STAT dictations
Posted By: Stephanie Bruestle on 2008-01-11
In Reply to:
Re: Stat dictations. Does anyone out there charge extra for STAT dictations that come in during the day so that we have to put aside what we are working on and type a STAT letter/document and send in? This sort of thing can keep one behind in Turn Around Time if it happens on a regular basis. If anyone charges extra for STAT dictations coming in, what would be a good fee to charge for these besides the line count?
Ginny
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Maybe a stat stat because patient is going to surgery or being transferred somewhere immediately? nm
s
Oh, that's hilarious - a STAT STAT! Never heard THAT one before!!! Heheheheh
How about....a STAT that's hot?? SM....
Ya' know, Paris Hilton's always saying, "THAT'S HOT!!" Maybe your boss is trying to be a Paris wannabe and figures if she says "HOT STAT!" that's her way of being "HOT!"
Ugh! A STAT, no doubt!
When I used to do hospital dictation, there was one MD whose dictations were always in the 20- to 30- minute range. What was worse was that he was the kind with long pauses followed by speed-dictated phrases. That's my least-favorite style. And he'd have the audacity to mark many dictations STAT. I think there should be a rule that 9 minutes is the longest a STAT report can go on, so the Transcriptionist has time to do the other, real STATs!
"HOT" STAT please ?
 Supervisor keeps referring to a "hot" STAT. What the heck is she trying to elucidate?? 
HOT STAT TO "MTme"
 To MTme: I'm perfectly aware that I can ask the person this question. HOWEVER, perhaps you cannot understand that I only broached the question here in this FORUM to inquire whether or not ANYBODY else IN THE GENERAL MT WORLD had ever heard of this phrase. Do you have some kind of problem with my asking this question? Get over it!!!!
Missing dictations
I also get a patient list from the doctors office. I check off which ones I got voice files for, i.e. which ones I typed. I don't keep track of which names or not checked off. How do I know if that patient just didn't show up for the appointment, walked out without being seen, or if the doctor put off dictating. That's administrative work that the doctors' secretaries do at my client's office. If they can't find something they think he dictated and ask me to look for something or check on something I'll do it because it only takes a few minutes but I don't do all the stuff you're doing.
Practice dictations
I am at a hiatus in my transcription career, but I do not want to lose what I know, or lose my speed. Is there somewhere you can purchase practice dictation tapes, or digital downloads? I would prefer digital downloads of voice files if there is such a thing. Just wondering.
missed dictations anyone?
Does anyone have any real experiences to share with the missed dictations? I would like to buy them but I don't want to if my accuracy might decrease with them due to missed dication. although, I think any of my background noise would be louder than any dictator. But I guess on the other end is where the problem lies.
IC STAT work
We generally find out when our ICs will be working on our accounts and ask that they be available for STAT work. If they are not available within one hour of the request, we have one of our editors pick it up.
Downloading dictations (sm)
If you key in alt-ctrl-Z while the first one is loading, it will prevent the other two from downloading from the queue. When you are ready to submit and do another file, you will need to key in that sequence again to allow the next one to come in.
Assigning the dictations............sm
SO RIGHT:
' The Leads (MTs who assign the work) have to get their lines in, too, and no doubt they're not keeping the ESLs for themselves......'
When I got a lot of crappy dictations in my queue, I complained about this and asked WHO assigns the work, who gets the crap and who gets the good ones.
I was told that it is NOT assigned at ALL, the oldest is picked first out of the pool and so on, and that it is all random and nobody is favored.
Now I read in this post that the Leads (team leads ?) distribute the reports. Who are they? The owners, the supervisors or the QAs?
I had once an argument with a QA about grammar and I was right and she was wrong, and from that moment on I got the crappiest crap of the crap into my queue.
After typing the STAT, do you have to
take it to them the next morning also???? When I worked for a doctor as an IC who used tapes, I charged double when I had to scan a tape. It wasn't much, but they did not call too often for them; and I did not have to take the report in. I just e-mailed it to them and they waited for the original to get there.
If you have to then drive it over to them out of your normal time to do so, I would charge them mileage at least and double the rate you charge per line/report, whatever.
However, if this is a constant thing, I agree with the other poster, charge them by the hour to look for the dictation.
P.S. As an IC, you are allowed to set your hours. They cannot force you to work when you don't want, unless it is in your contract that you are on call 24/7.
Stat reports
Since they are still on tapes and it is an office and not an entire hospital, can they que the tapes for surgical patients, or can they put next day surgical patients on a seperate tape? It might take some training on their part but I worked for a group of 11 Radiologists and we did get them trained to use a different tape for in-patient vs outpatient reports. Seems like if they want you to get the reports to you for the next days surgery that they need to implement a procedure in the office for identifying where those patients are on a tape. If they were on a different type of system it would be a different story.
How much easier it would be for to to have one that that is nothing but next day surgeries that need to be transcribed stat, beats searching all through a bunch of tapes.
STAT reports
Right - the MT profession has changed a lot since the inception of offshore outsourcing, VR, salaries going down instead of up, and sadly there are those MTSOs taking advantage of the situation, especially with today's economy and in effect saying, "Like it or lump it, you're lucky to have a job." and whom I would tell likewise, "So are you." So its often hard to draw the line, and it is often a fine line, between bending over backwards to do your job and feeling exploited.
As for refusing to do a STAT job on maybe the weekend, well, this should be made clear up front before hire ... will you or won't you? I agree with the former poster re. family ... when my late husband was still around, and he was essentially bedridden and required care 24/7... he came first, even though I had a full-time schedule to maintain with production requirement. But if my supe should call me for a rare STAT job to be done, he/she must have had a reason. One Christmas, a supe from my company (whom I did not know) asked me to do a STAT radiology job (I wasn't even on the radiology account) bec. a patient was waiting to go to surgery and they needed the MRI report before they could do the rather urgent surgery. While I don't defend all of a company's actions all of the time, if a supervisor calls me in the middle of the night for a STAT report, I know there must be a good reason for it. 
but where do all the CRAPPY VR dictations
come from, then?
I guess, crappy dictators are EVERYWHERE !
"Pay for stat work"
What is the "going rate" for stat transcription? I work for a hospital and get calls for stat work at all hours but do not get paid for this extra service. Would love to hear from other MTs as to what they are paid for this service. Really getting tired of it, but it is my largest account - still it's not worth sitting by the PC or phone all day just in case they might have a stat! 
try a dermatologist! and/or internist stat.
x
Thirty minute dictations -...
that are actually about 5 minutes, once you get past the ummms, and ahhhs, and talking to the nurse behind you, and listening to other people's conversation, and changing your mind 5 times before the completion of a sentence. Other then that, I can't think of a thing....ahhh, ummm, go back and change....no....under ROS put....
LOL If VR could transcribe his dictations it would be a miracle!
:-)
Going rate for stat notes
I was wondering if anybody had any information on what the going rate for stat reports currently is? On MTJobs there is a posting for 14 cents per line for stat work and I was wondering if this is the norm.
Kay :)
Where to find some Sample Dictations?
Anyone know where I can find a few sample dictations, like WAV files, on the internet, along with the completed typed reports. Need to test job applicants. Happy Holidays!
Supposedly these are sample dictations.
http://www.mtbot.com/links/index.php?PHPSESSID=87548e85937eae92e899386c81c6c8e1&PID=10
You left out blank dictations
The ones with no dictations - I have a feeling doctors probably pay the MTSO by dictated minutes - but how about MTSO paying the Transcriptionist who has to waste their time listening to them, signing them off and sending them to QA multiple times a day?
Did you type that stat report? What did you say
x
Yes I did type the STAT. It is not the patient's
evening. You have to understand that I am a professional. I will not refuse to do work as that adds fuel to the fire. I'll get my money in due time. This field is full of pay-laters! I'm not the only one waiting for my check, I'm sure. 
Noone can send you sample dictations, definitely
a breach of confidentiality. You should have learned this in your course.
Right on, JMO. Also, when I have the ability to choose dictations SM
from a list (which I don't have at my current work, darn), I like to gather up all the dictations I can find for bad dictators and do them together to learn that dictator right up front, instead of struggling over months. I'll also use them to put together a template, which if dictation's really horrible will include a whole pack of phrases he/she has been known to use, a grab bag of possibilities to scan over. May sound like a bother to some, but it's a real serenity-saver.
rate for stat reports
Hey, does anyone on here charge extra for stat reports. I receive work in the evenings and the doctors need some stats done before the next morning for surgery. I wanted to know what the going rate for stats are, as I have to stop what I am doing, work in the evenings, plus, they are on tapes so I have to search the entire tapes looking for the stat reports to type. It is very time consuming and wondered if anyone charges extra for those, more per line, or a flat rate, etc. Any information would be greatly appreciated. Thanks!
Things that dry you looney during dictations, for example.
I thought after seeing on television so much could get away from this but just had a dictator say, "drowsy and unable to, you know, respond to questions appropriately."
I thought the you know, you know, you know would not come through on here.
So, if you were dying in the bed and needed a STAT
You wouldn't mind that the person behind the document only cared about the money? You wouldn't care they put a post on this board like "why does anybody do this?"
Patient would feel slapped in the face.
That would be dying you slapped in the face.
I am really shocked and saddened to see who we serve is forgotten for the sake of money. Yes, we have to survive, and we do well. I have 3 jobs, am exhausted, but proud to say I am behind the document to help a very sick child or dying person, or recovering person, or person who was saved from suicide. I guess the idea of self rather than others is prominent around here, but not where I come from. After 27 years in the business I am proud to say I work behind the scenes and give the best I can for the patient, the doc, the nurse, my boss, the patient's family and so forth. After all, I would expect the same for me and my little boy.
In dictations, I always hear "as well as" when "and" would do. sm
"At this point in time." What does that mean? One says "At this particular point in time." Raises the line count but it is annoying.
Saving dictations on flash drive??
Hi again, I figured out the settings, and how to recover the files marked done. Question though on saving the actual dictation. My files come through email, I was saving in My Wav files and an Archive File; however, the doc tends to send me a lot of duplicates which the Archive obviously does not like. But, also, since I have had a computer crash on me and lost some things, I am thinking of saving my actual dictations on a flash drive and eliminating the Archive file. How long would you suggest I keep them for? Once typed they go in the Recover folder, how long should I keep those? I found in the help information that we can order foot pedals through Express Scribe and they will be sure that they work with their program, so I ordered one today - figure can't work without a pedal so best have a spare on hand. Anything I might be missing? Tips or ideas in using the program.
hosp acute care dictations..please sm
Are hospital dictations difficult to type? I have always typed various specialities for clinics. The company I just started working for lost the account I was hired for. They did offer me a position to type for the hospital dictations. Do you think it will be a rough transition for me? Any advice please! Thanks.
I had one who like to do his dictations with a Donald Duck voice. nm
xxx
Why is it that when I work evening here/there, all reports are 15-min. ESL dictations that no one fe
,,
Were STAT reports addressed in contract? sm
I had a doctor that did this same exact thing. He would procrastinate on doing reports, or just overbook himself so he never had time to dictate, and then when someone called wanting a report, he'd call me to see if I could do it ASAP. Of course, he didn't want to pay extra for this service, though. He would also call me night or day and expect me to drop whatever I was doing for other (better-paying) clients and do his "urgent" report. I go by the old saying that poor planning on his part does not make it an emergency on my part. I will do it for them IF I have the time and IF they pay a higher rate. Otherwise, I will not cater to this behavior because the poster above is right - they will continue to do it as long as you oblige. You have to be the one to set the boundaries. Get voice mail and caller ID if you don't already have and screen your calls. I found that sometimes just waiting a few hours before calling them back allowed them to calm down and realize it's not the end of the world, and they'd then say it was okay to get in by the next day or whatever. Sometimes it's not so much that it's a stat report in terms of the patient's need but that they need it to get paid, in which case they'll sometimes back down if you quote a higher rate or tell them you simply cannot fit it in right then. Same doc would pile me up with a week's worth of dictation and expect it all back in 12 hours, too, so it was an overall mentality with him that he wanted everything done NOW. It wasn't even humanly possible most of the time but try getting them to see that. You should have no social life, after all, and live to work! LOL
Good luck with that. I got rid of the client that did it to me. He felt I should be at his beck and call but argued the rate at every turn, and it wasn't that much to begin with so it wasn't worth the aggravation! Seems like the most demanding ones are usually the biggest cheapskates, too.
Legal dictations usually are multiple speakers
But, legal dictations usually have a longer TAT.
rate for STAT reports after hours
I currently work for a group doing transcription all day as an IC. I am delivered my work at night by the office for the next day's work. But, often they have a need for me to do STAT reports that night for surgery the next morning. I work all day full time for them and then have these to do in the evenings too. They also use tapes still and I have to spend and hour or two searching the tapes looking for the dictation to transcribe. It is so frustrating and time consuming on my part and I am making NOTHING for the time I am spending on this, 2-4 bucks tops for an hour or two of work. I just wondered if anyone knew of a good line rate, flat rate, etc. to charge for this turnaround time and the time I have to waste searching through these tapes!!!!! They will not go digital, which would be so much better. Any thoughts???? Thanks in advance.
Rates for working, paid more for stat?
Maybe others but I think mine are probably the average, 8 cents per line for straight and 4 cents per line for VR. My standard 4 are considered history and physicals, operative notes, discharge summaries and consults. A transfer, I think, would be a discharge summary. No extra pay for experience or lack thereof.
I think doctors in general just don't care about their dictations... sm
I know there are some who are really great and are careful or even just considerate. But I think for the most part they just think it's a pain to do and want to rush through it and get it done... let the lowly MT deal with whatever garbage comes out the other end. Maybe I'm a bit bitter, but at this point that's how it feels.
Disclaimer: No need to critique spelling, grammar, or punctuation within my posting... this isn't work, it's a message board.
stat report. Under PMH: (female) vesiculopublic sling.
Off topic but need STAT ADVISE on deviled eggs
Hi,
I need help as I don't want to make anyone sick LOL. Baby shower tomorrow night, my co-host who was making the deviled eggs along with other things broke her wrist this morning...soooo, I am in a time crunch and would like to know if I can make these things tonight (36), just boil them tonight, maybe do the prep just fill them tomorrow?? I usually make them & take them or serve them, but don't know about preparing them this 24 hrs ahead of time.
Thank any of you experts in advance for your opinions..this is so much easier than trying to call Betty Crocker
One of my accts is in Baton Rouge and just today getting a few dictations trickling in. nm
:I
2 hr 30 min stat psych eval -- MD paid double rate :) NM
x
wanted to add it was nice of you to positively reinforce MT efforts on difficult dictations...(nm)
`
I learned to put my phones in front of my ears inbetween dictations so I don't get blasted.
s
You need to charge for this extra service. Stat reports should be charged at a higher rate or per r
Never lose money. I have unlimited long distance and when my docs what things faxed, etc, I charge them per report to fax the document as well as charging them to transcribe it.
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