Scarry!!! Docs and nurses entering drugs and dosages into online charts. (sm)
Posted By: crissy on 2008-05-08
In Reply to:
Most of my docs cannot spell medical terms. They can't pronounce or spell drugs. The nurses are for the most part useless - no ARNP I ever asked could help me with a medical term.
I just spoke to my HMO. They are now offering personal Online-charts showing
visits, tests, immunizations, etc. of what you personally had done.
I asked EXACTLY HOW DOES THIS INFO GET INTO THE SYSTEM, at what point?
The woman said: It is input by the doc and the nurses.
I shuttered!
There goes the end of quality health care as we used to know it!
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The docs and nurses enter from keyboard themselves. sm
It is VERY irritating. They spend all their time looking at the keyboard and screen and not at you, the patient. Worse yet, when you go back the next time, you find they entered wrong information.
Has anyone bought Rx drugs from Canada online? (sm)
Was your experience favorable? Were the drugs compatible with USA drugs. Allegra is an OTC in Canada and I can get it for 67 cents per pill as compared to $2.50 per pill in the USA. Lot of difference when you don’t have insurance!
My docs online
Can someone using mydocsonline answer a ? for me ? I want something simple for my group of doctors. They have the Olympus ds 4000 with the docking station. They dont want to log into a site everytime they dock (the files apparently auto load) Is mydocsonline just an alternative to email? This would seem like the easiest solution for me if it is!
Thanks 
Drugs! Lots of drugs! Sadly, you're probably like
most of us and don't have time to go to the doctor! Oh well! Feel better soon! You are not alone! 
I only add the dosages for very few meds. sm
Toradol 60 mg IM = T60
I found that for most meds that have multiple possible dosages, it just isn't speed-friendly to have multiple macros for 1 drug...like I use "ty" for Tylenol, but having a different one for each possible dose would be like ty325, ty650, ty975, etc., but somehow I'm faster NOT doing this. I only use the toradol one above because I always, always, always here it that way for one of my hospitals.
Other meds..allo is allopurinol, sim is simvastatin, vanc is vancomycin, etc. I tend to use begining syllables for my drug macros.
Yes, you can get dosages on the FDA site :-)...sm
Just click on the name of the medication and it takes you to a page with dosages.
scarry. sm
eek! It is probably not good for all physicians, but I can see something like that eliminating a LOT of work/work types out there.
All I can say is THAT'S SCARRY and POOR YOU!
FUNNY BUT SCARRY
That is scarry but I can see why you would laugh. I think you better lock you car door at all times. You never know what he might do next.
I had questioned values/dosages by leaving
a blank - QA filled it in with what was said -- totally wrong. All we could do was notify our supervisor if we caught it and who knows what happened there.
We could only send a certain percentage of reports to QA, if over that percentage, then our bonus/incentive/whatever they call it now was affected. Didn't matter the reason we sent it, it was the total number of reports sent.
Scarry is pretty scary, too! See how easy....
it is to make mistakes? 
Bare Minerals IS available at ULTA online,Sephora online...(sm)
...and you don't have to sign up for a makeup "club," or anything. I totally agree with you that this makeup is great for all the basic purposes (coverage, lasting), but their slogan is "Makeup so healthy you can sleep in it." There is a delay in time between when you can apply your powder after moisturizer, but it is really worth it.
To go with your powder I recommend the "pump brush" offered at some of the cosmetic online stores. You fill the handle with your powder mixture (I mix two different powders, changing it up or down according to how much sun I've been getting) and the pump brush will distribute some to the bristles, tap and have at it! This is great for carrying it with you to minimize the loss into the lining of your handbag!
I cannot recommend Bare Minerals enough. I used to be a MAC convert, and have tried everything from Chanel to Maybelline--this product does not disappoint.
Ohmy yes...and the one in the background is never that clear when I'm doing his charts! nm
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C Phone not dialing--D-Light from CHARTS-- Please help
Hey y'all. I have a little black box of a C-Phone, from C.H.A.R.T.S. and it is called D-Light.
Yesterday it would not dial. Everything else works apparently, the green light is on and it changes from green to red when I hit the buttons to dial or hit the foot pedal.
But, the DIAL TONE is lower volume than normal and it will not dial. The buttons do nothing. I do get the phone company prompt "If you are trying to make a call, please hang up..." if I stay on the line long enough.
It is acting like it is not getting power, this is how it acts when the power cord is not plugged in. But, it is plugged in. I think the machine could work, I just don't know what is going wrong.
Please help if you know what is going wrong. TX so much-- I gotta work!!
It took me 8-10 hours for 100 charts 1000 lines sm
This was with ExText, 20- to 45-second (give or take) reports. I did have distractions. I was completely bored with soooooo many short-short reports. Also took some time in the document info screen because company I was in did not have their act together. Had to search and recheck that I had the correct visit and location.
Hope this helps somewhat.
I have never worked where the MT dept was anywhere near the charts, for that reason.
It's been my experience in different hospitals that MT dept is NOT the MR dept. Different wings, different supervisors, different workers. As a hospital MT I never had access to the charts. But since you said you went upstairs to do this, it sounds like your facility is the same.
entering
If you have won something already, you cannot enter any others, is that correct?
You shouldn't be going off on your own to pull patient charts for your own curiosity!!! nm
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Try just entering part of the last name sm
and the first letter of the first name.
Some accounts do have glitches and yours might be one.
New MTs entering this profession
I don't think it is so much about MTs being all for themselves.
Virtually every newbie needs a great deal of QA support. It is costly. The first urgency of this field is turn-around-time. Slowing down TAT because all of your reports have to be QA'd costs. Having to stop and give you feedback so you don't continue in the same path slows QA down ... again, TAT suffers and this costs. Newbie work needs the QA because quality is the 2nd urgency of this business.
So, it's not your coworkers fault. Not really the MT service companies' fault either. This is the nature of this very competitive business.
It's always better for newbies to go to work inhouse in a hospital and get their experience before working from home. You have to be really self-sufficient to work from home and make it profitable for both yourself and your employer.
Re-entering the MT Field
After being out of MT for 4.5 years I have recently returned. I'm having a hard time finding the right fit. The biggest problem I'm seeing is everybody seems to be requiring headers for reports and then each report put in a separate document, due to the new electronic record. I find that this slows me way, way down. Maybe I'll eventually get used to it, but I sure do miss the days of one document for doctor's day's work. There are so many procedural details that I can't just sit and transcribe. I've also run into very poor voice file sound quality.
I worked in the field for 14 years and never had major problems adjusting to new accounts. Maybe my time is just over for this type of work.
I know technology has definitely made MT easier in some ways, but in others, it seems like such hassle. Does anyone else have problems with headers and all these separate documents? Does the field seem to be worse now than 5 years ago?
If doctors are entering into it, SM
I suspect maybe you really should get out and take a calm undemanding 9-5 type job. Perhaps you could come back later when things in this industry stabilize.
For now, though, this field is in technology- and economics-driven flux, with uncertainty the norm. What is certain is that this is going to continue for some time, during which some people will end up leaving the field altogether even as others adjust to what's thrown at them, retraining or continuing their education as needed.
If you took a second job, I'm afraid the problems you're having with this sistuation with one company would just become the same problems doubled. And let's face it, part-timers are not usually more valued employees than full-timers. Best wishes.
I do ER charts for East Jefferson, but of course those stopped yesterday, been worried about them nm
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DIFFICULT? - transfer word reports into digital charts? (sm)
I have heard it is difficult to get our transcribed microsoft word reports into any type of EMR (electronic medical record) type of setup.
Is this true?
If we just change the program we type on before we send it to the office for the office to put into an electronic chart (which they say will be mandated by about 2010 or so) -- would that make it possible?
Many docs are not happy to have to do their own corrections etc.
Also a few years ago there was already a program where the docs signed off electronically for their reports. NOW IT'S LIKE SOME BIG HAIRY DEAL for them to do it.
Seems like we are going backwa5rds 
HELP.
would love to hear from anybody who has already met this problem and figured it out -- either send an email or ans here - would be so appreciated. Thanks.
Of course, it is only as good as the people entering the data...
Also, when computers make mistakes, or are hit with malicious worms or viruses, etc., it could be devastating, could it not?
Also, more and more lately we are noticing actually a lot more mistakes with things that are automated, and once there is an error, it has been extremely difficult to get it corrected. Such as - errors at the DMV (?), errors in our car computer (? - again, it is always a mystery when trying to get things fixed), lets see, then there is the mixup with our phone number that belongs to about three other people (still not fixed because we are told it is all done on computer (?)...
Also, who takes responsiblity when there is an error, because with everything automated, there seems to be little or no accountability - you can hardly get through to real people in a lot of businesses today.
The idea of technology is awesome; however human error will always have an affect...
my humble opinion and just an observation. most information still has to be entered by humans. perhaps we will be obsolete.
That's almost as bad as having nurses do it!
n
suggest entering word in google-got 30 hits-nm
//
Yes, the page is clear about entering. If you make a donation,
you are entered to potentially win the prize that you chose in the drop down list. You can enter as many times as you wish for any of the prizes listed, but there is only one winner per prize giveaway.
MT Bashing by nurses
I found this on a nurse's blog - they were talking about MT mistakes they found in charts...
Nurse #1:
I tried to get a job as a medical Transcriptionist for extra money, and no one would hire me because my 15 years experience of direct patient care does not qualify me to be a transcriptionist. Oh really? Or, I guess I mean, Owe Reilly?
Nurse #2:
I have no idea why they wouldn't let you work as a transcriptionist - what sort of special training would you need that you wouldn't already have?! It might be a good way to make ends meet if there came a point where a nurse couldn't stand up for so long anymore. It doesn't seem like it would take much in the way of critical thinking skills...
We don't use critical thinking skills? Darn, then maybe I should look into the career opportunities at Burger King...
The nurses do all that, except maybe the scalpels.
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Thank God for some nurses who DO dictate...
for the docs who are horrible dictators. I do progress notes for an ICN nursery almost nightly. Thank GOD for those nurses. There are 2 docs right from the old country who can't string a sentence together in English though good docs they may be. We're talking 7-8 page very detailed reports on some of these babies. The other night, one of these gals dictated the first part, God love her, and actually handed the phone to the doc to give his 2 cents worth, awful dictator. Hey, the best thing some of these docs can do is let their PAC's do the dictating!!!
And Why?? Because nurses are presented
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any previous nurses MTing now?
Hi there, I have been an MT for 4 1/2 years now, and I enjoy it for the most part, but I've really been thinking of finishing my BSN degree. I had started college as a nursing major back in 1988, but dropped out after two years of completion of the prerequisite classes. I have always had an interest in the medical field so MT'ing has been interesting, but I've really been wanting to finish up my nursing degree though, I have always regretted not finishing it. Especially when I do the operative eports I really would like to be in the operating room working. So, anyway, I have put my application in for the BSN program again and waiting to see if I get readmitted. Are there are any former nurses out there who are MT'ing on this board, or perhaps any nurses doing MT'ing too who have any opinions? Or are there any other fellow MT's going to nursing school on here and have any input about it? If you are a previous nurse who is now a MT how come, and vice versa, if there are any MT's who are presently in nursing school please let me know how it is going for you.
The very WORST MTs I have ever done QA for were nurses for 20 plus years!
Mind you, this was after they graduated from one of the *Big 3* schools to boot. I know most MTs can type circles around them. They were asleep at the wheel most of the time!
And just how many MTs transcribe NURSES' notes?
Nurses document about 2 sentences, so their work is amenable to point-and-click.
Physicians who typically scribble very short notes don't dictate anyway, so you're not losing anything by them using point-and-click.
The ones who dictate do so because their notes are too long to write. It's just about as annoying to point-and-click them in an EMR as it is to type them out by hand, so most physicians who value their time do not wish to waste it fooling with computers. At our facility, they continue to dictate.
Hospital dictation is not usually suitable for point-and-click. It's too long and some physicians are able to dictate at the speed of light, so they would lose too much time writing it themselves.
I'll share one reason some doctors do want to do it themselves: the quality of the transcribed reports they get back is so bad they can't stand it. They figure if it looks terrible and is crammed full of nonsense, they might as well do it themselves. At least, it'll make sense.
There are no dictators, physicians, nurses, PAs or the like
who don’t dictate on the VR I use, wish I did not have the crap dictators as you call them but they are not left out on my end. I really, really hate it now when I do get a straight report to type I am so happy with the VR I do. I think before long most big places will go that route, little ones not so much as I think VR costs quite a bit.
Then again you could end up w/one that nurses q2h like mine did! Lucky to get a shower in even. nm
s
Was nurses aid, then aide in ICU, then ward clerk, then
MORE medical terms cuz halo the docs were professors, and they let me play PA under their supervision, then w/comp supervisor, then pregnant, then had to find a PMs job and landed in transcription dept as trainee. If I could meet their requirements, I stuck. If not, I was fired. I stuck.
Finally steady money. whew. Applied and got job at Dept of Law Enforcement entering
They started me way above minimum because of my experience. I was shocked and happy all at the same time.
And of course I'm esctatic to not be wondering how much money I would be getting each pay check. Working on production in transcription now is like playing Russian Roulette.
There's good benes where I going, retirement, sick days, no games with my health insurance. I should have done this long ago.
nursing shortage includes nurses for instructors...sm
you can't teach nursing classes without nurses to teach the classes - that's part of the shortage and part of the reason why the shortage continues. Also more nurses are going for the bachelor's degree (4 years vs. 2 years) and that is extending the time before they are out in the work force.
remember when nurses wore the little hats...hahaha
nm
Do you think nurses and front office professionals look sloppy?
I don't like to go around looking "sloppy all day" either, but is it really practical to work comfortably in nylons and suit jackets when I am sitting and typing all day? No thanks -- I can't work well that way!
I refuse to wear sweats or jammies because I want my work to reflect my professionalism and I think the way I feel about myself reflects that -- hence, scrubs, which medical professionals wear. I am a medical professional and I don't think there is anything sloppy about wearing tasteful, professional, and comfortable scrubs.
Do you think that front office people, nurses, and doctors look "sloppy all day" by wearing scrubs?
Breaking news. Bush directs H. Rita to Texas in order to curb illegal Mexicans from entering border.
LOL
It's the drugs
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drugs.com
I almost always use drugs.com for almost every drug need. It's the best site I have found, but otherwise, I prefer Stedman's Quick Look, but let's face it, by the time these books are printed, there are another 100 drugs out there. Can't keep up fast enough with them. So the web site is the best.
Drugs@FDA
http://www.accessdata.fda.gov/scripts/cder/drugsatfda/
You can search for any 3 consecutive letters and pull up a list of all drug names containing those 3 consecutive letters.
drugs.com
I use this site because you can put in a part of the drug name, and it gives you a list of drugs that contain that letter combination. So if you can only hear the middle part of a drug, it gets a little easier to narrow it down.
try drugs.com (nm)
x
drugs.com
The problem I have with this site is that there are many generic drugs that are listed with a capped first letter. It is hard to tell which drugs are brand name and which are generic when using drugs.com.
If you are typing the drug name in a paragraph and it is generic, the first letter is not to be capitalized so it is important to be able to find out if the drug is brand or generic.
Drugs.com... just for MTs... sm
Drugs.com lets you type in just a few letters and provides choices. Also, from the homepage on the right, there is a link to drug search just for MTs. It lets you do a wildcard search. I.e., audio is garbled and you hear t-max, you could type in t*max, and it would provide all drug choices. It also has a 'sounds like' search which is most excellent. You can also search for drugs by condition. This site hasn't let me down yet. Best part, it's completely up to date, and free.
Drugs!! Works for me!
Seriously. I actually was a big procrastinator, and really suffering for years from lack of motivation. Turns out I have ADD, and have been on meds for a few months now. Actually tripled - TRIPLED my income in these few months. Everything is just focused and easy and I am so productive, its scary...Maybe you have adult ADD. Supposedly millions do...I used to be a skeptic, but I'm a believer now!
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