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Our hospital laid us all off and I went to work for the national that got the bid. nm

Posted By: Much Less on 2005-11-26
In Reply to: Are you making less than you did 3 years ago? sm - Poll

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29 years, 16 at hospital, 4 as IC, 9 w/national
with the most lucrative income as an IC, although it sucked having to be responsible for accounts 7 days/week with no reliable backup subcontractor(s) for 2 of those years as an IC.
Hospital account (National company). nm
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(1) Don't work for a national. (2) Don't work for a national. (3) Don't work for a nation

If you still want to stay in MTing, which is a dying job, go to a hospital and apply to do radiology.  They sometimes hire people just out of transcription schools.


But don't work at home thinking you will make any money at all - even with 20 years of experience - the nationals have wrecked that. 


Be under the umbrella of protection at a hospital.  That way when your computer breaks, the weather is bad, you are sick, there is no work - you will not be without a paycheck. 


The nationals are selling a line of BULL.  Gradually they have taken what used to be our built-it benefits------------> and moved it over to their pockets and called it their PROFIT.  They are not brilliant - but they are unethical thieves.



I work for a national
and I have a ton of doctors (clinic and hospital).  I type 1000 lines in 3 to 4  hours.  I don't have a lot of normals.  There are some but don't use them on a daily basis.  I just put my nose to the grind stone and make myself sit there for a certain amount of reports before I let myself get up.  It can be done.
do you work for a national?
Then why do you work for them if they are a bunch of crooks stealing from you?  That is the only alternative to my theory, if they do not offer benefits, make you test even when you are seasoned, do not give raises, with no good reason other than they are greedy thieves?  It doesn't make sense to me. 
no. work for a national. nm
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Currently work for a national

and all I currently know about the ENT office is that they have some system in place currently in-office that the doctors dictate into using a phone.  Their work is currently done in-house by 1 full-time MT who is retiring and 1 p.r.n. MT.  I currently use high-speed (cable) internet but might possibly be soon moving to a location that would only have satellite for high-speed (or dial up).


When you take on too much work. Getting 2 PT job offers plus have FT with national (sm)

Two local doctors offering me 2-3 hours per day each, plus the FT (about 6 actual hours of typing a day) with a national. 


One doctor is orthopedic, the other vascular surgeon (H&Ps in office).  One is a mumbler, the other has a lisp.  The national job is radiology (fairly easy - would be faster if I could master IT, though).


What should I do?  Am afraid I will take on more than I can handle and at same time, refuse a job that I later will regret.  I need the money, needless to say.  Anyone ever face this? 


Well, I work for a national, but my account
is a big hospital, doing acute work. It was a heck of a way to learn starting off, but I know it will benefit me in the long run, just one of those days!

Closing in on my 2 years now, I thought about maybe applying at a hospital inhouse here that hires starting out at $20, but once you add all the expenses (not counting any deductions), you come out to about the same. It's just not worth it. It would probably be less stress considering I would work set hours instead of all the crazy ones I have been doing, but then you have to add in at least 2 hours of drive time to that each day. It evens all out I suppose.
I average $32,000. I work for a National. nm
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also, I work for a national - not my own clients! nm
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Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
Has anyone asked for a raise lately? How do you go about it? Work for a national and have not
increase for five years.  Just pumped some gas and realize my cost of living is going up but my pay is stagnant.  How do you go about asking for a raise?
Don't work for a national. Find a small
MTSO that pays well. They are out there, as long as you hold up your end of the bargin. I left my hospital job to work for a national, several nationals now but who is counting. I found a small company and finally am making the $$$.

Good luck to you.
Why do you say $20/hr? I work for a national, and at 11 cpl, 300 lines per hour, sm

that's $33/hour.  I'm not driving a Lexus or anything, but I'm comfortable.  Generally speaking, find a mid-sized national, big enough to have enough work for you all of the time, yet small enough to care and realize that quality work deserves quality pay.


They are out there.  Good luck!


Yes, midsize national. Low work. Overhiring. nm
nm
The national I work for has a no blank policy. sm
Plus you have to have 90% no blanks to QA to get bonuses and to maintain full-time status. This is very hard sometimes with some of the dictators that dictate from across the room, while the ward is going ape, and this all right next to the telemetry monitor and the ringing phone or at home with the yapping dogs in the background.

But I have found our QA to be forgiving and understanding, so I am getting more comfortable. I think they have a high standard so we will step higher, but they understand the reality, which I think is good.

DH says he definitely would not go through what I go through to be sure there are no blanks, but I am hoping that in time it will get easier, and I will get more productive, and I think it is.

I work for a national, and we're allowed
.
Question: If you work for national that provides computer,
can you ask their Tech support to move their files onto the laptop computer?

One other question: If you are required to have HSI connection for dictation and files, do you have access to that and how?
I'll bet I work for the same national! While I have great dictators, seriously they never say the
same thinge twice, save one surgeon who always ends his op reports with the same paragraph, which, of course, I have in my expander.  I mean it - there are probably 30 doctors, and I never ever get a repeat or any pattern at all! Again, I have a huge expander that I've set up on my own over the years, and rarely type more than a few words "longhand", but I still am not hitting over 200-250 lines an hour.  Oh well! At least I have great dictators, right? 
when you work for a national, you sign a confidentiality agreement...?
the same rules would apply, and you must have signed a confidentiality agreement with whomever you work for. you can be fired, if breached.

my opinion, as a professional, you transcribe it and mums the word...

when I worked in a hospital, someone was caught 'sharing' information about the CEO from a transcription report, and was fired on the spot.
Actually, it is quite easy to skip jobs, and I work for a national. sm

Depending upon the account, just press the appropriate number on the C-phone, and *poof* you're at the next job.  In my case, I have no "proof" per se, but when jobs skip from 7 a.m. to 10 a.m. then to 1 p.m., etc., and then it gets back to "normal" when you get to the non-ESL docs where I guess they stopped working.  it's not too hard to figure out that someone took what they wanted and left the rest.  It doesn't matter to me.  As has been stated, the MT who cherrypicks cheats himself/herself out of the chance to master everything and assure himself/herself of a larger pool of work.  That goes also for those who limit themselves to only certain work types.  Sure, we all have our preferences (I prefer admit notes and consults), but if you can do everything, then you're more likely not to be one of the ones coming here complaining of no work.


Just my opinion, and you know we all have one.  Happy Friday the 13th!   I have the weekend off for once, and it is actually beautiful weather here.  Yippee! 


I work for a national, $600 yearly deductible and 15-30 copay
nm
How do you do 2000 a day? Do you work for a national or small company? nm

nm


If you work for a national, what difference does it make where you live?
If you work locally, then yes I think it makes a difference. I work for a national, live in the boondocks and still do well.
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


The one national that I am aware of, employees would be thrilled to work just 8 hours a day. They

:)


Can a national require full time MTs to work overtime?

?


I don't work for one of the larger nationals, but a good-sized national and

in 5 years the hospital system has been down twice and my company wasn't able to pull work and the company's system was down once for a hurricane and once the power was out for part of a day.   I never went a full day without work.


I think maybe some of the nationals are poorly managed and they use "server down" as an excuse for no work.  For a company that depends on their servers for their livelihood I don't believe they actually have the much down time.  I don't think most companies pay for downtime. 


 


Oh, bull. I'm with a large national and those clients whose work is offshored
That one statement is bunk.

I work for a national. Most of the time the voices are pretty good, but

I have been getting some of late that have background noices, door slamming, people talking,  Sometimes the doc will stop talking but the noices sound so close to him that it is annoying.  Do you think the sound card would interfere with my company's computer?  It sounds nice to have even though it does not help the background stuff.   I guess that is a good question for tech.  Thanks again! 


I have 2 clinics still on tapes, love'em! Also work for a national. Like that too. nm
nm
hospital at-home -vs- national at home

I have an interview today with a hospital...work in-house for 3 months, then go home, paid on production. I don't know as of yet what they pay production, so my question is to anyone who works for a hospital at home AND has also worked for a national at home...


Which would be the best to choose? The hospital offers great benefits, but the national I work for now also has benefits, not as good as the hospital, though.  Any input would be most appreciated!



The midsize national I work for has a nice tiered incentive plan sm
for employees, not sure about the ICs.  In order not to qualify for one of the incentives, you'd have to transcribe at LESS than 150 LPH.  Pretty easy to make bonus each pay period.  The faster you are, the bigger the bonus.
I didnt ask for ANYTHING. Merry Christmas and watch your back when u work for a national.
thats MY point.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
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.
The national I work for usually offers jobs to the in-house people when they acquire an account. nm
nm
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


A small national is a national company that is smaller
than a big national.  There are a few "big" nationals, where they have hundreds, if not thousands of employees.   I work for what I call a small national, only has about 30 employees.    An MTSO could also be considered a small national. 
I work for a hospital and can do in less (sm)
than 8 hours (65-char line).  Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".

Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.

So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.
Well then don't come work for my hospital because...
if you type something for one of your co-workers, you have violated the confidentiality agreement signed when you were hired.  I've typed celebrity reports too when I worked for a national, that's different.  If it were the other way around would you like a casual acquaintance to know all your business?  I wouldn't.  I have the same respect that I would want.  There's 23 other MTs in my hospital.  I don't NEED to type a medical report on my children's elementary school principal (happened a few months ago).  So, get off your attitude.
I work in a hospital and sometimes we have had - (s/m)
"blanket" messages on our blackboard - or in memos - meant for one or two, even those of us who work our tails off have to read it and feel chastised. It's very demoralizing. Next time I get one of those nasty memos or emails, I intend to tell the boss that if he thinks I'm so lazy, then he can just pry his fat arse out of his genuine leather easy-chair, turn off the computer games he plays all day long, and type the #*%<)!@% work himself.
I work in a hospital
in a city with a population of like 4000 people, it is only a 23-bed hospital and I started working here a year and 1/2 ago. I make a little over $12/hr. For this area, this is great pay for any kind of job if you don't have a bachelor's degree. My mom is an LPN/office manager in a clinic owned by the hopstial and she is only making like $4/hr more than I am.
The hospital I work for will
Well some people can get away with it, others get dropped.  Why I am looking elsewhere. 
I did work for a hospital that used one of those.

They called it a 'CryptoCard' and it was about the size of a credit card.  You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time.  It always changed....security precautions.  I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.



the hospital I work for does that too.
They call it a Biometric Screening. When you enroll you have all the lab work done that you need.Glucose, lipids, TSH, triglycerides, etc. You also get a reduction in your health insurance premiums per pay period. Depending on what you participate in, you can also get up to $300 back at the end of the program.They have smoking cessation incentives, exercise incentives, etc. It runs from September to September. Pays usually in January, or midway through. You also get discounts on different classes that are offered, ie pilates, yoga, circuit, etc. For a reduction in my health insurance, I think it is well worth it. And I haven't heard of anybody being popped for drugs of abuse or anything like that.
When I used to work for the hospital, the ones of
us with equipment at home contracted with the hospital and worked our "second job" for the hospital to do the work when we were behind. You might ask them about that.
Hospital work
From someone who worked in a hospital first and then worked at home, sometimes in a hospital you end up doing other duties like correcting someone's else's reports because they are not there that day, or are working another shift, re-printing reports, sometimes the nursing floors or even physician calls with problems with the report (usually they are irate and blame any and every problem on transcription).   You have meetings which interfere with your ability to transcribe.  You have to be on alert for Department of Health visits.   I could go on and on.  Your line count sufferes.  Unless you get paid by the hour and get paid well, it is more trouble than it is worth.