Same here, I like operative notes, but rarely get them, by the end of the day (see inside)
Posted By: Yes on 2007-09-25
In Reply to: Work types - mtme2
I am fuming. I make more money on operative notes and am motivated. Discharge summaries are hard to make money on for me, as they are all different.
I am actively looking for another job. I am not one to job hop. I just cant see feeling like this all day long. Good luck.
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Same here, I like operative notes, but rarely get them, by the end of the day (see inside) - Yes
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Operative Notes
Does anyone receive higher pay for doing only operative notes? I am just wondering because my account paid last because it was ER reports but now I am doing almost all operative reports. Thanks for the info!
I totally agree. Operative notes are more complicated and should be
paid at a higher rate. I know it takes me longer to do them because so many different surgical pieces of equipment can be used etc. Anatomy has never been a problem but mainly the different surgical equipment items. I would love to find a job that offered me more. I just dont know where they are.
Why do so many people LOVE operative notes? I see posts about it all the time...
how they make good money on them, they could do them all day, feel cheated when they don't get them? I have been doing this for years and years and still kind of groan when I see them come up on my screen. Fill me on the secrets and maybe I won't whine so much when I do them. Thanks gal!
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
Can any of you MTs who type operative reports tell me
what are some good websites to look for spellings of surgical terminology, instruments, equipment, etc.? Much appreciated!!!
operative report vs procedure
I used to think I understood the difference between these two types of reports (operative versus procedure). Somehwere along that way, amidst dozens and dozens of account profile specifications, technology advances and MDs who always key in the OP code regardless of report type, I am not so sure anymore. I would like to try to elicit a consensus on how transcriptionists distinguish between these two report types and what criteria they are using to do this?
All and any Operative Reports! Love em!. sm
Including Cardiothoracic and cardiac caths.
Operative Note websites
Hi everyone, I was wondering if anyone knew of any good websites for medical equipment and/or websites to help with Op notes. Much appreciated!!
Operative word here is "should"
We all know they should, but my point was most won't. But then again, I do remember instances where it was addressed with some of the worst ones, and they improved for a while and back to the same thing. One radiologist everybody hated typing had a very thick Latin accent, and I ran into him on the elevator and he asked me if I type his dictation, to which I replied in the affirmative, and he said, "Good luck to you, brave lady"!!!!! Then he would have the audacity to complain to our supervisor that we left too many blanks, that he says the same thing every time, why do we leave blanks! The nerve! She did tell him that he was difficult to understand, but do you think he changed? No. One of the reasons we could not understand a lot is because he would turn the x-ray films as he was dictating, which would be very noisy, and then he would have the machine on speaker and turn his head from side to side as he'd dictate. Nice! But did he stop after being told this? No. Nuf said, really. Just one tiny example.
"Wife" is the operative word sm
They have no clue what we go through and they are cheaper than their husbands. IMHO they should stay home!
Mastectomy operative reports
Does anybody out there have mastectomy operative reports that I can use as samples? Or can anyone direct me to a surgery site that would have this type of report?
Sample operative reports
This is a good one. MT Daily has sample reports. Another one is mt-stuff.com. These are just two good ones. I have done Ops for 30 years and if you need help, let me know. Hope this helps.
Someone left out the operative reports
those are certainly considered in the 4, not ERs.
I rarely get to do them
I would love to type OPs. I rarely get to do them and like with anything, you don't use it you lose it but most places I work someone has been there longer and knows all the docs who can fly on OPs and that's who gets to do the OPs.
I try to keep in practice with doing it all and really hate to be limited to one type of report.
Operative report question...curious...
What is the most popular or should I say proper way of setting up a heading for an operative report, order, spaces, tabs etc? I know the doctor's way is always right but some doctors do not give enough information and some give too much. Just wondering if you tab over diagnosis and align or place list under headings. And spaces after each heading.
DATE OF PROCEDURE:
PREOPERATIVE DIAGNOSIS:
POSTOPERATIVE DIAGNOSIS:
PROCEDURE PERFORMED:
SURGEON:
ASSISTANT:
COMPLICATIONS:
ESTIMATED BLOOD LOSS:
FINDINGS:
PROCEDURE IN DETAIL:
Softext MT CD of Operative Report Samples
Has anyone heard anything about this CD? I found it on ebay. It has over 1000 multispecialty operative sample reports. It's called: Softext Medical Transcription CD of Report Samples. eBay Listing: 180302333955.
Sounds like it could be a really good reference. Just wondering.
MT
I'm rarely on here lately because of schedules ...
I work when I want to so stick it if you don't like it! Hahaha
I also use Ask.com, I love OPs but get them rarely, sm
make good money though.
I rarely use my Stedmans
Its so much easier just to type in what your looking for! I must have 20 books just sitting on my shelf!
Pay attention: Facelift was not done but he dictated an operative report for it.
dd
it's rarely offered anymore, thanks to the
AAMT. They started the whole problem, and then they bailed out after everybody decided it was the most honest method to determine what a "real line" was.
But there's still a way to break even. Go to this web site: http://www.medicalese.org/line_count.html
Figure out what you want to bill for gross lines. That would be under the 45 cpl column (trust me on this ... I did stats for years when I was billing for gross lines). Compare it to what you would get paid if you billed for a 65-char line and that's what you want to be paid.
IOW, if you want to make 9 cpl for gross lines, under the 45 line length column it would be $200. Go over to the 65-char line and see how close you can match things up. It's 13 cpl = $200.00. That's what you want to make the same amount.
I rarely use books any longer....sm
However, I would get Vera Pyle's Med. Term book, Ellen Drake Sloane's Medical Word Book, and Claudia Tessier's Surgical Word Book. Also Quik-Look Drug Book. This is only if you are still using books 24/7/365. The web has faster access in my opinion. ![](https://forum.mtstars.com/smileys/smile.gif)
I rarely watch TV, much too busy. nm
I rarely, if ever, use the 2nd Edition. So nope, I have
X
My phone rarely (if ever) rings, but my -
cat is constantly interrupting me, getting in front of my monitor to get attention. Either that, or she'll sit in the kitchen and yowl until I come out to see what on earth is wrong - only to find she's all bummed out because there's a single cat-hair floating in her water dish. :/
This is true. I work for the Q -rarely run out
of work (live in CA). And by the way, I would get paid my benefit rate (which is at least twice the CA min wage. I always thought this was why I never got NJA. But at the same time, I know they would love it if I quit.
We try to set good examples for our kids. We rarely
drink, don't have alcohol in the house except for cooking wine/sherry, don't smoke, don't do drugs, are honest, hard working people. My oldest son has "friends" who smoke, who put vodka in their Coke cans, cuss, steal, etc. My son is a good kid and no I'm not naive and he isn't doing this stuff behind my back because we spend lots of time together. My son is a health freak and won't allow anyone to smoke around him. We've also tried to explain to him that even if he isn't drinking if someone he is with is caught drinking then he is guilty by association and he knows he needs to avoid these kids. He has come home before upset that kids were using seriously foul language. The "F" word at our house is spelled f-a-r-t.
We live in a country club community. The kids around here get new cars when they turn 16. The parents don't keep up with their kids, just give them money. My son has to earn his car with saving $$, keeping out of trouble, and good grades. I don't keep tabs on him 24/7, but I know where he is at ALL times so that if I need to find him I can. He even asks me if he can get on-line so I know he isn't using the computer for porn. He is concerned that he doesn't have enough testosterone because he isn't wanting to sleep with anything that stays still long enough. Don't know that his friends are, but they talk a good talk anyway.
I think you are wise to be concerned and just need to keep open communication with your kids and hope that he makes good choices. My son was a follower when he was younger and I had serious concerns about how he would be growing up, but now he has become a leader and I'm very proud of him because so far he is making good choices.
Rarely use any books anymore. I use Google.
nm
Millions may have learned it, but rarely perfectly.
And learning it and speaking it are two different things. Lyndia makes a great point.
A pet peeve of mine is American arrogance in the sense that most of us don't really know a second language. Maybe we had some in high school, but most of the people I know speak one language, American English, and that's it. So we don't know how it is but we bash others for not learning it perfectly.
I don't mind the ESLs who try hard to communicate. I get ticked at the ones who don't care, and I think most would agree that it's obvious who those are by their dictation and their patient rapport.
I rarely have expander blips now that I use marker keys.
xx
I remember all that, too. The parents rarely, if ever, questioned the teacher or the principal.
I wonder what the change is? Do we parents have egos because now most of us have as much education as teachers do? Are we unwilling to sit back and never question "authority figures"? Do we remember being wronged in our own childhoods, so we're quick to defend?
I try not to be a buttinsky at my kids' schools, but sometimes I just don't agree with how they're doing things there. One day, three bigger boys with bad home lives and a history of fighting jumped my son, who is the most peaceful kid you've ever met. Two of them held him down while the third one was on top of him punching and kicking him. My son had to bite the kids to get them off of him. He was cut, bruised, and had a bloody nose. Guess who got punished? My son did, for biting. I called the cops and intervened at the school because my son has my full permission to defend himself against bullies, especially on a 3-on-1 situation.
I also remember being punished for things at school when I did nothing wrong, then my parents punished me a second time because of what the teacher said. I got detention for sneezing in class once. One of my teachers publicly humiliated me and threatened to pull me out of all the advanced classes if I didn't publicly apologize to another teacher when I wasn't even the one who said whatever it was she was upset about. One of my male teachers actually picked up a student and slammed him into the chalkboard, ripping the kid's shirt off in the process. So yes, I'm going to stay on the schools and make sure my kids aren't hassled by any burnt out teachers who are just biding their time until retirement. My kids aren't angels, but they're not demon spawn either.
My clients hold the work for me. Of course, I rarely take off unless I'm sick. What's a vacati
I have one client for 11 years, another one for 15 years. They wait...they don't want anyone else doing their work. Are they spoiling me or am I spoiling them? My vacations consist of a 2 day fishing trip. One day to the site, 1/2 day fishing, and back home again.
If I'm sick, they understand. I still do the work, but at a pace that won't make me sicker. I sually catch up in a couple days.
Been paying aol since ྛ!! on BYOA now for kids limits, rarely use though
Offshore work is rarely client ready. Who is going to edit
p p
I've been on Escription for four years and I have rarely hit 2500 lines a day..
Yes, when I have good reports I can do 500 lines an hour, but unfortunately, that does not happen consistently in my day. I can cruise along for a few hours and then hit some ESLs, which just mentally slows me down and then I struggle the rest of the day. If, I was able to sit there 8 hours straight NO interruptions or breaks and easy reports, then I could hit 2500 lines but that is not my reality. Some of the reports are good but I'm telling you.. A LOT of them have to retyped, thus slowing your line count down an hour..and you've just basically done straight typing for a mere 4 cpl. I truly think that editing needs to pay more. I am like you.. I am requiring at least $100 a day.. sometimes I can do it in 6 hours (no breaks and good reports) and sometimes for various reason I have to sit there 12-15 hours (interupptions, ESL, and just bad reports)..So add that up..$100 in 12-15, that's like $8 an hour.. Wal-mart here I come LOL
My earnings are very similar to shipaddict. Really good week I can top $1000 but rarely. nm
;
Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
Means gross line is a good way to get paid, but is rarely offered anymore. nm
s
ER notes
Don't worry. It has been my experience being a Transcriptionist for a huge hospital that I loved the ER notes the most. They are really pretty much abbreviated H&P's and are sometimes the most interesting reports of all. Not nearly as difficult as some surgeries or discharges notes can be. Simple and brief and sometimes a really good story.
OP NOTES
I just started doing op notes at the hospital I work in and it is hard as there are so many different instruments they use that I have never even heard of. I use a surgical word book and Google a lot. That's about it.
To me, O.R. notes
get really boring. I prefer discharges - just my personal opinion. Plus once I get used to them, I can go really fast.
Doc notes
I do two internal medicine Docs, SOAP notes only and minor procedures and love it I also did other specialities, but all that was lost to outsourcing to INDIA!
op notes
Operative notes. Perhaps as far a leap from clinic work as is possible. Not something for you to jump into with no experience.
Not op notes but
This site has brand names of surgical instruments. You can choose by speciality and manufacturer also.
http://ptiresource.50megs.com/about.html
Even for op notes? sm
I can see where being paid this way would have its advantages when doing DS and work types where there is a lot of paper shuffling, looking for values, etc., but I am concerned about op notes where the dictation is speedier.
OP notes
I love doing OP notes. They are so interesting. Anyway there is a website that I use now and then and it is
www.mt911.com it also has samples.com on it and has alot of different samples.
Also a good reference book is The surgical word book by Saunders.
Hope this helps.
OP notes
I only type OPs. I have done it for 8+years and LOVE IT. Its a niche that is hard for companies to fill, it seems. I would say it would be a great move on your part. Good luck!
Op notes
At my current company, op notes are paid at 9 cents a line for over a year experience. At my previous company, op notes were paid the same as any other type of report; cpl was based on difficulty of the account and ranged from 7.5 to 10 cpl, with op notes being paid the same as other basic 4 reports.
OP notes
If you already work for a service, maybe they have OP accounts. I would tell them you would like to learn. Ask if they could assign you a few each day and have them go to QA for feedback.
I would also buy a few surgical reference books. I feel the books are much easier to use than Google because so many instruments, brand names, etc, sound alike.
Good luck. I love my OP accounts.
RE: OP notes
Some people like OPs and some people like DS. I like DS. They talk too fast on OPs. If you can get them down, they say about the same thing. You can put that in your shortcuts and make more money just by popping it in there.
OP notes
Any good sites for OP notes?
thanks Lori
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