had attempted suicide. I don't do them now and don't know how someone can do them for very long.
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- Depressing reports - A little bit sad
- I used to type for a pediatric psych facility. - me too
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Unless a facility name accompanies the phrases you hear/type, you should not capitalize.
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I would start with hospital websites in the surrounding areas to whatever facility you type for. SM
Hospital websites usually have a pretty good physician directory you can search through by name or by speciality, which is nice.
I also use the AMA website which has a sound alike search feature which is helpful. Here is URL for the AMA doctor finder.
http://webapps.ama-assn.org/doctorfinder/home.html
Also, some states have websites for the medical board licensing or professional licensing where you can look up doctors with licenses in that state. You might do a Google search for whatever state your facility is in.
Another good one that I use is the WebMD physician finder. Here's the URL for that one:
http://doctor.webmd.com/physician_finder/home.aspx?sponsor=core
Hope this helps you.
Psych type
At the medical center I used to work for, they hired behavioral health clinic transcriptionists with no training or experience because it was pretty much "normal every day words". For psychiatry if they were inpatient at the time, we just typed them along with our other hospital dictations. I found that almost all of the crazy tests or things that were not normal jumbo I found easily on Google. Good luck to you, it is definately an interesting line of work. :)
Smart Type or Instant Text for Psych?
Hi all,
I type mostly psych evaluations, but I do type some clinic notes. I've been using AutoCorrect in Word, and I have been advised to invest in a good Expander to increase productivity. I can't decide between smart type or instant text? Which is better and why?
Does anyone have a child with pediatric GERD? sm
My 4 y/o daughter has been vomiting, coughing, and gagging for 1 1/2 months straight now. Her pediatrician has finally diagnosed her with GERD and put her on Zantac. He has also referred us to a pediatric gastro doc. The Zantac seems to keep her from vomiting, but we are still putting up with the coughing, gagging and gulping for air throughout the night. I am scared to leave her alone at night because of the constant gagging so she has been sleeping in my bed for the last month and a half. Has anyone else gone through this and is there light at the end of the tunnel? We are exhausted being up and down all night, not mention that she it too! She is due to start preschool Wednesday and I feel so bad that she is up all night with this instead of getting a good nights sleep! Any help, suggestions, or comments would be greatly appreciated. Thank you.
Child with pediatric GERD.
My son is 5 and he was diagnosed at 6 months old with GERD. He is on Zantac also and he does the coughing and gagging. Our doctor sent him for asthma and allergy tests and he is now on medication for asthma also. His coughing and gagging has improved some with the medications but not totally yet.
you *dictate for a pediatric neurologist*??
I think you meant to say you *transcribe* for a pediatric neurologist?....meanwhile - in field 30 years - and if one chooses to work for a pediatric any-specialty MD - you're going to have MD dictating during working hours, in between patients (like most MDs do) or while consulting with the patients, and you are going to get LOTS OF BACKGROUND NOISE.
Know this now and it will not change and if you don't like it, don't do pediatrics.....but best of luck whichever way you choose and it's not just you - pediatrics tend to screaming/fussy/not-feeling-well children....or just for well visits.....but they are kids....they will act and behave like kids....
and MDs don't want to dictate at the close of their day nor at home nor on the weekends at home.....that's their time....
and so we suffer.......*lol* - and keep on keepin' on....
My daughter will followup at MCV Pediatric Hem/Onc. for the rest of her life - sm
They said that is the norm there, granted this is cancer followup and not normal yearly physicals for an adult.....she is only 5 now so she still has a long way to go. But as for their normal pediatrician, I will take them their until they graduate high school (I did the same), then onto a regular family/adult doctor.
The hamster release I typed was on a pediatric neurology note. nm
:P
I am an MT at the facility where the
report came in. This dictator is not our best, but he's not our worst, either. I also transcribe his dictation. MQ does our overflow and has for YEARS! This is not an ESL dictator, and this physician has been at our hospital for years. I know nobody is perfect. All I'm saying is, I would never send a report through with that many blanks without someone checking first. I also know that yesterday one came through from MQ with more than 14 blanks, and it was from one of our easiest dictators! It doesn't matter whether you are management or an MT in the trenches (as am I). You should take pride in your work and care what the finished product looks like. If you have done your absolute best, then okay. If not, then there's a problem. With multiple reports coming through like this every day, it makes us wonder if all whoever types these cares about is getting the lines and doesn't care about the work they do.
Maybe work like this is why things aren't going so well at MQ, at least according to what I read on these boards. And for the record, I worked for MQ for a short period of time as an IC about 6 years ago but chose to go to work in-house for this facility for benefits.
I have been transcribing for 19 years, and I have had my share of difficult dictators, ESL, bathroom talkers, dictating in cars, airplanes, screaming children, fighting spouses, gum chewing, burping, and hearing other bodily functions, along with transcribing while parties, code blues, superbowl games, etc. are going on in the background. I know about crappy dictation and good dictation. I struggle through the bad and rejoice in the good.
The patients deserve the best. Our best! Yes, the ultimate responsibility should be the physicians, but isn't it our job to create the best possible report with what we have to work with? Medical Transcription is not a perfect world. There are no perfect dictators, but I do know a couple that come awfully close! In a perfect world there would be no sickness and we wouldn't be needed!
It's time for us to quit complaining about the dictation and do our absolute best with what we have. We owe the patient that much.
It is up to the facility not the MT (eom)
m
Whatever the facility wants is what you should do.
x
No facility should be given permission (sm)
for any kind of physical discipline. Its not a spare the rod spoil the child issue. When having to discipline someone elses child, the results could be far less or far more than what the parents would have inflicted. The result in some cases, especially in Texas, is the accidental deaths of children. I spank my children, on the behind but as a LAST result. THerefore, I would not allow my children to go to a school or facility, camp, counseling, etc, that would attempt to discipline my child physically. Call me and I will come and take care of it, but don't put yourself in the parents position.
incompetent facility
Your story sounds like something from a small town (or small office). That many radiology reports withheld from being distributed, you know some of them had remarkable findings such as a chest x-ray that needed a follow-up MRI, CT scan, etc. I hope this girl gets terminated soon enough and out of there. Otherwise, the radiologists themselves will be paying the price and hence it would be followed through to the administrative office/CEO office of the medical center/hospital.
This is how we let facility know they need to check
sef
No, I know not every facility/provider is
compliant, but two wrongs don't make a right. I want to keep my nose clean if the facility/provider is ever charged and investigated for a HIPAA violation - if the gov't has done so thus far. You think the gov't will buy 'oh, I was non-compliant because my client signed my checks'?...nope!
It is still up to the facility to make that
determination, not the individual MT. We only do what we are told to do.
Wow, this must be directly for a facility. Sm msg
Very hard to imagine an MTSO paying that type of money, although it is well worth every penny! Good luck! Grab it quick!
Yes, it is for a facility, remotely. sm
My concern is the salaried position and not hourly. The hours are supposed to be 9 to 5 Mon-Fri; however, if the workload is heavy, no overtime is paid, no shift differentials, etc. because it is a salaried position.
I could end up working a 60 hour week for the same amount of money as a 40 hour week.
That is what is holding me back right now.
I guess I could always try it and if for some reason it doesn't work out and they demand more than 8 hours a day without any type of incentive or bonus pay, then decide to leave or not ~ good idea?
Contact the facility...
That's the best thing to do. I don't think they want people posting that type of information here.
Been there-done that, but you can not complain to the facility
If you are working for a service, it is their responsibility. I would not put a report note or anything of that nature with the report to the client as it could cause YOU a lot of trouble. I have had so many bad dictators like that - one even fell asleep while dictating!! I know you have to take the good with the bad but like I have said before, an account has to be profitable to me or I do not want it. Bottom line, I am here for the paycheck just like they are. When I worked in house years ago, the doctors were actually offended and insulted if you brought up discrepancies in their dictation. Then the MT company did not care much when I complained. They just said to make sure you typed accurately exactly what was dictated. Again, accurate garbage is still accurate garbage. It is the provider's responsibility to dictate a professional medical document before you can transcribe one. If he/she cannot do that, there is not really much you can do to help them.
Where I work, the facility wants L used.
x
Usually Dr. dont hire MT, it is thru facility and
x
The facility is a "suit" who has no idea of MT. He
x
If your hospital/facility could take MT back
from the outsourced services, would it be interested in doing so? If you think it's Take Back Time at your hospital, facility, doctor's office, I am ready to offer them a proven solution to take control back into their own hands and create a win/win situation for hospital, MDs and MTs. It's Take Back Time!
How about you? If you could work for a hospital or facility without having a service between you and them, would you be interested? Do you have the proven quality and experience to offer a hospital? (Excluded: new grads, MT wanna be's, and trainees - this question is only meant for those with solid and strong acute care experience)
If the above scenarios appeal to you, contact me and let's talk.
Usually not Dr. who pays, but facility/hosp that
x
Doesnt matter what we think. Facility way is
x
MT works for the company, not the facility
It has been my experience that approaching an issue like this comes across as bullying and I have not had very good results with this method. Its like ha-ha you got one more chance kind of a deal. Rather than putting it off on the facility I would have sent a directive to the MT and asked that it not happen again, stating that the facility expects top notch work from us and anything less would not be acceptable to them. If that fatal second blow were to occur, then let the company deal with any disciplinary action it normally takes and/or perhaps move the MT over to another account. I have worked both sides of the fence, so I know this technique never works, almost always results in more and more errors.
Maybe facility doesnt know how deal with IC,
x
You do have only one crowd to please. The facility. All this other baloney is
x
I was searching for a Kaiser facility and the article came up (sm)
I don't know if I would call it better, but different sites come up.
It doesn't mention what they plan to do about identity theft and their 3 years is now up. Anybody work for this Kaiser facility?
Yes I have found some facility websites that have pics of all the MDs
and I have to say they may be the most unattractive group of people I've ever seen! I guess if you have nothing else going for you, it's a good idea to become an MD! Sort of ruins that sexy voice visual, huh? LOL
Others are working without spell check, facility
x
Sounds like facility is trying to save money by
I have a job where MTs were to put in billing and coding number. Use # X for emergency admits, except if it is Tuesday and sunny, then use # XX. That sort of thing. I had no idea what I was doing but figured if Dr was going to sign off on this mess, it was all on him.
Only a problem if your MTSO/facility decide
to use it. From what I have heard, not everyone is going to it.
I inquired about that as my MD provides care at a nursing facility & assisted living, he said
that he just hand writes notes it is cheaper, and if patient has to be admitted he dictates a full note at the hospital. But basically he said it was up to the individual facility, so you might want to check into it.
I think is called preferred vendor? Facility gets certain monetary breaks to only use one
:+
Hmm..patient information, name of facility, etc. on top of page is a header. Stuff on bottom like ph
,
How would you handle clinic notes coming up missing after you've delivered them to the facility?
I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic. I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics. She in turn distributes them to the clinics.
The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together. There is no way that some are printing and some are not. Plus I ALWAYS verify that each note printed. Today, she called and said there were missing notes from two different days.
Then there is the issue of my work being typed by someone in the hospital. When I deliver work I get a print out of what's on the system as far as clinic notes. It is a worktype specific list that only I am supposed type. There are a couple of doctors who dictate all their notes in one looooong job. There were two very long jobs on my list, but were never pooled to me. When I enter the specific job number, it says they have been transcribed. In one instance, the dictator dictated half on one job and half on another. I typed one job and the other just magically got transcribed. When I've called to ask who's typing these reports, no one seems to know.
These ladies in this particular transcription department are not a friendly bunch. I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type. I think they are wondering why they aren't allowed to work from home. The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.
I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now. I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.
I'm about to cut this account loose, but it's such easy work. It's just that I'm running into brick walls at this place.
Thanks for listening to me whine! 
don't type double spaces. Type single. Then no one will be cheated.
x
I agree check with your facility. Enlarging the font size can cause problems once a report uploads
I wrote a macro that would take the font size back down to 100% once I was finished and ready to sign off. I think I assigned to something like CNTRL+ALT+F and I got into a habit of doing that before hitting whatever function keys to spell check and sign off. It worked great.
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
Maybe psych is just not her cup of tea! Maybe she should
try another speciality. I think everyone has potential somewhere, somehow. She just needs to find her "speciality" if you will.
Unless, she has been on other specialities and her QA score is still that low, then maybe she needs to find another career!
You have a tough job having to QA that - bless you!
Psych MT's
Are any of you Psychiatry only MTs - if so, who do you work for-are they hiring?
Help please with psych (sm)
Switching from WP to "Word," need quick answer on how to avoid automatic numbering as will be using Psych Dx with Axis I, Axis II, etc., how do I do this without numbers "popping up" all over the place? Also, is there a word list or med list for psychiatric only? I am testing for a new acct. in the morning and petrified. I am experienced in the field but don't want to appear like a dunce on my testing due to lack of knowledge of "Word". Don't know which version they are using either. Please answer on board or by e-mail and I shall be forever greatful. Praying.
psych...really,..never done that before.
well, the owner sounds trustworthy,... and they have a lot of VA hospitals.. he didnt tell me what specialty or anything...i just thought i should ask..am really scared of foriegn dictators... never really worked for one. but this is a local co. right down the road from me...
Like GI, ID, Psych
Don't like Rehab-boring, Ophth-boring
psych 101
I've never met my dad, so I do not have a true model for measuring men against. They totally confuse me. I'm very independent and plan on pursuing my own goals. I think coming across a great man would just be a bonus and not a necessity. My most prominent relationship lasted almost a decade, and I remember him being really kind of cold and absent, and I was constantly vying for his attention. If I come across a truly loving nurturing guy, it scares me and I push away alot. I guess having a dad would have made me different, but I am what I am so its all I know.
Psych
We have not yet gotten to Psych reports in school. I am excited to though. I think I would be very interested in them. I take it they are not the money makers?
Psych
Imagine this, typing psych report and patient asked the difference between a cat and a dog? Answer: I don't know I have scr---ed them both. I just about died.
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