Okay, now I am goign to type this verbatim so bear with me.....
Posted By: Boo2 on 2006-12-29
In Reply to: I let it dry overnight and plugged it in this morning - sm
If you have tried unplugging the back of the unit and it still won't let you re-program but you hear a dial tone OR after you press PROGRAM KEY and SEC# comes in the window instead of KEYS window THEN try to push calc/clear and hold down until window clears OR push pund key first and then calc/clear and hold down together until the window clears THEN press PROGRAM then KEYS, etc following instrcutions to re-program each work type number and bottom row.
Let me know it this works at all!
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My tips (and I can't type tonight so bear with me) (sm)
Also if you're serious about starting out on your own, here are my recommendations (been there, did that last year).
1. Be patient ... realize that unless you hit the offices at just the right time when they're looking for a transcriptionist, you won't get a billion calls just because you "opened your doors" (I was sadly optimistic for quite a while).
2. Market yourself as a professional ... meaning no email addresses such as "ilovemykitties@catsrus.com". Have a business name or simply YOURNAME transcription service but have something to print on those business cards and flyers and brochures you're going to create!
3. Get business cards. If you go with vista print's free ones, pay the $3.99 to have a BLANK back side. I didn't at first and had to redo mine because they all said "free business cards at vista print" which looked like ca-ca.
4. Create a flyer or a brochure advertising what you have to offer. You can do this in MS Word (we all have it) and there are free templates you can down load or just use the column function.
5. Decide WHAT market you want to target and go for it. I didn't want acute care/hospital work so I only targetted clinics.
6. Send out introduction letters (do a search for client getting letter on the internet, there's one out there that I found but I didn't like it so created my own but it's some place to start) ... enclose a business card and a flyer or brochure advertising your services. Ask them to please keep your information handy in case they need transcription help.
7. Get a website (if you like that kind of thing ... I did). Also you can advertise on craigslist (all I got was spam from it though) or on freeyellow, kijiji, etc. I took advantage of all the free resources there were to get my name out there and I did get calls from people that had to have found me on the internet.
8. IF you live near a big town, it might be worth it to pound the pavement and go directly to offices to drop off your information. For me, I found it more economical to send out letters to every single doctor in the phone books in several nearby towns/cities.
9. Be patient and realize that once you get your own clients, you will feel amazing ... it will revitalize your career when you can say good bye to the middle man and know that every single line you type is YOUR money!!
Feel free to email me if you have any questions. :)
Seriously, do you *really* type verbatim? sm
I don't. I'm supposed to, but I've told my super that nothing with my initials on it will ever read like "Patient hand swollen." Yep, I take some liberties. I clean things up, I've added in words, taken some out, rearranged words. I think count-wise it comes out even because I'm not padding and I remove words probably about as often as I add them.
If you are on a verbatim account, are you really typing "Obese patient older than says age, no toxic"?
On a test I would type verbatim, except
x
verbatim means type was is said; so, what's the problem with QA
nm
I should have added to type it as "corneals" if verbatim account.
.
I'm goign to scream...
if this doctor doesn't quit calling Chromagen "Cro-Magnon." Also, if he doesn't stop calling a proton pump inhibitor a protein pump inhibitor. The sad part is I don't think he's goofing around.....
there are always goign to be companies sm
someplace that don't do VR. I will keep moving and working but I am not doing VR plain and simple.
I will retire, scrub floors, work at Walmart, but no VR.
I think it boils down to the fact that folks who haven't been in the business very long, do VR faster than straight MT. I wonder how the quality is though.
Folks, like myself, who have been doing MT forever, transcribe faster than doing VR. Plus, I think there is more satisfaction in a job well done doing straight MT than doing VR. Why do you want to waste hard earned skills, correcting a machine?
Verbatim is verbatim, but I defintely to the little things to make the doc look better such as..sm
an eye problem instead of a eye problem. I definitely wouldn't change too much. Stick with what they say and only make changes when you absolutely think it is necessary. I took a test last night and have an interview today and this is what I did. FYI, I do clinic work.
Verbatim = verbatim......flag it...NM
x
off topic, but bear with me here
would you be upset if your husband had been somewhat unfaithful in the past, but the two of you worked through your problems and sought counseling and now had a stronger marriage than ever? except you didn't know for certain about the somewhat unfaithful part until after you had reconciled and renewed your vows? but then you find out that your mother-in-law knew about the infidelity and preached to you about marriage and family without telling you the whole story? because it was her son's place to tell me, not hers. and now you find out that she is friends with this other woman and calls and emails her on a regular basis, which is more than she does with you? do I have the right to feel angry and betrayed here? or am I seriously just overreacting and freaking out about something that's in the past?
mama bear
it reminds me of the simpsons. Homer makes a good papa bear..
Smarter than the average bear :-)
xx
So what? 8 cpl is what the market will bear. If you don't want 8, don't take a job that pays
x
May have to grin and bear it. Another option . .
Keep documentation for a while. It's a good CYA move if/when they use it against you in QA audits.
As you noted, you are aware a lot of us have been there. Personally, I think commas are the most subjective points of punctuation. Maybe it depends on the QA's mood or the phase of the moon! ;)
You're right. I can't bear children! BWAHAHA!!! nm
Sucker!
you should be setting your rates according to what the market will bear...
not what you feel like getting. If you like the account, you're familiar with it and able to make good money off of it, you might want to stay at the rate you are at. As a service owner, I used to plan to hire at 7 but bring everyone eventually up to 10 cpl by 0.5 increases every six months. I also used to be able to raise the rates from the hospital, clinic or physician office every 2 years. Nowadays if I bid on a new account, I am regularly outbid at 11 cpl, with 24 TAT. I have discussed it with my IC MT's. If they want a raise, I can try to negotiate a raise from the hospital...but it jeopardizes our account. Every time you raise your rates, it's a signal for them to start shopping around. So I would say, based on what the market will bear, don't expect to be getting raises. Ever. 
New giveaway! $50 Build A Bear Bucks, see sticky post above.
/
Elaine Johnson of Boise, Idaho, you won the Build A Bear Bucks!
Email to admin@mtstars.com with your full mailing address and we will send you your gift.
Agreed -- Bear is pretty much THE authority on accreditation and distance learning (NM)
nm
don't type double spaces. Type single. Then no one will be cheated.
x
I can type with wine, can't type with coffee, though...too jittery.
x
That is, type the code above before and after what you want bolded in the text-to-type box. nm
nm
Verbatim for ESL too?
Geez, if that were the case on my account (not MQ), you wouldn't believe the crap I'd be putting out - "59 years old pt, denies of chest pain, comes to ER for short of breath," and I could go on and on.
Verbatim
I still don't understand, for example I have a doc who does about 20 lengthy bypass operations a week. I have a 4-page "standard", that I just immediately pull up. He never dictates it the same way twice, I just simply pull up my standard, put ears on, follow along and delete, insert, change and so on as he dictates, and that is as good as verbatim.
Since I am on verbatim also, I use whatever s/he says..
Jim for James etc....however, if the doc is clearly off track, he starts calling Mary by the name of Frank for instance (it has happened) then I flag it.
verbatim
The docs at a big teaching hospital I formerly worked for did not put punctuation marks after the word HOWEVER. That's the way they wanted it and we were marked down if we added the comma.
verbatim, really?
Of course verbatim means typing EVERY SINGLE word they say, even when it's a side conversation, a snide comment, etc. One thing I do that may not help them at all but makes me feel that I've at least let them know that I know - I enclose such words in quote marks to set them off from the real words.
Verbatim
As a private IC there was a prominent heart surgeon from Iran whose dictation I "cleaned up" constantly or he would have been the laughing stock of the community. Sometimes you have to "save face" for the client. If I worked for a national and they QA'd me from saving someone from a drastic error, I would immediately "quit." Another ESL went to hospital admin to tell them I was "his friend," I did not change the meaning but there were several instances when I had to make sense of things for him to cover the hospital's reputation. I was taught never to "change the meaning" and to put certain language "in quotes" although as an IC, I would always call the client first and they usually thanked me. When you work for another service, you can't do this, so it makes it very difficult.I guess you have to go with who pays you, but I would never, never type a senseless sentence.Good luck to those who have "bad QA assessments." They should know better.
verbatim
it's stupid and dangerous to type verbatim. Some hospitals stupidly insist on it cuz they believe we can't think for ourselves. They say "We've always done it that way." Well God forbid you should TRY TO IMPROVE. they say "well, you don't KNOW what he meant." My answer to that is "well, YOU may not know, but I do!" They just don't want to be bothered with having to actually think about it. Any decent trx with many years' experience and worth her salt GENERALLY knows what the doc really means but can't spit out, for one reason or another. I'm married to a doc - I know. But he DOES want us to leave blanks if we DON'T KNOW - better that than making something up, which he does see all the time from Spheris trxs. That's what happens when you hire people with one year of experience and don't monitor them closely, of which Spheris is guilty. And leaving a message for them on ESA doesn't work, cuz the doc won't see it till he goes to sign if off, and by that time, he has no earthly idea what he said. Nor does he care!
IF they got verbatim EXACTLY what they said,
they'd probably be in total shock at how ridiculous they actually sound when they dictate. Don't you just want to give them what they give you sometimes?
Verbatim
The problem is with the client profile. It should not ever have the word "verbatim" in it because the word by definition means "word for word" and we all know all of us from time to time and doctors especially speak garbage and have to be cleaned up. If with followed the client profile and transcribed "verbatim," screams would echo across the country. So I am all for removing that word from all the client profiles unless they truly want reports transcribed verbatim, word for word. We could do that, but it would not be much of a record.
verbatim, no BOS sm
Who are they? I would love to throw the BOS out the window, please e-mail me. Sick of all the new rules which don't amount to a hill of beans anyway at most times.
verbatim
I must be getting old. I'm finding it more and more difficult to "follow directions" as I age regarding this subject. I can't believe these younger physicians don't want us to fix the glaring errors. The real trouble is there's no one who will be the intermediary between the transriber and the doc, maybe, like back in the day. Way too many cooks stirring the broth and complicating what used to be a common-sense and less complicated situation, transcribing, that is.
i do verbatim too, but still BOS has
many points of reference that are helpful. I am one that hated the idea of a BOS, but when i finally succumbed, found there was a lot of useful info in it. Its not a bad idea to have a common reference point.
They may want verbatim, but if they are in
an acute care facility BOS overrides what they want. JCAHO can give/withhold accreditation based on the medical records and they say follow BOS. It isn't that is is an issue of style as much as it is a patient safety issue.
Verbatim
The hospital I work for now is a verbatim account, but we were told to spell out everything in DX, Impression, etc. I spelled out a lab abbrev and it looked so weird, but QA/Trainer told me to spell it out. Very contradictory so if it ever comes back as getting "dinged" for it I am going to tell QA who told me and they better not takes points off my audit.
verbatim is hard for me too
It is very hard for me to deliberately type wrong words, phrases, etc. It makes me think someday someone is going to read that document and say "gads where did they get that transcrptionist!" not knowing we have to type it as dictated.
verbatim accounts
I thought the idea was to correct their poor dictation in most circumstances...I'm wondering why any client would prefer it verbatim, for legal reasons?
that is verbatim. QAs are only human too. nm
you could fix it if you wanted to or is it verbatim? nm
:
Well, now if it is a verbatim account and
the dictator said, "during this hospital stay" and the MT transcribed "during this hospitalization" -- that is wrong. It all depends on what the client profile outlines.
Only typed verbatim twice
once for a Russian infectious disease MD. After one week of strict verbatim reports, evidently she got a talking to by the senior partner and her style became acceptable.
The hospital is one of the larget and most respected hospitals in the US. All residents much pass a week-long course dedicated strictly to how to chart, how to document, how to dictate. Each resident must personally sign his/her own name daily on a log in sheet and anyone who misses a day does not get to start with the rest of peers. One day is devoted SOLEY to HOW TO DICTATE and accepting full legal responsibility for the dictation. They have to sign an agreement that the hospital will not provide legal support if their documentation falls short of their standards and the resident has to provide his/her own funding against any lawsuit. If they dictate a reversal of pulse rate/respiratory rate, I could switch them, but I had to send it to QA who attached a note to the dictator covering the MTSO from any repercution.
Best dictators I EVER had!
If these dictators actually got verbatim
reports, they would probably have a stroke and need immediate medical attention. It is scary to think that these people dictating take care of us and our families. I certainly hope they are better at treating than they are at dictating. 
is this a verbatim account?....nm
How can verbatim=garbage?
We transcribe what professionals dictate. These people went to college for a long, long time to learn their profession. Who are we to say verbatim=garbage!!! Become a physician, then talk that garbage! Give me a break! We average $25.00 an hour if we're lucky as transcriptionists, and these physicians are making much, much more than that because they went to school to be a physician and treat patients. Come on! Transcription is just that, typing what the doctors say verbatim, maybe correct a little inconsistency here and there (we're all human), but to say the physicians' statements are garbage is wrong, wrong, wrong! If we were so bright, we wouldn't be typing, we'd be doctors!!!!!!!!!!! Let's give credit where credit is due! Bottom line is no doctors-no transcriptionists! AAMT is just another company out there trying to turn a buck! They don't know it all and neither do we for goodness sakes! Do the best job you can because believe me if you are that important in the medical field (as a transcriptionist), you'd make what the doctors are making!!!!! I'm sure I'll get blasted for this one!!!! Oh well!
Oy. And I suppose it's verbatim.
So then you have to ask if you are supposed to leave the stoopid stuff in or take it out??
Hate verbatim, also, except
that *if* you get used to it, you really do not have to worry about THEIR errors...
that said, it forces you to NOT care about the quality/accuracy of the work and that sucks for those of us who take price in quality work.
I cannot wait until I can say adios to this work (or at least be able to go to part-time).
Verbatim dictation
The company I work types verbatim as well. I would not have it any other way. It is much better than trying to remember 50,000 rules by the BOS!!
Quality and verbatim
Even though you type verbatim does not mean you type all the mistakes the doctor's dictate. I would NEVER type an error. When in doubt, it is blanked and sent to QA.
The company I work for is known for their QUALITY and we type VERBATIM on all accounts except stated otherwise in account specifics.
Verbatim means, according to
the dictionery, word for word exactly as given. I think that means every single word even the little aside remarks, phone conversations, sort of almost corrections, EVERYTHING!! I wonder how long they would accept that before changing their minds, or do they really prefer lousy quality??
simply verbatim
Has anyone worked for this company? Just curious.
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