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Serving Over 20,000 US Medical Transcriptionists

Not sure if this will work, but hit control shift 8. This might take care of it.

Posted By: Jann on 2008-02-03
In Reply to: MS. Word Format Question - David

Hope it helps


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Control, shift, space, all at the same time, should work...nm
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control shift

With VR system I was using (example of bad VR I posted above) I used all the control shifts, control shift arrows, ALT backspace, control delete,  the highlighter, did not use foot pedal or mouse, played the audio in the background while editing. But with so many corrections to make these things are not much of a help. Did not notice much improvement in line count.  On a better VR program they can be.


Als the platform that I was using with this VR involved a lot of control this and that too, for headings and subheadings, and also a lot of control this and that to move around different pages to put in cc (required 5 or 6 Keystrokes to do that), assign work role, check demographics, etc.  


Like this: to make heading


PHYSICAL EXAMINATION had to use control N


then to make subheadings


HEENT: had to use control shift N.


Of course VR did not get all these headings correctly so had to reformat as well as correct the text.


Did like the list function though... no need to manually number.


 


oops, i meant control shift L. nm

Control-shift sux. Death throes? sm
I wouldn't disagree with your statement, OTMT, about the "dead profession". At least, there used to be so much more dignity and professional pride in being a good transcriptionist. Especially if you were a (shhhh!) CMT or a massive but accurate producer. Now we're treated like factory girls, but even factory girls deserve dignity, respect, and a fair wage for doing their job right. Please excuse the negativity, but I was out there a very long time and know what it was like before the downward spiral began.
3rd shift work
Just looking for any tips on how to stay awake transcribing 3rd shift.  I recently switched my hours from days to nights and am having LOTS of trouble staying awake about midway through.  Any helpful 3rd shifters out there that care to share their strategies????  
Except that you have to shift to work the + key.
I don't really mind that small detail. I really am just hoping the Freestyle will help with my wrist/arm pain. How long have you used it? Do you really notice that the keys are low-force? I think that will really help me. Thanks!
Off hour work shift
"posted by wouldn't have it any other way". Thank you so much for your post! I work a similar shift for similar reasons. I don't start until 8 p.m. most nights so like you my kids are in bed before I head off to work and I don't feel gulity taking time away from them. I do work one long day on Sunday to catch up, but I start at noon so we are all still able to attend church together and my husband usually plans a daddy fun day with them that afternoon. I WISH I had done this when my kids were even smaller as I breast fed and still worked off hours so I didn't have then in daycare, but I had to pump at work and my husband had to give them bottles when I was gone.

I agree it can be tiring, but you get in a routine, and honestly do you know any mom stay-at-home or out-of-the-house worker who isn't tired?

Being there 24x7 for your kids that is dedication! :)
Off hour work shift
I should probably add that while I am working I am dedicated 100% as my office is downstairs and I work with my door closed and locked. My husband is upstairs with the children and gets up with them if they get up before I am done with my shift. So, I don't feel guilty neglecting work either because I don't. :)
IC - work split shift. nm
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It is because the US wants it handed to them. Nobody wants to work 3rd shift.
Maybe if people would work the shift, we wouldnt have to send stuff overseas to get it done overnight.
Do most of us work the day shift, M-F? Action
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I usually work a split shift on Sundays
10 a.m. to 2 p.m. (there really isn't much to do during that time), then I log back in after 9 p.m. when I get my son in bed and will usually work for 3 or 4 hours. I am usually busy then because the docs are all dictating their pre-surgical H&Ps for Monday morning surgeries. I'm on the East Coast and my hospital is on the West Coast, so it works out good that way.
I will occasionally log in on Saturday afternoons too, but work is slim to none then, so I usually don't bother.
I work a split shift just for this very reason.
After about 6 hours, I am toast. Now I work 2 4's with a 4-hour break in between. I always come back to work so refreshed, and it has really helped my productivity.
Spellcheck is shift F9 in Meditech. SH should work also. nm
nm
Split shift MTs---what hours do you work? sm

I'm trying to revamp my schedule around transporting kids.  Would be interested to know what works for you.  Thanks! 


I work early morning shift and I get the garbage

leftover from the day before.  I will often get 6 reports from a very difficult ESL dictator and they may be over an 8 hour period of dictation.   When there is such a gap in the dictation you know you are being assigned these reports, not just luck of the draw.   All work is assigned by the office.   I have seen my line count drop about 4000 lines/pay period the last couple of months because I'm getting such bad dictators.  I don't mind doing my fair share, but it certainly isn't fair that my line count is being affected like it is. 


I have complained to my supervisor and it got better for a couple of months and now it is the same crap all over again and I'm looking to move on.  


 


The reason why you probably don't have work becausen no one have to adhere to their shift. sm
One can work how many hours they like eventhough they have assigned shifts.
I work Tuesday through Saturday on the night shift. sm
I really like the off shifts when no one else wants to work. I get a lot of work at those times, and I don't mind being out having fun when everyone else is at work.
Do any of you work a split shift? Are you employee status or IC? Thanks!-nm

I love the night shift! No interruptions and more work on the system.
I agree with poster below - Power NAPs! I am a napper, need my nap about 30 minutes to 1 hour, before my shift and a pot of coffee sometimes 2 gets me through!
Work Tuesday through Sunday morning on night shift. nm
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Delete your voice files at the end of your shift or before you start work again. No
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Is it your shift or work type that makes your job unique? Autopsies maybe? nm
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If employee, work the scheduled shift and complete the 8 hours. nm
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Now MT companies in India have control over the work produced. Quality is much
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My point is, work a NORMAL EIGHT HOUR SHIFT..dont worry
It takes away from the quality and the turnaround time... 
I am fairly new with my company and I tried the control Y one time, and it didn't work, so I thou
into the "global" normals, I will play with it again and give it a try. How long have you been doing transcription? Have you stayed with the same company for a long time? I worked at a clinic for 6 years, hospital for 8, and now this new national for 3 months.....I hate feeling new!
Your point was? You called me jealous and lazy, and suggested I work an 8 hour shift.
Now you're being "nice". I am NOT worried about others.  Why would I want to work an 8 hour shift and produce 1000 lines if I could be missing SOMETHING and increase my production?  How mean-spirited you are. I would LOVE to produce more and work less, so that I could spend more time with my loved ones. And to read on this forum the astonishing line counts most MTs are claiming to make regularly - well, I'm either doing some really, really wrong, which I would like to fix, or I'm not doing something that I need to be doing, which I would like to fix! Thus, my sincere question.  Truly I believe it is time to leave this board, though I used to LOVE it so much, cause you just can't get an honest thread running anymore about anything - even trivial threads turn ugly by 2 to 3 posts, let alone INFORMATIVE ones like how honestly asking my fellow MTs who are huge producers HOW they do it? As in straight typing or using normals and standards?  I try to hang on this board and stay "positive" despite the negatives, cause I really like it here and I really like the admin, etc, but I'm not a glutton for punishment.  I know a lot of the old regular MTs who actually carried on intelligent conversations have gone to the board where you have to pay $$$ to post.  Apparently, one can still have kind meaningful conversations over there - guess the $$ part weeds out the trolls?  Don't know, but its sure sad.  Please, don't misinterpret this as me thinking anyone would give a hoot if I left here - cause I know now there will be the normal "good - who gives a crap? good riddance" flames, but really, the MTs who are so trollish are just ruining it for themselves.  Thus is their lot in life, though.
Been at home for over a year now and I switched to night shift. I work for a national. Started out
working the night shift and sleeping in shifts during the day. My kids are way older but that doesn't mean they don't interrupt me. Besides, there the phone issue, more interruptions, the dogs bothered me a lot, too. Love them dearly but, oh so spoiled. It was taking me 10 hours to do what I can do in 8 on nights, plus I manage to get more sleep, if you can believe that. I still get supper on the table, vacuum, laundry, etc. So far it is working pretty good, so I think I will put in for permanent night hours for awhile. No sense in working 10 when I can work 8.
Foot pedal control/knee control? (sm)

My sewing machine has a knee control built into the side of the cabinet and I find this very comfortable.  I would like to somehow do the same with foot pedal I use for transcription.  Can figure out how to mount it, but having trouble adjusting it so the 3 pedals are not an issue.  ANyone done this or have any input? 



 


Foot pedal control/knee control
Though I have not had experience with this type of modification, I have repaired numerous footpedals and have some information that may be helpful. Generally, the footpedal is comprised of the primary circuit board, the wiring to the computer, and the three switches for play, rewind, and fast forward. These switches are easily removed from the pedal with a screwdriver. With basic soldering, you can lengthen the wiring to each switch, or even replace them with different switches you can get at a local electronics store. With a little bit of creative engineering, you could mount some knee -controllable switches that could control the footpedal.
Don't these MTs even care about their work?
I'm blown away...how do we stay in business as MTs when this is being sent to hospitals?
Do you really think they care who does the work
or basically how it is done? I don’t think the physicians care at all.
I use Control N to end a job - Control T is for when viewing an old report
Don't know what you are talking about
I take pride in my work. I always take care, as if the
aa
very refreshing to see someone care about their work - sm
I only wish that the service that was transcribing our hospital's work did the same. Their work is beyond horrible and the account manager that we have to deal with is a b**** on a good day!! She has every excuse for every request or correction we send back to her. Oh... I'm getting off track.

Anyways, the service that our hospital uses has transcriptionists that cannot punctuate if their life depended on it. The sentences run on and on and on and on. The doctors even say the punctuation and a couple of transcribers STILL WON'T PUNCTUATE!!

Oooohhh that feels better just getting it off my chest and fingers!
They think they don't care how we get the work as long as SM
it gets done and doesn't cost them anything. That's what they think. If you can't do it, they'll get somebody who will.
Acute care work goes by
work type. Consults are a work type, discharge summaries are a work type, OPs are a work type, H&Ps are a work type. They might also have ER, cardiac procedures, neurology procedures, and others, but the bigger hospitals may have other, possibly in-house, MTs doing procedures and ER, so it mostly refers to the Big 4 work types.
I also work for acute care and we are
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yep, control, control, control... that's the main
nm
XMTSO doesnt care where you are going to work or what they
;
Do you use child care so you can work? Write
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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.
I am sorry, where I work we are swamped. It is acute care, though sm
I worked clinic for my first 8 years. From September until March it used to be slim, very slim. That was half the flipping year! In acute care there is less ebb and flow, in my opinion. It gets lean around spring break time, and again when school starts. How long it is slow can vary. I can't even believe how swamped we are at this point. I can see the number of reports are awaiting transcription and it has doubled every 4 hours all weekend AND people have been working all weekend.

If you do clinic, I wish I had an suggestion of how to break into acute care and I don't. I went from clinic only, to a surgical center doing all OPs, which was HARD HARD way to do it. I ended up in an enormous teaching hospital because I had OP note experience. Mine was sheer luck. I'll pray you have such a neat opportunity and can make that switch.
I work 2 jobs, one FT that takes care of
my taxes (I have extra held out), and also as an IC.
Be honest - the only people who care where the work is done are the MTs! nm
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Start>Control Panel>User Accounts>Turn User Account Control OFF
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getting paid is showing appreciation for my work. that's all i care about.
who cares if some supervisor "appreciates" me?  i'm in it for the money not for someone to "appreciate" me. 
Try to work w/o distractions, if the cost of day-care is an issue -sm
then you will have to learn to work when your kids are sleeping basically. That is what I did. It is hard and you do not sleep much...I generally worked at night until 2am and got up at 8am before they were old enough for preschool, and squeezed in work here and there during the day. The younger they are though the easier it is to work I think. But you can do it, but you better be determined if you want to do it that way. I still work at night but not that late anymore since I have 7 hours during the day to myself now. It's still very hard to work when they are home (5&7) but my DH watches them a lot and takes care of them when I do have to work and they are home, so good home support helps too. I have 2 jobs so must still work crazy hours but I do what needs to be done.
Soft tissue work with chiropractic care
Moving/manipulating the skeletal system without addressing muscle/tendons/ligaments is useless because the bones will misalign again if adhesions, etc. in muscles (from previous injuries, bad biomechanics, gravity's effects on our up-right postures,etc.) are not dealt with. I'm in my late 40's so I speak from experience. Muscles are often the culprits that pull bones out of proper alignment. Stretching muscles with adhesions is moot. Consider most of the time we are bending forward in our daily lives; psoas muscles get stronger but back muscles (S.I. ligaments) do not.
Soft-tissue work is essential. Chiropractic care alone doesn't complete the job, hence, need for repeated visits over months/years.
Hope this helps.
You can't take care of an infant all day and work full time.
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