Sorry - but I think you could have handled it differently
Posted By: sm on 2008-05-13
In Reply to: Contract terminated because got a second job - medtran82
I am assuming you are an IC - which means who you work WITH is your biz and no one else's - and no one's business if you took on a second contract. An IC works for who she wants when she wants and within reason sets her own deadlines. A company understands this and does not give you a 2 hour TAT unless you request it or can handle it and you have an understanding with them
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This is how I handled it.
I also worked for a physician for over 10 years. It was an awful choice I had to make and I couldnt stand the thought of having to tell him right to his face. I knew I would get choked up, or stammer, mumble around or something. It was much eiasier for me to do an "official" resignation on paper at first. That way I knew I could say everything I needed to say and he could read it and have time to process it before we talked. I feel like when you just walk up to them and "drop the bomb" they just do not have the time to process it so they may react out of disappointment by even just a look on their face and you'll never finish what you wanted to say or what you wanted them to know as far as why your making this choice. I just expressed how I had loved my job with him but I felt it was time for me to give more time to my family etc.. I mean, really, what could someone say to the fact that you have made a choice to put your life and your family before a job. Good luck on however you approach it. We all do what is best for ourselves. Letters work for me and also because I am not a confrontal type of person. 
She handled it graciously (sm)
It would have been just as awkward if not more so if she had not acknowledged it, especially after it being talked about on the show yesterday. I would imagine Star would probably think that nothing would have been said and she would just have been obviously absent. As Joy said, nothing stays the same and this is a perfect example. I guess it will almost be like a whole new show in the fall with Meredith and Star gone and Rosie and ???? replacing them. Wonder if they have people in mind yet? I've heard Gail (Oprah's best friend) as a possibility. Wouldn't it be cool if they late people at home vote on the person? That would be interesting. Then again, if they had done that with Rosie, I don't suspect she would have made the cut.
However your client wants it handled.
This should be addressed somewhere in their instructions. Check with your supervisor.
Sounds like your company handled it wrong there.
Was the company threatening the MTs? It sounds like the account was threatening the company to leave.
If your company did nothing to let the MTs know they were not in danger, the company failed.
There is nothing wrong with MTs knowing that an account is in danger of quitting but the company needs to let the MTs understand whether or not that will effect their employer relationship. Two tee-totally different topics.
Regarding the Advance article, here's how I would have handled the examples
I'm curious how other MTs would have handled them?
1. Hemoglobin 9, hematocrit 39. (I would have flagged this with a blank for the hemoglobin and sent to QA).
2. The nose and mouth were suctioned on the perineum (during a C-section dictation). (I would have changed "perineum" to "abdomen" and sent it on).
3. SKIN: Without lesions, rashes or scars (Patient has HIV and kaposi sacroma). (I'm not the doctor. I did not examine the patient. Therefore, I would have transcribed as dictated and sent it as usual).
4. Left atrium is normal, measuring 4.6 cm. (I don't get paid enough to second guess the doctor on whether the LA is "normal" or not. You get what you pay for.)
5. VITAL SIGNS: Heart rate 70, respirations 18, BP 120/70 (in an 18-year-old with a comminuted ankle fracture). (Again, the patient may have gotten pain medication by the time the doctor saw him, so perhaps he/she didn't have pain at the time of examination and so the vitals were normalized. I wasn't there, I don't know. Type verbatim and send it on!)
I think you handled it well. You wouldn't feel so good about those clothes if you cut off your
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"Very wise post" meant for "company handled
x
I think you need to see it differently ...
FIRST, we do not KNOW for sure the new MQ plan; it may be just be for particular offices at that.
Secondly, IF (big IF here) it is as some suggested based on 98% QA score and less than 15% of your work going to QA ... remember, this:
---that 98% is ONLY on the handful of reports chosen for actual QA'ing of your work;
---15% of your total work going to QA because of blanks is a LOT of your work; something is wrong if you are sending 15% of your work to QA for blanks and you need more training.
IF (again, big IF) the plan is designed the way one poster seems to think it is and everyone now ASSUMES it is ... you will still get paid if you don't meet this criteria -- you just won't qualify for production incentives.
The whole point is to REWARD those who have high skill and production in hand.
Not everyone will qualify. That is NOT just at MQ but at ANY place where there is a standard. Not everyone makes the cut.
Everyone CAN make that cut, though in varying degrees, by making a dedicated effort and commitment to improving their quality, learning ESLs better, learning to use tools/techniques for increasing their production, and mainly by letting go of this attitude that the company is out to get you.
I see things a little differently
>>>People want me banned because they don't like my point of view. That is childish. They want me banned because they attack me and get upset when I say something back. That is childish. If they don't like what I am saying, don't read my posts and don't respond to me.
If you're writing in a manner which is provoking  in people, then I would say the problem lies with you. Perhaps you are expressing yourself in a confrontational manner?
As far as "don't read my posts and don't respond to me," that's like telling people to stop rubber necking on the highway.
When time permits, I'll look at some of your posts and see what the shindig is all about. Later.
I guess I think differently.
If you really want this job, I think I would low ball it with a clause that says when his business picks up and you get more work that you will raise your rates.
If you are getting in on the beginning of this company, there will be room for advancement. You might want to discuss with him that aspect, whether it be an office manager or supervisor, etc. In that case, he might be offering benefits.
I handle it differently I guess ...
One thing I have done is designate an amount of money I will spend on me (be it travel, clothes, makeup, cologne, entertainment, etc.). I worked that figure into my budget. It is part of what I earn on a regular basis so I don't have to worry about doing what you described.
I used to do that. It got really old really fast. I felt I was overworked all the time (not that I don't feel really stretched sometimes now but it is a rare occasion and it always has to do with something other than work when I do). Seemed like I was never going to "have enough" to go on vacation without killing myself.
Okay, I'll say this differently this time
flaming face - to me, denoting hostility, then complains essentially that all the people who make less than nice comments should go somewhere else. My point was that the original post seemed to be contradictory, starting off with a hostile style of emoticon, then wanting everyone to just get along.
I hope my point is more clear.
Every company calculates differently.
x
those are set by the client but can be set differently per typist.
you can call them and ask them to set it. 0 being no backup, and up.
Stedman's is organized a bit differently sm
and that is probably why I didn't like Tessier's at all. I have other word books besides Stedman's and I don't like them either! The only thing I like as well would be the MPI and I hardly ever use mine now.
In all fairness, I probably Google more than I do anything. If I am looking for a ronguer or scissors or suture or needle, I use the M&S word book to find that. If I am looking up a new drug-eluting stent, I google, BUT I can make what I am looking for so specific that I find less than 100 sites for most things. I don't ever file through pages of it because that is useless too.
I dunno...only ever do OPs, have for a long time and it is to the point where I rarely have to search for anything. Despite my advanced age, my near photographic memory is still highly functional. I thought that would be the first thing to go, but it wasn't. In other ways, my brain is a junkyard. I can remember a piece of equipment I transcribed only once 4 years ago, but I can't remember where I put my purse or keys!
I'm thinking somewhat differently. But good for you for SM
taking action. Since I don't believe fighting the Information Age is a good strategy (sort of like hunters-and-gatherers laughing at people sticking roots in the ground, to my mind) I'm signing up for classes to broaden my skills. I'm also looking into reactiving my appraiser's license (in case of future need. I appraised lots of foreclosures in the Reagan era and would definitely prefer to pass now).
Back to the healthcare industry, I would ask you, how does having IT performed on this continent fit into improving the delivery of good affordable healthcare to all of us? What has to be done so that this does serve that purpose? How do we fit into it? Best wishes for sure.
Different types of errors are weighted differently ...
so more serious errors count more, less serious count less. I have 8 reports a month QA'd. My QA person listens to the dictation while reading my transcribed report and marks errors and classifies each error. The total is weighted on a percentage.
Last month on my 8 QA'd reports, I had only 1 error and it was a style format error (I used a "dash" as the physician dictated but the BOS2 says to use 2 dashes if dashes are being used and BOS2 prefers using semi-colons). That was the only error of any kind I had and it was not serious. My monthly QA score (because of how this type of error was weighted) was 99.9%. I have had a few times of 100% but I have never had below 99%. My QA person gives me a full explanation of why it is an error and sometimes marks information that is not counted against me but is given as "information only". Noncritical errors are only counted once in a document and critical errors are counted as often as you have them (ex: if you used perineal instead of peroneal --that is a critical error).
not true. Crux is, she is being treated differently than others
No, as I said both times same context but qa'ed differently.
p
I feel differently about the whole anti-Wal-Mart thing...
If you don't like them, don't shop there. If enough people don't like them, they'll eventually wither away. If the little mom and pop stores didn't charge so much, people wouldn't go to the big department stores instead. It's called competition and capitalism, neither of which are illegal. At one time there was an uproar over supermarkets? Are you still shopping for your bread at the bakery, your meat at the butcher, and your fresh produce at the vegetable man store? No, of course not, you go to the supermarket without any sorrow in your heart for the little grocer who was put out of business decades ago.
Every version of Word seems to do auto numbering differently. sm
The last two versions have a number list style that will keep numbers at the left margin and do the hanging indent automatically. Alt-Shift-left arrow will take your list back to the left margin if you don't use the style but want to use automatic numbering.
Female heart attacks manifest differently than a man's. Get someone to watch the kids and get che
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