Scarry is pretty scary, too! See how easy....
Posted By: hmmmm..... on 2008-05-08
In Reply to: Scarry!!! Docs and nurses entering drugs and dosages into online charts. (sm) - crissy
it is to make mistakes? 
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Pretty scary. Do you actually think you
are Frank?
pretty scary
I know that this does happen. I just try not to think about it. It's amazing how many physician's and other big tim professionals are functioning alcoholics and drug addicts. Even more sad is the fact that other hospital staff know that these people are enebriated and don't dare say anything to anyone about it.
It's pretty easy (sm)
My DBF is an "IT guy", & set ours up for us. He's on a conference call right now, so I can't get him to explain it, & if I tried to I'd probably have you and I both confused all to heck....soooo, I found this site that is pretty thorough...
http://computer.howstuffworks.com/question353.htm
If you still have questions, if you have a Best Buy or Circuit City nearby, you can ask them to help you out...they're pretty good about this stuff.
Hope this helps 
I think it's pretty easy--
You'll hear a lot of the same terms over and over. The only thing is it can get boring, but you can make good lines at it.
pretty easy :)
Just go to your desktop and right click "My Computer". Select properties, and BAM! 
The dictators are pretty easy...
...and I can type pretty fast, I guess :)
I thought their platform was pretty easy to use,
and the software training was great. However, I quit because of the ESLs, being bounced from one account to another every week, and having to work a set schedule. Just not my fit. You might give it a try to see if it fits you.
I think it's pretty easy. And I think is mis-typed. I use Quicken for Home & Business.
I am by no means an accounting-type person. I keep EVERYTHING in this program. I used to always have my checkbook screwed up. Now, I don't even bother with trying to keep a balance written in my checkbook register because I do everything from her. I have automatically scheduled transactions, reminders and bills set up. I actually now have a budget (unheard of before).
As far as invoicing, I have found it to be very easy. I would say my favorite feature is the ability to email invoices directly from the program to clients, saving me postage and the hassle of delayed payments because of PO delivery problems.. Another plus for me is that I have to collect sales tax and it set that up for me automatically when I set up my business--this makes it very easy for me to figure out my tax due each quarter.
Another plus is that you can set up Quicken to automatically download bank transactions every day so I can stay on top of what's going on with my money. It keeps me from missing those pesky ATM transactions that my husband makes in the family account!
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.
Scarry!!! Docs and nurses entering drugs and dosages into online charts. (sm)
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!
The easy answer, taking all the easy work and
x
I think I'm pretty bright and pretty good, too, but
I am not a CMT. I am a medical transcriptionist who enjoys her job very much (most days). I have chosen not to pursue certification simply because I cannot afford to do so. I believe the certification is a nice thing to have, but I don't believe it is necessary for employment or for excellence in my job. If you can afford it, go for it. If you can't, don't feel too bad. You can still take pride in and do a very good job without it. 
Well, Word is easy to buy and easy to install. Word 97 works great. Cheap. SM
I still would not work anywhere I could not use a spell checker with grammar checker and a Steadman's Medical Spell Checker.
IF they want people to TRANSCRIBE MEDICAL REPORTS, then I guess they better get the programs they need.
It's like probably 110% easier to buy and install Word 97 than to try to program their own programming. And, yes, I do mean Microsoft Word 97. Why? Because you can install it unlimited times, in case you need to install the operating system again. And it has a few features that Microsoft, in its un-wisdom, took away in Word 2000 and 20003 and 2007. So, yes, I'd go with Word 97 for its cheapness and it works better than the later versions. Just my opinion, with 20 years experience being an MT. So what if they "don't have it" on their computer? It's easy to get.
scary
It is scary to think how narrowed minded people can be. Plantation mentality is alive and well in the South....So help us all....
Scary
Your last 2 paragraphs made absolute sense. I always thought, even back "in the day," that dictation to transcription was archaic.
However, I fit into the "over-educated but don't know how to get in out of the rain MT" category, so scary thought because if you thought of it, someone else should as well... and I do need to keep doing this at least until one of my kids strikes it rich!
Good post.
Now that is scary!
That is really scary to me No wonder that sm
these gals hire on places, begin to work and then can't get their pay.
That is scary...
...
How scary to have a dog like that...
as your neighbor. If you have children, PLEASE keep close tabs on them...I just heard on the news a few weeks ago about a pit bull (I think...) snatching a baby out of her mother's arms and malling her head badly. The baby survived, thankfully, but was very badly hurt. I agree with you, these dogs are inherently vicious, and no, it's not the dog's fault at all...it's the human's fault for training and breeding for fighting...how very sad for the OP..I am sorry...
What's scary is...
they are treating people. How does the patient understand what he is saying (if they deem to say anything). I know when I see one of these doctors I have a hard time when I'm not ill. My husband is hard of hearing but can understand if clearly spoken to and he understands nothing and refused to go back to a GP we had.
I'm sorry, but its really scary to me that anyone
let alone a spouse, could just go back to sleep and post on a MESSAGE BOARD the next day, asking about a SWOLLEN HARD TONGUE!! You have got to be kidding me. And I presume you're an MT as well??? What is WRONG with you?? Goodness, the blunders never cease to amaze me. GO TO THE HOSPITAL. And don't wait til it happens AGAIN - get him to the hospital NOW to have it checked out, diagnosed, and have yourselves armed with epi-pens, etc. A BENADRYL??? That's just insane.
Very scary
Makes me paranoid about every "normal" person I meet. I hate being that way, but when it comes to my kids I am happy to be labeled *over protective*
this is really scary -
Okay, is there any chance that anything in our medical records is going to be correct, either done overseas, dictated by someone who has little grip of the language, perhaps transcribed by someone with even less of a grip, maybe corrected, but in the money crunching, I doubt that, probably never read by the physician and now you are telling me that the doc himself is typing this info directly. I frankly cannot imagine this. I cannot imagine they would want to type it. They can't keep on track half the time just reading.
That's scary sm
I'm sure it happens - as Patti says - but personally I would have a very hard time putting something like that on a report I typed. It is the doctor's responsibility to review the report. If he/she chooses not to do that, that is also his/her responsibility. But if I type it on the report, that means I am aware that the doctor is not reviewing it, and I would be concerned that I could be drawn into a lawsuit if there was ever a problem with a report.
It's quite possible that would never happen, but it's also possible that Patti has just been lucky...............
Something Scary!
Let me tell you something very scary that happened to me! I posted a comment in support of one of the companies on the Jobs Board and the CEO wrote me back an e-mail to my personal e-mail address thanking me for my comments. I was shocked as heck! I thought our identities were protected here. Guess again. They tracked me down to my personal e-mail address. Be very, very cautious of anything yo post here.
Now that's scary
I just envision a scenario where a doctor dictates a dose wrong, we type it wrong, QA doesn't change it for this reason, newbie nurse reads it and gives it to the patient. Dennis Quaid's kids got the wrong dose. Kid here in Central Florida recently got wrong dose because pharmacist typed it wrong. But as MTs we aren't liable? Very scary.
SCARY
Wow that med thing is scary to hear about. I thought it was bad enough when my FORMER PCP tried to tell me hypertriglyceridemia was from eating too much animal protein. That was so dumb it was funny but med errors aren't.
A Walgreen's here is in trouble because they wrote a script for a 3-month-old, premature twin for cough medicine and typed 1/4 teaspoonful instead of 1/4 mL. Granted not a doctor but it was in the news recently and the kid could have died if the pharmacy didn't catch it and call the parents prior to the second dose being given. What is it medical mistakes are the 4th leading cause of death in America?
No kidding...that's just scary nm
Danged scary if you ask me!!!!!!!
 (gramps at 100 target practicing)
is it scary though? or just gross?
x
Scary movies
Creature From The Black Lagoon.
The original Phantom of the Opera with Lon Chaney.
new people are scary
I have an orientation this Saturday with an animal shelter, i'm debating whether or not to show. My main thing is the distance, afraid my car won't make it. I can't wait to see some new faces though. Make the call, you'll be glad. They're all good people if they are volunteering their time.
Man, I can't tell if this is scary, or laughable.
Are you really that uninformed? That IS scary. nm
nm
Scary how close it was!
 I've been having to tape Tue/Wed shows because I am working and so I haven't been able to vote either. Next week I will just have to make an exception and watch/vote. Have to get Taylor through-whoo-hoo. He's my soul man!
Now THAT'S just plain scary!!!!
The omen was for sure very scary! And BTW,
Didn't Elizabeth Hurley name her little boy Damien? I like that name. I always thought if I ever had twin boys I'd name one Damien and the other Julien.
Johnson!...scary, huh... nm
nm
Thanks much - why is it so scary?? I have not updated my
x
Wow, kind of scary LOL. nm
nm.
Here is the REALLY scary part sm
I have heard that Medicare will not reimburse anyone unless they use EMR. They are starting this in 2009 and hope to have the changeover complete by 2014
I found this....really is scary.
Paper and Supplies
EMR will substantially reduce paper and supplies for:
• Fee Tickets
• Charts and Chart Labels
• Prescription pads
• Paper Copies
• Custom Forms
Savings:
• Paper and Supply reduction in annual costs for paper by eliminating charts, forms and prescription pads. The average cost to create a chart is around $5.00 per record:
o Chart Jacket $2 to $3 dollars
o Chart tabs and labels $1.00
o Labor cost to assemble $1.00
o Labor cost to Handel $1.00
A physician seeing 30 patients per day can have up to 400 paper chart transactions per day, which would be eliminated with EMR. The following are some examples of this:
➢ 30 chart pulls off the shelf
➢ 30 charts going back on the shelf
➢ 30 chart pulls to file the notes after the exam
➢ 30 charts to return after filing dictation
➢ 15 chart pulls for incoming lab results
➢ 15 chart returns after the lab is filed
➢ 15 chart pulls for RX request requiring a pull
➢ 15 charts to return after the RX request
➢ 40 incoming faxes per day requiring a chart pull
➢ 40 charts to return after the pull for faxes
➢ 60 calls per day requiring a chart pull
➢ 60 charts to return after the call
➢ 10 with calls after the visit
➢ 10 with call to coordinate care
➢ 5 will be billing issues requiring a chart pull
➢ 5 to return after retrieving for billing
➢ 3 medical record requests to transfer their records
➢ 3 to return after paying the cost to copy which could have been faxed to the recipient at minimal charge
416 chart transactions per day @ $.080 cents per transaction = $333.00 per day / $1664.00 per week / $83,200 per year – based on 50 weeks per year assuming a practice closes two weeks per year.
Transcription
EMRs have been very successful in eliminating or substantially reducing transcription through templates and pick lists.
Documents can be customized by provider and document type. Referral letters can be generated automatically and faxed directly to the referring physician before the patient leaves the office. This enhances physician patient relations, minimizes paper, labor and postage costs.
My own experience on reducing transcription costs was nearly $1000month. If you employ a Transcriptionist that is nearly a $30,000 annual savings for each transcriptionist you have on your staff.
There is a whole article on this at the following address if interested.
http://www.urologypracticetoday.com/index.php?option=com_content&task=view&id=206
So here's a scary note about
I'm at an age where Social Security has started sending me periodic notices that show how much I've paid into the system over the years, etc. They also tell you what your monthly pay would be if you retired at 62, or at 65, or at 67 and beyond.
And of course, we all know that our Social Security checks aren't going to be enough to live on, right? That's why we have (or try to, anyway), 401K's and IRA's, to pick up where Social Security leaves off.
Well, even if I started taking Social Security payments early, at age 62, even with the penalties for doing so, and a smaller check, I would be making more money than I do now as a full-time employee of an MTSO.
Now THAT tells you something about the shabby state of affairs in this industry.
        
You are so wrong, it's scary
VR editing can be done by any newbie?? Hows the view from the gleaming offices of MTSO Corporate? That is EXACTLY the misguided thinking that has highly trained medical language specialists making less than the fry cook at McDonald's. I would take QAing 99% completed MT reports over deciphering the mess of VR any day. QA does not take any more training than any experienced highly trained MT has.
Yep. It is scary alright.
Know what is worse? These are not isolated incidents. It is everywhere. I was talking to my friend who is a nurse. She just started back at this place she used to work at about 6 years ago. It goes down the ladder with this stuff. She said she came across a nurse the other day who does not know what the difference is between a gluteal cleft and a gluteal fold. She wanted to know how people pass state board exams much less take care of people.
Easy easy money they are!
I don't mind seeing those puppies filter in at all. Same for H&Ps. They are always different though, so can't really pop in the same pre-formatted autotext, but it's usually WHAMMO 2-3 pages at a time. Give them a shot...you may just be pleasantly surprised!
Where did you hear they're doing this? SCARY!!
Not happy ONE BIT.
this'd be hilarous if it wasn't so sad & scary...
x
Don't see most scary stuff, but Alien did it for me! nm
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