MTSO wont tell dr to improve dictation. Too

• QA opinion needed please - neverland
  • I worked for a company about 8 months ago that did this sm - elaine
    • Clients have the right to not have an - CT
    • The handling of the situation - QA 2
      • MARGARET. - ....
    • If you are EMPLOYEE, you work for MTSO. If - IC you work for yourself, you are boss. nm
  • do you have Accounts Specifics written instructions to follow? - n/m
  • Either way, you're in the wrong place. sm - me
  • I would say those are major. Hospitals SM - QA person
  • AMs should not pass on info from facilities only makes that mt more nervous and more prone to errors - nm
    • How do you expect MT to know what is wanted - on acct if AM doesnt tell her? nm
    • Disagree. MTs deserve to know what is - expected on acct they are working on. nm
      • MT works for the company, not the facility - my 2 cents
        • Yeah, sooo, MTSO needs to tell MT what facilty - expects. Isnt this what stated in post above you.
          • difficult personalities - 2 cents
            • Sounds like your company handled it wrong there. - SM
              • And two other issues come in to play. - tnmt
              • Very wise post. Didnt look at it this way before. - nm
                • "Very wise post" meant for "company handled - wrong" but now also applies toŖ other issue
  • What the client says is law, if that is what they want, then - AM
  • major errors - blondie
    • Major error? - grasshopper
      • Amen to that - mt
        • 3 stooges? - just checkn
  • It's too bad - Minka
    • MTSO wont tell dr to improve dictation. Too - afraid will offend/insult and will lose acct. nm
      • A good middle manager finds ways to do it. - tnmt
  • Why stay with a difficulty acct? Ask to be off it. - If no, start looking, what have U got to lose.
  • Doesnt matter what we think. Facility way is - the right/only way. nm
  • Yes, came from hosp. If was co. policy, they - would have no problem telling U that either.

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>>>This is a collective from Medical Interview Records written by various Paramedics, Emergency Room Receptionists, and (We are afraid) a Doctor or two at major Hospitals.<<<

The baby was delivered, the cord clamped and cut and handed to the pediatrician, who breathed and cried immediately.

Exam of genitalia reveals that he is circus sized.

The skin was moist and dry.

Rectal exam revealed a normal size thyroid.

The patient had waffles for breakfast and anorexia for lunch.

She stated that she had been constipated for most of her life until 1989 when she got a divorce.

Between you and me, we ought to be able to get this lady pregnant.

The patient was in his usual state of good health until his airplane ran out of gas and crashed.

I saw your patient today, who is still under our car for physical therapy.

The patient lives at home with his mother, father, and pet turtle, who is presently enrolled in day care three times a week.

Bleeding started in the rectal area and continued all the way to Los Angeles.

Both breasts are equal and reactive to light and accommodation.

She is numb from her toes down.

Exam of genitalia was completely negative except for the right foot.

While in the emergency room, she was examined, X-rated and sent home.

The lab test indicated abnormal lover function.

The patient was to have a bowel resection. However he took a job as a stockbroker instead.

Occasional, constant, infrequent headaches.

Coming from Detroit, this man has no children.

Examination reveals a well-developed male lying in bed with his family in no distress.

Patient was alert and unresponsive.

When she fainted, her eyes rolled around the room.

The cause of this diarrhea, however, has never been solidified.

Pain is rather constant; exacerbated with changing physicians.

The patient had no chess pain or shortness of breath.

The patient is allergic to Quinine. When she takes it she gets a rash and then whelps.

This could be a spin off on another post.  I started with a national 3 weeks ago and they sent me a QA score of 95.5%.  I need 98%.  They did make a note there were no major patient care errors mostly minor errors in formatting and some omitted words.  What passes at my regular FT job won't pass at the MTSO though.  One of my errors is I forgot to put a period after q.  I wrote q 4 hours.  At my FT job that would have passed but  MTSO wants q.4 h.  It is stuff like that that brought my score down.      I like a challenge but gosh when I have already typed 1300 lines in-house then I have to come home and type some more at the MTSO.  Not as easy as I thought.

but probably your mental health too.  You'll get fresh air, take time to smell the roses, meet your neighbors, etc. 

Unfortunately I live in the county and we are 8+ miles from anything. 

What is considered the average amount of minutes for 7.5 hour day.  I'm thinking 45 to 60 minutes???

How long should it take someone to do about 60 minutes of dictation on average.

Thanks you.

LOVE YA!

Hope that helped. 

No, decent dictators can form complete sentences.  They don't erase every single word interlaced with ah, um, er, then sit there so long that a 15 minute dictation only has 43 lines.  If a person can't complain about having a bad day to her fellow MTs without getting jumped on, what does that say about your personality?  The only B**** I see here is YOU.

Just wondering how many lines within 8 hours do you "speciality" transcriptionists type?  Not acute care, not SOAP notes, just the specialty accounts?

I type for 11 different specialities that just feed into my "pool" of dictation randomly and am lucky to accomplish 1000 to 1200 lines within 8 hours -- any suggestions on how I can increase this number of lines would be greatly appreciated. 

...I'm in QA.  They want the at-home QA team to train new MTs over the phone, call MTs regarding stats or if work is missing, call the clinics to follow up on any issues, conference calls, and call the home office with daily issues that pop up.  We were told their clinic contact people and the front desk staff have too many other duties so feel QA should do this now.  I'm fine with that responcibility, just found it odd that they will not reimburse us. 

Perhaps it's not a big issue but as an employee I was curious if there were laws regarding these issues.  And this is a new protocol they are implementing so it's not like I recently accepted the job knowing this is how it would be.  The at-home QA team never had to do this before.  I do realize there are pros and cons to working at home but there seems to be a fine line where an employer can take advantage of an employee 

If I were an IC I would completely understand this.

My company is currently using the Winscribe Dictation system.  Its quite pricey but overall it is good.  You can set it up to do most anything. 

Job id#, dictator, type of report, etc and you can also put a spot for chart number to find things easier.  I just wish my docs would use the PC dictate part, as its less combersome then punching numbers on the phone, but overall it is a good product.  Just be sure you get it from someone reliable.

Thanks!  I laughed so hard at your what s/l, that tears ran down my eyes. I might print it and hang it up on the kitchen bulletin board at work.