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Serving Over 20,000 US Medical Transcriptionists

That's almost as bad as having nurses do it!

Posted By: n/m on 2008-12-01
In Reply to: Has anyone heard of this? sm - gettinold

n


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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.
x
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
x
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.
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.
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?
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!