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If it was a clinic, it might have been urgent care, but it was NOT acute care. sm

Posted By: jj on 2006-10-30
In Reply to: Acute care clinic - Amber

Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.


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When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
s
i currently get a mix of clinic and acute care; sm
i get all different report types (clinic, acute, and various types), different facilities, just a big mix and yep it hurts on production. i have worked for MTSO before that assigned us set report types like i did consults and discharges. i was way much more productive there than i have ever been.
acute care vs. clinic

A walk-in clinic would still be considered clinic work.  When applying at a company that classifies experience as acute care and/or clinic work, acute care is the term used to designate hospital dictation. 


Acute care clinic

The reason I called it acute care clinic, is to convey that it was not a specialty clinic.  Our patients were there for acute care, and it was a clinic.


But you are right, I am knew to the transcription world outside of what my doctor expected.  I have read at least 5 text books on MT, but all emphasize asking your employer which format is preferrable. 


I was also wondering, on these online tests,  do they want verbatim, even if it is incomplete or run on sentences, or am I to make them complete by using "and" etc.


Do you do acute care or clinic?
nm
i went from clinic to acute care..
with no problem.  i work for 4 big hospitals and yes, there are a lot of doctors, but they tend to dictate all at the same time so i will get a bunch of dictations from the same doc in a row.  also, sometimes it seems like i get all ortho for a day or all ds for a day or all psych for a day.  i think it all depends on who you work for.  don't be afraid, jump in.  that's the only way to start and with all those acute job openings, i don't think anyone is going to tell you that you don't have the experience. 
clinic to acute care?
How do you transition from clinic work to acute care work?      I have done about a year of radiology work, which is what I started out doing.  I went to in-house family practice for 3 years.  Now I do GI and clinic notes.  I have also done a pain management clinic.  I have been doing transcription for about 6 years now.  I can't test for acute care because I do not have the 2 years required.  I tried working at a hospital part-time or PRN actually.  The drive and gas plus it was a second job for me, killed me and my budget.  It was an hour drive one way. 
clinic to acute care
I'll be starting with a new MTSO in a couple of weeks and will be doing acute care ONLY.  It's been a great many years since I've transcribed acute care; have only done clinic dictation for quite some time.  Can you guys give me some pointers to help me ease in to the transition? 
clinic notes to acute care

Has anyone gone from doing clinic notes for different specialities to acute care in a hospital?  I have been a Transcriptionist for four years and lost most of my work to India.  I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital.  I never did hospital work.  This will exclude lab and X-ray reports.  I am a little scared.  Any good sites to brush up on for documents or any words of wisdom?


Thanks!!



Need to vent acute care/vs clinic

I just have to vent and get some opinions on this.  I have started a job at a hospital.  I have done clinic notes for about 4years about 3 different specialities. I type normally 175 lines -200 at the most on a good day.  Since I started the hospital one week ago, I cannot get past 550-600 in a 7 hour day.  They told me until I get my line count up to 1000, I cannot go home to work, which is what I am suppose to be doing.  There are so many specialities, operative reports and procedures that I have never done and so many things to learn, I am losing so much of my speed looking stuff up. Does this take a long time learn?  Was I crazy to think I could do acute care vs clinic these past 4 years.  I am starting to doubt my intelligence here and thinking I am way out of my ballpark taking this on.  Has anyone else gone from clinic to acute care? Help!!



I went from clinic to acute care last year...
And then went back to clinic. I hated the acute care maybe because I think I had one of the worst accounts ever! Terrible dictators. It was such a big change. I didn't like it and I went back to clinic. You can do it and you could adjust in time but to be honest I wasn't making nowhere near enough money to bother with it. If the money was right it would be worth it but for not much money it wasn't worth it for me.
Clinic work to acute care
You are on the right track but it's just that no one has given you the break. Most MTs start with clinic notes and then wait for a break into the Big 4 doing acute care. Don't get discouraged. Yes by all means, test away and you might just get lucky. Take any job you can doing acute care even if the pay and hours are bad just to get experience under your belt.

It's not easy making a go of it these days even with tons of experience. Ya gotta be a little clever and have a game plan. Look at it as a challenge and keep at it. Best of luck to you.
Acute care vs. Clinic reports-

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


Acute Care or Clinic????? Which is easier? Where can I make more
I have been transcribing clinic reports for the past 3-1/2 years (not for the same clinic).  My company does have some acute care accounts and occasionally asks for someone to switch.  I was just curious if anyone had any opinions on which is easier.  I mean where can I be faster and a better lph.. clinic or acute care?  TIA
Clinic work or acute care question....sm
If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why?  I have two offers and everything is even except for the type of work.  I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be.  Any input? 
I have 3 jobs, 1 FT doing acute care, and 2 PT doing clinic work. sm
It can be a challenge juggling things, and I really do not have much of a social life, but for now it works.  It not only keeps the wolf away from the door but allows me to build up a little nest egg and save for a mega vacation I have planned in November to celebrate turning 50.  Having goals definitely helps me get through it all. 
Acute care position with clinic experience???
Can anyone help or advise me? I have 3 years of clinic experience, but I would like to break in to acute care. It seems like I run into the same brick wall that I ran into with no experience.  Does anyone have any leads or advice as to acquiring acute care employment with clinic experience only? What do I need to do? Thanks.
I started on Acute care, then went to clinic work, - sm
and then back again. I found clinic work to be more challenging, plus it often included radiology. I think it's more a matter of just getting familiar with each institution's way of doing things, along with new doctors, and getting familiar with a few new terms (which don't we all do every single day, anyway?) than it is one being easier or harder than the other.
Difference in Acute Care vs. Clinic reports

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


difference in Acute Care vs Clinic Reports
I thought so.  Thanks!
Is it harder to reach your daily line count on acute care or clinic?
nm
I've never seen mixed acute care & clinic at the same time. That's a production killer for sur
s
1/2 rad and 1/2 acute care
Does anyone have an acount where they do some radiology and some acute care?  Do you get paid differently for rad/acute care on this account?  I get paid the same and have one radiologist that slows me down considerably (I transcribe for 2 radiologist alternating weeks).  I make 1/2 with him than what I would make doing acute care or the other radiologist. 
Acute care

Can someone please explain acute care setting in detail?


Yes, and also known as acute care. (sm)
To me, the next thing would be OPs right after doing radiology, because you have lost most of your drug names by now. But it is hard to break into OPs, especially exclusively. You would also likely do well with (office) orthopedics or gastroenterology. I'm not saying you can't do acute care, but you would want to be in-house with a mentor nearby for the easiest transition. The drug names and all the various mispronounciations will be a thorn in your side.
I do know that the acute care...
would benefit me in the long run because I would have more opportunity to learn more. I currently do not take on the variety of work that you do, hence, the boredom. I only do discharge summaries on a regular basis and just started with consults and H&Ps. I have yet to do any regular workload of OP reports, etc.

I have always been interested in the psych field. Maybe that is why I think that I would be more interested in doing the transcription. Also, yes, I am on the hardest account we have. Thanks for the input though.
Acute care, 0.07 and 0.075....maybe??
I was hired making 0.08 cpl doing acute care for a national right out of school. Personally I think your numbers are a little low compared to what I have seen out there.
Acute Care & QA
I guess that is where my problem lies.  If I send a blank to editing/QA, I do not get the corrected report back so I never know what was filled in for the blank. Obviously, that hinders the learning process quite a bit.  Since I have only worked for 2 companies (the first one I could view my corrected reports, second one not), I am wondering if this is the norm. 
how many lph on ave is everyone doing in acute care? sm
i know there are lots of variables. i am just looking for a general idea of about where most people average, lph. TYIA
Acute care is
all the basic work types found in a hospital, H&Ps, consults, discharges, op notes, cardiac reports, the whole shebang.  The work is so varied and you get to touch on just about all the specialties, especially if it's a larger hospital.  
acute care
Just to clarify, in no way did I mean that as an accusation that she was misrepresenting herself.  I wanted to make sure she knew the difference between acute care and clinic work, as she seemed new to the world of transcription outside her experience with her doctor for the past 3 years.   
Acute care...nm
.
I would go with acute care, only because
I have a short attention span and doing clinic notes day in and day out would put me to sleep. It is bad enough when I get a bunch of monotone dictators, but it helps when they talk about something other than GERD and immunizations. JMHO.
acute care........

acute care
I started with a company back in June of last year as a newbie.  Due to a terminal illness, the owner sold the company in August.  The company who bought the business kept me on, which I am thankful for.  When I hired in with the original company before they sold out I transcribed clinic reports for a general surgeon who was an awesome dictator.  When the other company bought it out they said they no longer had that account and put me on acute care.  A huge hospital with tons of doctors.  A lot of ESLs.  Doing everything from H&Ps, consults, op notes, discharge sum., cardiac caths, sleep studies, etc.  Needless to say I was lost.  I am so thankful for the opportunity but isn't this a bit much for a someone with not much experience.  Anyway I came to find out later I was lied to and they still had the clinic account but gave it to someone with much more experience than me just because they didnt WANT to do acute care.  Now since I know they still have the account they let me do leftovers and use me for when no one else is available to do the clinic account but otherwise I have to do acute care.  Shouldn't a company give accounts based on the exp. level you have not what another MT wants to transcribe?  I think I should have gradually worked my way up to an account like this acute care account.  It is a very difficult account which slows down productivity a lot.  That and I am only making .065 cpl.  Which I know I have to start somewhere.  But on an account like that it is hard to make any money.  I don't have a lot of experience with companies but have you ever known a newbie to do a difficult acute care account when there was more appropriate accounts available?
Acute Care?
Subject: Acute Care?

I have been applying for jobs but all or most of them say Acute Care experience.  I am not sure what that means?  I have been with a small company for almost 3 years now and type several different docs for them.  What is acute care?  Sorry.  May be a dumb question but this is the only place I have worked since I started transcribing!  thanks.
acute care

I could be wrong but I think acute care means you have experience transcribing the basic 4.


You can try searching "what acute care means" here on these forums.  Just type it in the search box up above.


acute care
It means you have experience typing hospital reports, i.e., discharge summaries, H&Ps, consults, operative notes, and the like. If you type doctor's office notes that is considered clinical, not acute.
Acute Care?
What about in hospital acute care patients? Will all their records also be generated via EMR or is that the plan in the near future also?
Unfortunately, they do not have acute care.
It baffles me that my experience does not seem to even be considered. I am a quick study and I learn and retain well. I really want to expand my horizons and I am open to suggestions. I am a good Transcriptionist with 99.8% accuracy and I am motivated, yet I just keeping running into wall after wall. Would testing on company websites be helpful at all? I don't want to waste my time, but I am almost desperate.
Rad Vs Acute Care
I've done both and, to be honest, I think it depends on your dictators, their use of normals, the length of the reports, etc. I've had rads that will blather on for 12 minutes (yes, 12) on an essentially negative CT abdomen and pelvis. And it's not 12 minutes of dictation. It's 12 minutes of start/stop dictation, with lots of pauses and dead air time, which is a total line killer. I've also had rads that have a normal for this type of report, have it blown in, fill in a few blanks, and wrap it up. I've also had dictations that show up as a 6 or 7 minute total time dictation, only to find the first 3 minutes are actual dictation, the rest of the time is "Transcriptionist, go back up and where I said...", and proceed to spend 3 minutes changing the first 3 minutes of dictation (always a delight). In an 8 hour shift with the right dictators, I can slam out about 1900-2100 lines of straight transcription in Rad; on the other hand, I've had 8 hour shifts where, depending on the dictators, I've been doing good to eek out 1400 lines.
Having done both rad and acute care, I'd say it's a crapshoot as to which one actually pays more. There are a lot of variables with accounts and it's difficult to really differentiate which of the two would pay better. It all comes down to the account...doctors' style of dictating, usage of normals, ESL physicians, etc.; the same things that impact one's line count on an acute care account.
Good luck to you. I really think with the right account, you'd see your line count increase dramatically.
I did rad then acute care...sm
Did Rad work for about 4 years then switched to acute care elsewhere.  I worked in-house for about a year and that helped me a lot.  As GothMT said, it was overwhelming, but now I definitely prefer acute care. 
Do you do acute care and
there are people here who tell you the certificate is not worth much, employers are wanting experience. It would seem if you are working 2 days in the transcription department, what is wrong with working more or do they not have any more than 2 to keep you occupied?
Can you apply for both acute care and rad at MQ?
/
I just learned rad after 16 yrs of acute care.
just by having a couple of good reference books and some live body to ask a few questions of has been all that I've needed.  It's different, but like anything else, after a while they're just saying the same things over and over again.  No different than just doing a different specialty in acute care.  I can't imagine needing to go back to school for radiology.  That's overkill.
I do acute care ASR every day and if you think it is perfect you had better take a better look
because I spend a tremendous amount of time fixing those reports and many times delete them and type from scratch. What planet are you from.
acute care basic 4

Could someone please explain the major differences between acute care basic 4 and multispecialty clinic transcription?   It seems that the job ads usually specify which one and how much experience is needed with each of these categories, but I am curious to know the differences and why someone with several years of multispecialty clinic experience may not do well with acute care hospital transcription.



TIA for any info provided!


differences in acute care and

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.     


ACUTE CARE-RADIOLOGY

I have noticed a couple of companies are asking for Rad transcriptionists but they want you to have acute care experience.  Why?


Oh, my. 30 years doing acute care. sm
I started VERY young!!
27 years, all in acute care. NM
x