Same here, I like operative notes, but rarely get them, by the end of the day (see inside)

• Work types - mtme2
  • Are you new to co? Sometimes company has you "work your way - up", in spite of lots of experience.
  • I hear ya - currently with ProScript?
    • oops, that should be sm on name - sm
  • work - mt
  • Oh, good grief. - sm
    • Again, poor management is the problem - Working my way out
      • More like 90% are completely inept managers. - MSMT
      • Attitude is everything. - sm
        • My attitude is production-minded for all involved - Working my way out
          • Must be a grain of truth in there somewhere to have hit a nerve. - nm
            • You'd like to hit a nerve, I'd like to stick to facts - Working my way out
              • There is a difference between "facts" and "observations". - sm
                • I am not the original poster - Working my way out
    • Well said...sm - phillychick
    • She/he is just blowing off some steam, and I can relate! nm - Yes
    • Work types - mtme2
      • Maybe that person left the company? - sm
        • They should at least ask - mtmt
  • Same here, I like operative notes, but rarely get them, by the end of the day (see inside) - Yes
  • Me, too! And I did leave for this as I was lied to and - given the old bait and switch. nm Not4Me!
  • Discharge summaries - FTMT
    • Work - mtme2

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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!! 

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. 

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: 

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

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.

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.   

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. 

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.

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.

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.

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!

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.

Any good sites for OP notes?

thanks Lori