Oy. And I suppose it's verbatim.
Posted By: Misha on 2007-05-03
In Reply to: Sometimes they just kill me! - laughorcry
So then you have to ask if you are supposed to leave the stoopid stuff in or take it out??
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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
what is that suppose to mean sm
about disabled people did not need to belong to AAMT? I hope that statement is why she is no longer there. I don't know what she had in mind as a "disability" and it does not matter, but there are foks with chronic illnesses who are "disabled" but can still work shorter hours etc. Good thing she is no longer with AAMT. What an idiot.
Maybe I'm not suppose to ask this, but....
Would anyone be willing to give me the ballpark range for what contractors charge their clients in Florida.....like 13-15 cpl. Also anyone from California with the same information?
I am just starting out and I don't want to low-ball anyone! Thanks!
and through all this where is AAMT who is suppose....sm
to be helping us... why their just making sure we have to buy their book ... what a crockapalosa!!
I suppose ignoring
such comments would be the best approach, but it gets extremely annoying to see these. And, sometimes people aren't aware of their own bad habits and brining it to their attention could help.
Sometimes not.
I suppose theoretically it's possible
If you're really fast and can average 300 lph or more and are making at least 10 cpl.
I hate to see them mislead people like that though. It takes a long time to build up that kind of speed. There are people on this board who say they can do it, though.
I just keep Norton I suppose and never checked into anything else.
:
Cannot believe that show is on A&E. Supposedly he is suppose to
aa
Does anyone suppose that with all the advances in technology that
there might be some more companies willing to take those MT's who only have satellite in the future? There are so few now. Really limits a person's options. Wadyathink? MTSO's - any response??
Misread the question I suppose. Sorry! Don't have a cow. nm
x
OOPS! This was suppose to answer
/
was it suppose to come with a headset, how do you work without it.
nm
I mean, was it suppose to have a display? if so, then return it
nm
I suppose all the work that is outsourced
Makes no sense. What do they expect for 7-10 cpl?
Yeah, and I suppose I probably offended
some newbies, too. I didn't mean to. I know what I was thinking in my head but I didn't communicate that in my message post.
And I suppose we shouldn't call murders such, huh? Or ...
sex offenders pedophiles...or adulterers cheaters...OH MY! We might be UGLY when we do it!
Go on now, and crawl back into your little fantasy world of how nice everyone should be. LOL GEeeeezzzzz.
it was a USPO MO, but it can't hurt to check I suppose, thanks for the tip. - nm
By today's appallingly lax MT standards, I suppose a few -
:D MT as a profession is turning into such a JOKE, isn't it?
I suppose given a choice I'll take DRUNK!
nm
I suppose a good object lesson
would have been, just once, to type exactly what he said, down to every repetition. Wouldn't if feel good do do that just one time? I mean, it would be 'verbatim.'
Often I will go ahead and type both versions when someone keeps mis-speaking: 'The patient was brought to the ER by his friend, his girlfriend, his fiance. He had onset of pain on Tuesday, or maybe Wednesday, Tuesday night or Wednesday morning....' Hard to tell with some of these dictators what they are trying to change/add/subtract.
So far there have been no QA repercussions over this.
PLEASE! Let's suppose a supervisor works an 8 hour day on and off. At home.
What does this supervisor do? So I have a supervisor now see. Every now and again I will get an e-mail that tells me account is behind or caught up. Not on a daily basis and sometimes not even on a weekly basis. Now besides looking into the computer to see account is behind or up to date, what does this supervisor do in the course of an on and off 8 hour day?
I am assuming this "supervisor" is not doing QA or anything, just supervising an account. So any questions regarding QA are sent off to QA personnel. So what questions can a supervisor have that would tie up their day? EIGHT HOURS of a working day doing what?
last post suppose to be ad, not as directed. Word expander was on.
Sorry.
On this new MQ rewards plan what exactly is it offering statutory employees and I suppose that that
is going to be the end of our quarterly bonus. My concern still is if there is no work how do you get any incentive if they lower the base rate. Sounds like employees will have a larger window to get their work done which means we all will be scrambling around for work at all hours.
And I suppose you're perfect in everything you do? No one was making light of the woman's sit
XP is probably pretty cheap now. Microsoft suppose to be coming out with new OS at end of year.
:+
So you get a flash drive with voice files on it you are suppose to transcribe?
I'm trying to understand. Do you save the transcribed reports on the same jump drive? If that is the protocol, then wouldn't the MT before you typed any reports, then wouldn't they be saved to the flash drive?
If so, then you could open up the flash drive and if there are any Word files or text files, you open those up and see what they are. If they are transcribed reports, write the patient's name down and don't transcribe those notes.
Whatever the case may be, I would absolutely tell the office manager or whoever you are meeting with that you will type everything on the flash drive and that you expect to be paid for everything you type. You gave them freebies the last time and you're in this business to make money.
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.
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"?
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!
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