Longest ER exam on record! My funny for the day.
Posted By: ER MT on 2007-10-10
In Reply to:
"She states she has had right-sided abdominal pain and she points to her right lower quadrant for approximately three days." 
I wonder if her pointy finger got tired!!!
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
No, I doubt that a breast exam is included in the physical exam for a driver's licence..sm
Since when did they start to ask for a physical exanm to obtain a driver's licence?
This must be new, I never was subjected to a physical exam, only an eye exam.
That's weird.
longest dictation.
Mine was probably around an hour and 15 minutes to an hour and a half. The doc was awesome, best dictator ever and his H&Ps and DS were anywhere from 30 minutes to 90 minutes long. Boy I sure miss him! He was at a local hospital I used to work at.
I was the opposite. I used my old way for the longest time
because I couldn't handle the new program and the new way both at once. Once I was comfortable with IT, then I started using expansion keys and actually increased my production from in almost 20%. It definitely was work making myself learn to use them!
Who has the longest-running account?
I have an account I have been transcribing since August 1997. How bout U?
Longest list of medications
For me personally it was 17 - at that point I changed doctors and finally got some relief for my fibromyalgia. I think I bought this doctor a car, put his kids through private school and probably financed his house. He saw me once a week for two years and very regularly after that. I often wondered why he wanted me to come in so often and how he always found something else wrong with me. Come to find out that I really didn't have all of the problems that he was diagnosing me with and all I really needed was help with my blood pressure and a pain management specialist (which he did not believe in prescribing narcotics). As for work - I can't remember the longest list of medications a patient was prescribed - but in doing acute care and with the elderly patients - it was always a high number.
I think Lanier lasts the longest/best ones..sm
http://www.martelelectronics.com/Lanier%20Transcribers.htm
I also saw (if you Google used Lanier transcribers) ones going on ebay for $225 and that's cheap if they are in good condition. I remember when a Lanier transcriber cost $600. I use one of them but it's a long-term loaner *S*
I went through 2 Sanyo's and would not buy that brand again (one ate tapes from the outset) and I'm leery of Panasonic, had problems with other equipment of theirs that is non-MT-related.
Long-time Lanier lover here.
I thought it was just me for the longest time
About 8 to 10 years ago, it was a piece of cake to make OVER 300 lines per hour after doing a bunch of doctors I'd gotten used to over a few weeks/months (depending on the difficulty of the docs).
For the past 2+ years, no matter where I work (and I've worked for a few), I'm finding that it's been a struggle to reach 200 lines (let along over 300!) an hour ... and I'm noticing that on message boards nowadays, it's considered average to transcribe 150-175 lines an hour (?).... Wow. Just wow. Didn't that used to be considered "newbie" range? Or am I mistaken?
Even when I mention to potential employers/MTSOs that my goal is to reach at least 300 lines per hour, they always sound taken aback or have a hesitancy in their voices as far as that being even a possibility!
I'm making 20% to 30% less than I did as a newbie 15 years ago. Now I know I'm getting older and perhaps slowing down, but I've been noticing line counts diminishing with using these proprietary programs these companies use for quite a while now.
I agree with hayseed and the OP of this thread.
8 years total, longest was 4 yrs for the Q...
what is the longest you are willing to wait for check? sm
Background - been typing for a Chicagoland MTSO for over seven years now. Invoices are sent 15th and end of month and paid 30 days later. For the most part, invoices are received on a pretty regular basis, but there have been notable delays explained away by the Chicago Post Office is the worst in the nation. Fast forward to today; in the past two months I have received exactly ONE invoice - the rest have been delayed because of the Chicago PO or lost in the mail so stop payment (supposedly) on the oldest check and reissuance. It was supposedly mailed 08/15 and now seven mailing days later I still do not have it. I have sent polite e-mails to the accounting person but I keep being told to wait 10 business days before a new check can be cut. In the meantime, college tuition is due and bank account is dwindling. I am in the process of looking for another MTSO but in the meantime, general consensus on how long you would wait for a check. I have a long history with this MTSO and don't really want to go the labor and wage board route but I am getting kind of fed up...I can't work for free!
Okay, let's do a poll...what's the longest dictation you've done?
I'm talking about a single dictation on one patient. Mine was three hours and around 13 minutes I think (psychology).
Bullfeathers. Americans work the longest hours.
We average 1960+ hours worked per year. Google "Americans work the longest hours". Nobody else can touch us. Provide us with a link proving your theory that Americans don't want to work. Young people want to work as well. Every young person I know of is working on top of going to school fulltime. Maybe it's just the people you know who don't want to work, because I can tell you that everyone in my family has a good work ethic. Google "American youth don't want to work". Oopsy, no hits. Guess that blows your theory.
What is the longest you have gone without service? Do they return phone calls promptly?
TIA
For the record,
the solo-practices and smaller offices are outsourcing to the hospitals...
can anyone set the record for
My record is around 45. Right now i'm on a report that is up to about 23. Talk about toxic!
re-record
If re-recording to digital, pretty easy. Play either in handheld or transcriber, and use either computer or digital handheld to capture. Just need the connecting cord between two units - can get at Radio Shack.
if it was in my medical record?
It would depend upon whether or not it could have a negative impact upon my medical care. If the doctor dictated something like, "The patient has diabetes" (when I don't), yeah, I would ask them to correct the record. But for something like what was stated originally ... heck no. Let it stay.
But that's me ... I don't have OCD and I'm not anal retentive about this business like others. Never have been and never will be.
I still think you need to lighten up. There's a lot more to worry about in life than something like that.
expunging record
Just a thought -- a friend had a felony from years ago expunged from her record -- but background checks from then on noted the expungement on her record -- which raised red flags in itself.
another broken record...
me too. It absolutely befuddles me that anyone would be trying to get INTO this field, especially with all the ominous signs that are right out there for anyone to see. I think new moms with babes are just blinded by the idea of "working at home" and can't see the competition they are facing. Me, I am in nursing school... not an easy job by any means...but I'll be good at it and will find my niche quickly and will always have a job! My biggest account is making noise about getting a VR system. If I wasn't in nursing school, I would be having a panic attack instead!
How did he get his record cleared?
You mentioned that he has a "clean record." I still have this thing on from 11 years ago. Did he have to do something in particular to clean his record or did it just drop off?
We all make dumb mistakes at some time in our lives, eh? LOL
Med Record Retention
That's a very broad question. It's my understanding that the answer depends on the State and the age of the patient at the time of service. Liability required juvenile records be kept forever since it used to be a base could be brought when the injury was first noticed, and that could be well into the adult years.
You have to record to the computer
Get a program like GoldWave (I think goldwave.com). You can buy a plug that goes one end in the transcriber and the other in the computer. One end goes in the transcriber earpiece plug and the other goes in the computer microphone plug.
Then play the transcriber while using Goldwave (or whatever) to record from the microphone input. It creates a WAV file or whatever you specify.
LOL. Did you tell your doctor so he could record it? - NM
NM
That particular patient's record
is still confidential information, thus protected. Who knows, there may be contributing factors about that other patient and that is why the name was mentioned. Either way, if it was dictated to be transcribed and fits with the account specs, it is to be transcribed. I've worked for companies that did and did not allow patient and other names in their records, sometimes it just depends on what the client wants.
Public record
http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829906.htm
http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829905.htm
These 2 companies were just awarded all of VISN 7. Not sure exactly where the split is. Look on VA website for hospitals make up VISN 7.
Why don't you set the record straight Ms. AAMT?
Why are you sooooooo defensive?
Setting the record straight
You purchased an IN-155 foot pedal for compatiblility with DVI VoiceWav. (We have sold nearly 1,000 of these with zero returns.)
When you called our toll free 800 number for support we told you that the problem was not the pedal and was either the software you were using or your computer. Reluctantly, we agreed to do an exchange for you. (FYI, when your first pedal came back to us it worked absolutely perfectly and still does. In fact it is plugged into the same computer I am typing on at this moment. It has been tested daily since it came back with no problems).
Now, you voice incorrect information on MTStars. Your problem is in your computer.
Please feel free to call us yet again if this is not clear to you.
Tom Wilkes
President
Executive Communication Systems
(800) 644-9525, ext. 101
It is about CLARITY in the medical record.
It makes the medical record easier to read, which means more accurate patient care
Try expunging the felony record. sm
My friend's daughter did this after being turned down for a job at Target. She was an adult. You will need some legal assistance to do it.
electronic medical record nm
/
A.S. in Medical Record Technology
This included a course in Medical Transcription. Went to work in a physician's office. My job title was medical records, but the main component of the job was transcription. This led to later full-time transcription job.
It's probably an electronic health record.
They probably got an electronic health record where it is basically a point and click system that creates a progress note, does the coding, etc. I think this is going to hurt transcription greatly.
In Microsoft Word, there should be a record
of changes made and who accessed the report and made it. SOmeone with more technical expertise should be able to tell you what you do.
IT users?? Need ideas on how to record (sm)
the rad report MR#s, DVI#s, Accession #s in IT so to save me time. This is radiology and at times, recording the exam numbers takes longer than typing the report, so hopefully, you understand.
My idea is to open a daily list on the blank page of the IT screen and then save it at the end of the day. Does this sound plausible to you?
Thanks for your feedback!
Rad MT
After 5 years, you can have your record expunged. sm
If you apply for some high-level security position, such as law enforcement, FBI, etc., it will still show up, but otherwise, you can trully answer "no" if asked if you have any convictions, etc. You do have to go through an attorney, and I do not know how much it costs.
Hope this helps.
Let me tell you about falsifying a medical record
I know first hand it has been done and it was done about me. I had plastic surgery (3 part type) with face lift, tummy tuck and lipo in 2002. The doctor "forgot" to do the face lift. Had paid up front and I asked for the portion of the face lift only returned. He gave me an IOU on his office station but then later would not pay me and get this --- 8 months after the surgery he dictated my report, put in the face lift like he had done it along with the other. Now most people would say well, maybe he got you and someone else confused. Not so- this same physician who was head over the plastic at the hospital called me personally at my home, not through his office, but him personally twice in a threatening like voice when I tried to take thru mediation. I worked inhouse at the time and rather than risk my job, I left it up to Karma. This actually happened to me. I went to the lady over medical records, I worked in the same department, and told her exactly what had happened and she said I could write a note to put in the front of the chart disputing it had been done. Unbelievable, huh?
Re-record and C-phone question...sm
Hi all!
If I have an account that requires a C-phone, would I have to re-record it?
Isn't re-recording very time consuming?
It's been a while since I worked with a C-phone, but I don't remember having to re-record, and I just remember hearing folks on these boards talk about how time consuming this can be and how the sound quality can be different.
TIA for any expertise!
I use / and record a macro which I assign
to an F key. Then I put / wherever in the template I need to input.
So moving around is as simple as pushing the F2 key as many times as needed...
I also use the macro record and assign to an F key functions like block and copy. Then if you have to move a whole section of words to another page, it's one key to block and copy and one click of the mouse to paste and you're done.
Unless you are the primary record-keeper sm
You should dispose of all of them. My rule of thumb for files that I keep on my computer is two weeks. I send them in daily to the clinic, but I do keep mine for two weeks as backup in case for some reason theirs get lost.
You need to dispose of them so that the information can no longer be extracted. I remember a long time ago we had a magnet we would run tapes and/or disks through which would wipe the data. I don't know if those still exist, or how well they actually work.
You might get in touch with the MTSO or clinic or whoever the information originally belonged to and find out how they dispose of their sensitive material.
You need two macros. Just record the steps
to change to higher level, and the second one to change it back. Be sure to assign shortcut keys to each.
Protective of the US medical record???
She employed offshore MTs...how protective could she have been? Are you kidding me?
Telephone Record Adaptor
You might want to look into getting a telephone record adaptor that plugs into your laptop sound card. Also would require audio capture software but then the files would be recorded onto your computer and from there you could transcribe them.
How to re-record off phone line?
Does anyone know how to re-record transcription off a phone line? TIA
The actual medical record contains
those things you mention. The dictated report sometimes does, not that is not often. Some facilities, however, do have the physician dictate everything imaginable and even if it is 1 out of every 10, that is still too much info to let out.
He did not start the electronic record, really
Why beat a dead horse? I have been on electronic records for years now, before him. I think you are a hater and any and everything you can find to say about him you will. This is NOT NEW with electronic records. Find something else to gripe about, ok?
If the law requires that a patient's record be
protected by HIPAA, and HIPAA laws have no effect overseas, wouldn't it logically be a violation to send the record overseas?
I think that is very unprofessional for a medical record. nm
x
You're funny. Ignorant, but funny.
I don't live in NYC and I don't work out of NYC and I make wayyyyy more than $23 an hour, SandyGIRL.
I'm an employee at the largest national and I make anywhere from $58K to $64K a year.
You don't have to believe anyone but you show your ignorance by telling those of us who make that money that we're full of it.
Hahaha
Sorry, that was not an ASR funny, just a regular ole dictation funny. LOL! nm
.
How can I record patient data as fast as possible
Radiology patients, so reports are short most often. We have to log two several digit numbers, the types of exams (chest/abdomen) dates. We have sheets to do this on but am thinking I should keep Wordpad open and type in there.
Any ideas on how I can do this and not lose momentum or time? I do about 100 exams a day.
Thanks!
I still record but not onto tapes.. onto a digital recorder. sm
I use a skutch box hook up to the phone and recorder. Make sure you're muting out room noise, a speakerphone and mute button do the trick quite nicely.
I'm a broken record but I'm riding the train too
I'll just work as a nurse AND run my MTSO until the train falls off the track.
|
