I work for a hospital that has Cerner Classic Radnet and a service that sm
Posted By: RadMT on 2006-08-13
In Reply to: Wonder what the problem is? - Babe
uses Cerner Millenium Radnet. The two are completely different. The Classic version does EXACTLY what you described with ShortHand but they found a solution at the hospital. I will look at it on Wednesday when I go to work. I'm embarassed to say that I have used it for so long that I don't pay attention anymore and can't remember the name of the program.
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Do you work in a hospital or a Transcription Service
Office? It is a hospital there should be a manager that you can go to or an administrator. Production is key in hospital work, and it is important you have the quiet you need to produce.
Shorthand will work with Cerner, but... SM
your hospital IT department will probably tell you it won't work and you will probably also be told you cannot load personal software on hospital-owned equipment. There is a way around this, however. If you have a jump/flash drive you can download the SH program for their website when asked where to save the download file, choose your jump drive (it is drive F: on my PC, maybe different on yours).
Once the file is downloaded, open up your jump drive and double click on the install icon. When you get to the step of the installation that asks where you want to install the program (usually defaults to C:programs) change that to your jump drive. Then install the program. Now, the program is installed on your jump drive. You can take your jump drive and plug it in to any PC, open up your drive, double click on the SH icon to run the program, and the SH program will run in the background on whatever PC you are using (you will see the SH icon in your right lower corner with your clock). It is not installed on the PC, so you are not breaking any "rules" that the hospital may have. Once you are done for the day, double click the SH icon and shut down the program and unplug your dive. No one will ever know. It'll be your little secret.
I did this for years. I worked on Cerner RadNet and got the same run around about Expander programs. I just did it myself and nobody ever knew.
Good Luck!
Hospital at-home job vs. service
Here is the scoop: I work for a service now, but was offered an at-home position with a local hospital at $14.70 per hour with benes. WHAT SHOULD I DO???????
Hospital versus Service
The experience you will get at the hospital cannot be beat. Nothing compares to having experienced coworkers to help when you are stuck on something.
Does PC Shorthand work in Radnet?../nm
xx
Last resort is applying at the service the hospital is using.
dd
Angry, this happened in our hospital with our outsource service - sm
we had not been checking the outsource service's work for months. Well, it came back to bite us in the ass, because low and behold there was a Transcriptionist that worked for the outsource service that could not type whatsoever - in fact, we even suspected that it was being offshored without our knowledge - that's how bad it was.
anyways, it came back to bite us in the ass because an outside doctor's office received a copy of a hospital dictation and it made us look stupid. So needless to say, we asked that this certain transcriptionist be taken off the account. It was our fault for not looking at the transcription services work, but then again, they guarantee accuracy and crap like that.
Maybe this is what happened in your situation. That all of a sudden the hospital decided to do a QA or some doctor finally read his dictation.
Don't be hard on yourself. You will get the hang of it.
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.
Shorthand works for Radnet. I love Radnet BTW! nm
nm
I hear Radnet won't work with Word autoentries and stuff.
And I never worked out of Word before, so what are good and cheap word Expanders - will any import my Word shortcuts and expanders?
RE: I hear Radnet won't work with Word autoentries and stuff.
I currently use RadNet at my in-house job, and it has its own shortcut Expander pre-programmed. You create the expansion and use F9 to launch the expansion.
My DH is a Service Engineer, installs/services electron microscopes at hospital, Universities, gov&#
he makes a LOT more than me. My monthly pay equals one of his paychecks after taxes, sad. All he has is a 2 year technical degree too. So if we did not have so many expenses we'd be quite comfy (losing a major one in 4 months though, yeah)....in 5 years when the house is paid off we will be every comfy, can't wait to not have to work! I would get back into my jewelry business FT and see if I can finally make that fly! Have a BFA and don't use it, what a waste.
Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.
Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...
But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???
Cerner is a pie system for MTs...(sm)
A hospital I used to work for went to Cerner about a year before I left. It was very nice for the MTs compared to the dinosaur system we had before it. The front office and billing I cannot say were so happy about it..and expect alot of headaches throughout your department until they get used to it. But as far as the MT side of it..it was great. LOVED the lil "sticky notes" you could enter on a document to bring something to the rad's attention before they could sign it off. 
Okay to work for more than one service.
Is it okay to work for more than one service at a time? Do you have to be IC to do that, or can you mix and match with employee status? Is a small service better to work for, generally, than a national? If you work for a clinic can you also work for a service at the same time? Thanks for any input.
That's all I will do. Every service I work for. nm
x
Incentive by minutes with Cerner
Hi -
The hospital I work for went with Cerner a year or so ago. Their software is so bad, our required minutes were lowered to 80 minutes/8hr. Incentive starts at 91.3 min/8hr.
Cerner/Citrix and Shortand
I am fairly new to this hospital which uses Cerner with something called Citrix. We type in Word within their program so can use Autocorrect and Autotext. I have asked around to a manager and a couple employee and it seems no one is aware of a word Expander program other than those with Word, that can be used without problems. Apparently the hospital transcription department has tried Smarttype but that did not work right. I'm wondering if anyone has had success with ShortHand for Windows and this program. It seems to be a program that works with most systems. Has anyone had any success with Cerner and shorthand? Thanks.
Does it bother any of you who work for a service
I accepted a job with a company not knowing that they outsource offshore until today and I have mixed feelings about whether I should continue looking for a different job or stick with this one.
Baffled
I work for a service, a rather large one sm
They probably, or possibly, keep the records for awhile, in Echart. But as an IC, I would think that legally, you would be limited to the amount of time you are allowed to keep patients medical records, and I would bet it would be around 30 days, not more.
suggestion for those who work for a service
I had problems earlier this week when I had to reinstall my Java and ended up with a weird word processing program that also attached itself from Sun and also when I STOOPIDLY downloaded a Bittorrent file and of course could not "remove" either through the usual way and of course, it caused my system to almost have a nervous breakdown and after hours of "trying to figure it out myself", I ended up calling a remote techinical service.
The name of the service is HiWired and I used them in the past about 3 years ago when I was having problems with my desktop. The initial person that I spoke to told me the charge would be $73 and I told her that would be okay. The tech installed AVG Free on my puter and told me about the horrors of the bit torrent files etc. He also installed another free antispyware program on my machine and in all, spent about 2 to 2 and a half hours the other night working on the machine. When everything was back to normal, I checked my account and sure enough, $73 was all that I was charged -- NOTHING was added to the bill like some places that will "give you a rate" but the more work that is done, then the bill goes up."
Also, the wonderful thing about HiWired is that they are based in MA, they work 24/7 and all their techs are AMERICAN technicans.
Sorry for the long post.
With the service I work for at home, we also
have access to the patient's electronic record to verify dictation.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
does anyone else work for a service where you have to get your line counts from a website?(sm)
I presently work for two services. For service A our line counts post to the company password-protected website. However, that isn't a problem as the program we use shows us our line counts as we go along. Also, the line counts are available to us, from the program, within five minutes at the most after finishing the job. It also posts to the website within that time frame.
However, for service B we have to completely RELY on the website for our line counts. I'm not sure how the site works or how the jobs/counts get posted to that site but there are ALWAYS times where this site is down (usually around the end of the payperiod so we can't tell how much we've typed at any giving moment.) Also, we cannot verify whether those counts are right because we do not have access to what is considered a line (other than the standard "65-character-including spaces"). Does anyone else work for a service where you have to get your line counts this way? What do you all think.
Ahhh, so you've chosen to work for a service
 There are others who are still gaining their own accounts. Sometimes, you have to seek and you shall find. The larger companies and even smaller for that matter are gaining accounts to prove that voice recognition is not the majority. Just because you chose to take less does not mean that everyone in this profession has. So, your opinions are fine for your situation, but to state that everyone's salary and this profession has gone downhill is simply not true. I, for one, have a lot more now than I have ever had in my lifetime, and I have a lot of experience. The in-house position was holding me back. When you get paid per hour instead of production, it seems you get jipped. If you work production and are good at what you do, it is not too bad of a salary. Everyone has a different situation. MTblab is getting out, which is great for her since she is moving into another phase of her life. Of course, she is going to post that it is a horrible profession because she is not happy with what she has been served. Misery LOVES company. You do have a choice in what type of work you take. If not happy, again, seek and you shall find. I am so happy to be  , because I make the rules. Okay, I am off of my  now. Take care. 
Ugh, another reason I'm glad I work for a small service...
in QA. ;) I actually change it on the sly without trying to explain it to the MT. No markoffs for it.
I used to be able to explain it to people "face to face," the way the veteran MT explained it to me, but I threw up my hands at doing it in writing.
Yet another reason I wouldn't do well at a national; I don't take "wrong corrections" very well at all, and have never had to work a verbatim account (shudder).
That is okay. Yes I do work for a service. The doctor uploads directly to me and he is pretty reg
Thanks for your input.
Thanks for your input. We type regular medical reports in Meditech and radiology in Cerner. SM
I am really considering presenting the idea that we measure productivity on minutes transcribed instead of lines. I don't know if management will go for it, but it seems like the best scenario considering all the trouble we've had.
Thanks again!
I work for a hospital and can do in less (sm)
than 8 hours (65-char line). Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".
Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.
So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.
Well then don't come work for my hospital because...
if you type something for one of your co-workers, you have violated the confidentiality agreement signed when you were hired. I've typed celebrity reports too when I worked for a national, that's different. If it were the other way around would you like a casual acquaintance to know all your business? I wouldn't. I have the same respect that I would want. There's 23 other MTs in my hospital. I don't NEED to type a medical report on my children's elementary school principal (happened a few months ago). So, get off your attitude.
I work in a hospital and sometimes we have had - (s/m)
"blanket" messages on our blackboard - or in memos - meant for one or two, even those of us who work our tails off have to read it and feel chastised. It's very demoralizing. Next time I get one of those nasty memos or emails, I intend to tell the boss that if he thinks I'm so lazy, then he can just pry his fat arse out of his genuine leather easy-chair, turn off the computer games he plays all day long, and type the #*%<)!@% work himself.
I work in a hospital
in a city with a population of like 4000 people, it is only a 23-bed hospital and I started working here a year and 1/2 ago. I make a little over $12/hr. For this area, this is great pay for any kind of job if you don't have a bachelor's degree. My mom is an LPN/office manager in a clinic owned by the hopstial and she is only making like $4/hr more than I am.
The hospital I work for will
Well some people can get away with it, others get dropped. Why I am looking elsewhere.
I did work for a hospital that used one of those.
They called it a 'CryptoCard' and it was about the size of a credit card. You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time. It always changed....security precautions. I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.
the hospital I work for does that too.
They call it a Biometric Screening. When you enroll you have all the lab work done that you need.Glucose, lipids, TSH, triglycerides, etc. You also get a reduction in your health insurance premiums per pay period. Depending on what you participate in, you can also get up to $300 back at the end of the program.They have smoking cessation incentives, exercise incentives, etc. It runs from September to September. Pays usually in January, or midway through. You also get discounts on different classes that are offered, ie pilates, yoga, circuit, etc. For a reduction in my health insurance, I think it is well worth it. And I haven't heard of anybody being popped for drugs of abuse or anything like that.
When I used to work for the hospital, the ones of
us with equipment at home contracted with the hospital and worked our "second job" for the hospital to do the work when we were behind. You might ask them about that.
Hospital work
From someone who worked in a hospital first and then worked at home, sometimes in a hospital you end up doing other duties like correcting someone's else's reports because they are not there that day, or are working another shift, re-printing reports, sometimes the nursing floors or even physician calls with problems with the report (usually they are irate and blame any and every problem on transcription). You have meetings which interfere with your ability to transcribe. You have to be on alert for Department of Health visits. I could go on and on. Your line count sufferes. Unless you get paid by the hour and get paid well, it is more trouble than it is worth.
hospital work
I got most of my first work experience at a hospital when i had no idea what i was doing. They never gave me any feedback or nothing and was there 2 and a half years. And I got paid for not knowing what i was doing. I had only had a few courses of medical terminology and they hired me in. It was a stepping stone to bigger and better things. Hospitals today though are more competitive, (my experience was over 25 years ago). So you might learn more stepping stones by working at the hospital. (i drove over 55 miles to that hospital job just to get experience in the field).
going to the hospital won't work sm
thought because we as MTs sign contracts etc etc when we work for these companies. If we go behind the company back and approach the hospitals/facilities, we can be in all kinds of legal troubles with the company itself. The rest I agree with but people have got to stick together.
Kind of goes back to 30 years ago and the big unions huh? People stuck together they got things done and working conditions improved. People busted the unions and you see what has happened over the years.
Coming from a HUGE union state (Michigan---that ought to get a few riled), I have seen what has happened when the unions are "busted." I also now live in a southern state and see what goes on here when there are no unions and folks don't stick together.
There has got to be a solution for this and I for one am willing to sign on to whatever it takes to get the job done.
As in hospital work,
discharge summaries, operative reports, consultations and history and physical.
he was a classic
couldn't stomach him
I work for a hospital 6 states away. SM
I have a physician list and I have a website to look for other doctors. But how can they expect me to know how to spell patients' names? They can't. I have a disclaimer at the top of my log sheet that says common or phonetic spellings will be used where patient name spellings are not provided.
That was the thing that held me up when I worked "live" from home for a hospital. All that diddling around finding out whether it was "Kathy" or "Cathy" -- I don't do that any longer and you're right, it makes a HUGE difference.
i work in-house for a hospital and they
did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus. they cant keep emps now except the ones that are too close to retirement.
I work for a local hospital,
not a company. I know to stay away from Transcend.
local hospital work
i moved from a large city to a small town and i'm thinking about doing what you did. try to go to work for the local hospital. would have to probably work a set schedule, but the town is small so it's not like i'd be driving a long distance and i could go home for lunch. i don't have benefits right now and that's scary, so i'm leaning that way.
Not! They are why I went back to work for a hospital
to work
hospital work at home
May I ask if it was easy for you to get the at-home job working for the hospital? I have a hospital very near my home and have been contemplating going there to see if they have at-home transcription jobs available, but haven't done so just yet. I would love to be paid hourly. I'm so tired of having to type my fingers to the bone to make good money. Hourly should would be nice, even if only temporarily. Thanks for any advice.
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