I went with the electronic fee - $75.00. Some differences in...

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Acute care is so much broader as far as need for knowledge of terminology in many different specialities.  Clinic transcription can be of any specialty, but usually if you have a clinic account it will be limited to one or two specialties. 

There are many different work types in acute care.  Clinic work consists of mostly a history, physical exam, and plan.   Acute care includes things such as operative notes, consultations, etc.  which are "a whole different ballgame" as far as terminology.          

Basic 4:  H&P (history and physical), CN (consultation notes by specialists on staff), OP(erative) reports, DS (discharge summaries) - reports dictated while patient, having experienced a(n acute) problem, is admitted and being treated in a hospital. They encompass all disease processes, procedures, specialties, medications, analyses, surgical equipment, tools, anesthesia, etc.

Multispecialty clinics, i.e., specific specialists consulted by outpatients including OB/GYN, opthalmology, neurology, psychology, psychiatry, orthopedics, urology, hematology-oncology, internal medicine, pediatrics, gastroenterology, family practice, etc., etc.     

They said that carpal tunnel syndrome was a very rare condition and it does not come from overuse such as typing, game-playing, etc.  They did quite a good job with the show.  I am convinced they are right.  We get repetitive strain injury, not CTS.  I believe them.

I think as the medical community finds out more about injuries and diseases and medications, we have to adjust our thinking. 

They certainly made a believer out of me.  What do you think?

I currently have all of my word books, drug books, and dictionaries on my computer.  About the only book that I may ever need that I don't have on my disk is *One-Word, Two-Words, or Hyphenated?* and my anatomy book, but there are some great websites out there, in addition to Google, that can supplement this when I'm away from home.

One of the last places I went to where I actually had to take work with me was Las Vegas.  We had a BEAUTIFUL view of the strip, so I just turned the hotel desk sideways so that it was up against the over-sized windows and I just typed away!!!  I would rather have been ON the strip, but the view while I was working was definitely different than the trees-and-mailbox view that I get at home!!

I just took my laptop, external ergonomic keyboard and mouse, foot pedal, and headphones.  I had to pack the keyboard in my suitcase and pray that it wasn't crushed, but everything else fit nicely in my laptop bag as a carry-on.  I think the high-speed connection at the hotel was around $20/day, but I had no connectivity problems with it.

A lady I used to know traveled full-time with her retired husband and so she had a new *view* every week!  She had a satellite connection hooked up to her RV and so she would work on the road.  I actually think I might postpone my own retirement just so I can have the experience of working in a different state every week!!

When I go to the doctor, he types my visit into the electronic medical record himself as he is speaking with me.  I guess it saves them time on dictating the report .

I always say I will train for something else but it costs to go to school.  I have been in school forever, off a semester, on a semester.  I just hope I can get re-trained before everyone switches to EMR.

anon

Ok, so I went to my doctor's office today and noticed that they just installed a computer station for all doctors in the clinic to start doing their own records while they are visiting you!  What do you guys think?? Is this the end of our profession or is our profession going turn it to something else..like editing those reports that the doctors have to type.

Is this a real problem or will it be many years from now before it effects us?  Let me know your thoughts.

Thanks....

I own a small home based medical transcription business and have been asked by prospective new clients about electronic signature capabilities.  Can anyone recommend a company or any advice regarding my document management needs.  I currently have physician offices set up digitally without any electronic signature capability at all.

Thanks

I'm trying to do a wildcard search for the endings of drug names, eg, *sartan. I read the help file and tried ~, (), ?, and nothing is working. I read the FAQ on the Stedman's web site and it appears to skirt the question and refer the questioner to the help file.

Am I correct that the new 2006 QLEDR does not allow searches for just the endings of drugs? If so, what a waste of money that was.

Here's the scoop on EMR.... right now not all facilities have everything electronic, but they are working on getting electronic on all records, however, there will still be paperbased files. What MTs need to do is to become familiar in the electronic field and not just limit their skills to transcription, because, lets face it today NO ONE stays at one job for years and years, no matter what the specialty, you need to keep educating yourself, better your skills, and move on to bigger and BETTER things!!! It will eventually change, after all, even AMTA changed their name:)

I HATE IT!! It is so NOT user friendly!  When you open it, it takes up your entire screen, and the wildcard search feature is crap, in my opinion.  Luckily, I didn't have to pay too much for it (got it on a discount through my MTSO), so I ordered the QLEDB 2007 version (updating my 2005 version).  Unfortunately, it's backordered.  but when it gets here, I'm taking the D&D one off my computer.... that's how much I hate it! lol 

Cheaper is not always better. I'd stay away from the D&D version until they make it more user friendly.

Which is the latest and best Stedman's electronic dictionary to get?

There's one on Amazon for 44.98 that includes a book and a CD-ROM.

http://www.amazon.com/Stedmans-Medical-Dictionary/dp/0781733901/ref=pd_bbs_sr_1/102-2847481-2148145?ie=UTF8&s=books&qid=1180728177&sr=8-1

Then, there's one on the Stedman site for 99.95, but it's only a CD-ROM.

http://stedmans.com/product.cfm/528/210

Which of these (or another?) is the best one to get?

I find the Electronic version is great as well.  I still like my book but find that the Electronic version is great to have on my laptop for travelling and ease of use.

Here is a link to it from Stedman's   http://www.stedmans.com/product.cfm/470/239.

Can anyone tell me the best electronic medical spellchecker on the market and where I can buy it? Starting a new account and it is required to have.

Thanks,

Angie

Does anyone know if the Quick Look Electronic Drug Book 2003 is compatible with XP?  Any help would be GREATLY appreciated.

TIA

Yes, they are pushing to make medical records electronic, instead of a paper chart.  That doesn't affect MTs.  We still transcribe reports and instead of the reports being printed and filed in a paper chart, they are part of the electronic record and can be accessed at any computer in the hospital , for instance.  The doctor can sit at the nursing station and pull up all the dictated reports, the lab, radiology reports, etc.

Voice recognition, of course, is something different.  There is no one saying that VR has to be used by 2012.  That's simply an alternate way of getting the dictation onto the EMR.

available.  It helped to speed it up a great deal.  I have both Saudners and QL  but for some reason my QL stopped working.  I find that the Saudners "sound-a-like" search has been very useful.  It initially was very slow but there is an update out there that fixes it and improves the speed dramatically.   I cannot recall where I got the info on the fix from but I'm sure if you visit www.spwb.com you may find it there or you can email the authors and get the update.

My job has been scanning all the medical records over to electronic medium and the doctors are now taking laptops in the exam room with them and typing in all the info, so basically, my job will be obselete once this transition is over. 

Our boss has been doing a comparison of the clinics who now have the electronic medical record--those docs went from dictating thousands of lines in a weekly period to less than 50!!!  Of course this is a tremendous difference and it's "lights out" for us MTs.  We've got about a good year before it's all done.

Have any of you been affected by this new technology?

P.S.  I didn't care so much anyhow...I hate this industry and this job, so I've been looking for other employment anyhow. 

i'm thinking of getting an electronic spell checker, where it will automatically correct your words as you type.  is there such a program?

thanks

I would love to hear everyones 2 cents about Electronic Medical Records....How soon will this be a problem for us? What will we do after they are in most doctors exam rooms?

Let me know what you guys think...Do MT's have a future? or did I just go thru schooling for nothing ...