We may care what our work looks like & how correct it is, but many clients don't. They want words
Posted By: on paper. nm Gotta live with it on 2006-07-04
In Reply to: Mistakes found in other people's work - anon
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They ALL need the words AND the work to be correct.
Some of them just don't seem to realize it as well as others - YET. Put 'em in a deposition with their reports to defend and we'll see...
Since WHEN do MTSOs or CLIENTS care
if MTing, in any form, is profitable for us, the MTs.
You cannaot say..'this can't happen', because your line rate goes down.
Don't you think that the doctors are also fed up always hearing how badly they are dictating? And we constantly complaining and nagging? And wht about the high costs of standard transcription?
Maybe a 'perfected' AVR and EMR are the solution.
Machines do not complain and to not ask for line raises.
any words that I can never get correct
I have AutoCorrect straighten out for me.
IOW, suppose I always typed "pateint" rather than "patient." The the REPLACE box I would type the incorrect spelling and in the WITH box I would type the correct spelling.
And then I never have to worry about things again.
also, I work for a national - not my own clients! nm
x
Lots of 'em, but use a Lab Words, Sted's Ortho/Rehab Words, & Tessier's Surgical Words most
s
My clients hold the work for me. Of course, I rarely take off unless I'm sick. What's a vacati
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.
Oh, bull. I'm with a large national and those clients whose work is offshored
That one statement is bunk.
looking for part-time Emdat work, preferably with clients in the East Coast
I have been making an average of 10,000 lines per pay period (bimonthly), on QA-optional status, but my accounts are based in the West Coast while I am in the East Coast. I usually work from afternoon to night to reach my daily goal of at least 1000 lines, which is not good for my family.
I would like to find part-time work to keep me busy in the mornings instead of nights. I prefer clinic accounts, ESLs or American dictators. I am willing to take a test anytime especially in the mornings EST.
Thanks!
Two words where I work also....sm
never heard of using them as one word.
You are correct. That is way I couldn't work for
work just enough to cover what my husband's check doesn't. I average 10,000 to 12,000 lines a pay period, but I would have taken a steep pay cut.
As editor, I have yet to see offshore work with correct
df
This is 2008. Why work without the correct tools. nm
nm
Don't these MTs even care about their work?
I'm blown away...how do we stay in business as MTs when this is being sent to hospitals?
Do you really think they care who does the work
or basically how it is done? I don’t think the physicians care at all.
I take pride in my work. I always take care, as if the
aa
very refreshing to see someone care about their work - sm
I only wish that the service that was transcribing our hospital's work did the same. Their work is beyond horrible and the account manager that we have to deal with is a b**** on a good day!! She has every excuse for every request or correction we send back to her. Oh... I'm getting off track.
Anyways, the service that our hospital uses has transcriptionists that cannot punctuate if their life depended on it. The sentences run on and on and on and on. The doctors even say the punctuation and a couple of transcribers STILL WON'T PUNCTUATE!!
Oooohhh that feels better just getting it off my chest and fingers!
They think they don't care how we get the work as long as SM
it gets done and doesn't cost them anything. That's what they think. If you can't do it, they'll get somebody who will. 
Acute care work goes by
work type. Consults are a work type, discharge summaries are a work type, OPs are a work type, H&Ps are a work type. They might also have ER, cardiac procedures, neurology procedures, and others, but the bigger hospitals may have other, possibly in-house, MTs doing procedures and ER, so it mostly refers to the Big 4 work types.
I also work for acute care and we are
x
XMTSO doesnt care where you are going to work or what they
;
Not sure if this will work, but hit control shift 8. This might take care of it.
Hope it helps
Do you use child care so you can work? Write
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Clinic work to acute care
You are on the right track but it's just that no one has given you the break. Most MTs start with clinic notes and then wait for a break into the Big 4 doing acute care. Don't get discouraged. Yes by all means, test away and you might just get lucky. Take any job you can doing acute care even if the pay and hours are bad just to get experience under your belt.
It's not easy making a go of it these days even with tons of experience. Ya gotta be a little clever and have a game plan. Look at it as a challenge and keep at it. Best of luck to you.
I am sorry, where I work we are swamped. It is acute care, though sm
I worked clinic for my first 8 years. From September until March it used to be slim, very slim. That was half the flipping year! In acute care there is less ebb and flow, in my opinion. It gets lean around spring break time, and again when school starts. How long it is slow can vary. I can't even believe how swamped we are at this point. I can see the number of reports are awaiting transcription and it has doubled every 4 hours all weekend AND people have been working all weekend.
If you do clinic, I wish I had an suggestion of how to break into acute care and I don't. I went from clinic only, to a surgical center doing all OPs, which was HARD HARD way to do it. I ended up in an enormous teaching hospital because I had OP note experience. Mine was sheer luck. I'll pray you have such a neat opportunity and can make that switch.
I work 2 jobs, one FT that takes care of
my taxes (I have extra held out), and also as an IC.
Be honest - the only people who care where the work is done are the MTs! nm
x
You'll need a lab words book and maybe the Derm and Immunology Words..nm
s
getting paid is showing appreciation for my work. that's all i care about.
who cares if some supervisor "appreciates" me? i'm in it for the money not for someone to "appreciate" me.
Try to work w/o distractions, if the cost of day-care is an issue -sm
then you will have to learn to work when your kids are sleeping basically. That is what I did. It is hard and you do not sleep much...I generally worked at night until 2am and got up at 8am before they were old enough for preschool, and squeezed in work here and there during the day. The younger they are though the easier it is to work I think. But you can do it, but you better be determined if you want to do it that way. I still work at night but not that late anymore since I have 7 hours during the day to myself now. It's still very hard to work when they are home (5&7) but my DH watches them a lot and takes care of them when I do have to work and they are home, so good home support helps too. I have 2 jobs so must still work crazy hours but I do what needs to be done.
Soft tissue work with chiropractic care
Moving/manipulating the skeletal system without addressing muscle/tendons/ligaments is useless because the bones will misalign again if adhesions, etc. in muscles (from previous injuries, bad biomechanics, gravity's effects on our up-right postures,etc.) are not dealt with. I'm in my late 40's so I speak from experience. Muscles are often the culprits that pull bones out of proper alignment. Stretching muscles with adhesions is moot. Consider most of the time we are bending forward in our daily lives; psoas muscles get stronger but back muscles (S.I. ligaments) do not.
Soft-tissue work is essential. Chiropractic care alone doesn't complete the job, hence, need for repeated visits over months/years.
Hope this helps.
You can't take care of an infant all day and work full time.
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Clinic work or acute care question....sm
If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why? I have two offers and everything is even except for the type of work. I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be. Any input? 
I have 3 jobs, 1 FT doing acute care, and 2 PT doing clinic work. sm
It can be a challenge juggling things, and I really do not have much of a social life, but for now it works. It not only keeps the wolf away from the door but allows me to build up a little nest egg and save for a mega vacation I have planned in November to celebrate turning 50. Having goals definitely helps me get through it all. 
I started on Acute care, then went to clinic work, - sm
and then back again. I found clinic work to be more challenging, plus it often included radiology. I think it's more a matter of just getting familiar with each institution's way of doing things, along with new doctors, and getting familiar with a few new terms (which don't we all do every single day, anyway?) than it is one being easier or harder than the other.
Would anyone care to share where you work? I love OPs, but do CONS and DS all day.YUCK! nm
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Hey honey, you can work at home and no one will care about your physical appearance. sm
I actually hired a girl one time who was overweight. She could not BELIEVE I would hire her. I told her I did not care if she weighed 1000 pounds, if she could do the work, she was okay by me.
Could your hubs become a patient of a home health care agency and then you could work for them
s
Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
Stedmans Med $ Surgical Equip words, Path and Lab words, and Tessiers Surgical Word book (3rd
edition). I never buy drug books anymore. Waist of money in my opinion. New drugs come out so often, it's best to use the web.
Do it correct always. It will learn. Everyone has to do it correct all the time. nm
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Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.
The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.
If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.
States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.
Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
The Sted's Ortho & Rehab Words is probably my most used book and then the Lab Words book. GL! nm
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If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies. It goes on and on and it means and acute care hospital setting, not a clinic.
If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.
I always figure if they don't care about their dictation, they probably don't care about their
nm
Dont care how many languages you took. Care
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To get own clients or not....
I have thought about getting my own clients, but working for a company, if I want time off, I can easily arrange that and know there will be co-workers to cover the accts. If I get sick, the company will find someone to cover the accts. I don't have to worry about the billing, tech support, trouble-shooting, complaints. Maybe someday I will chose to give up what life I have and get my own clients, but for now I like being an IC for a company. This way, I am a great employee and an even better boss.
My clients...
Consist of clinics. They all get 48-hour turnaround time guaranteed, and anything STAT (a TRUE emergent STAT) they need, it's done at no extra charge. Radiology gets four to eight-hour turnaround for obvious reasons. The rest of the clinics don't need a 24-hour turnaround time because let's face it, their staff basically sit on it, and I'm not going to break my neck so they can just sit on it....
Clients
Hello! I'm new to the board but not to MT. I've been working from home for my own clients for 10 years. I wondered if others who do the same have ever experienced a situation I just encountered and wondered what your thoughts were. I had a client whom I transcribed for for two years, then he moved and started back up in his practice and called me and I've worked for him for an additional year in that new practice. When I noticed recently that I hadn't received his dictation as usual, I questioned it, i.e. was he on vacation, did they lose a tape or what? The receptionist said he must not have dictated yet. I found this off as he usually dictates each day he's in the office. A week had gone by w/o work so I called and asked and the same girl said she'd have his wife (who works in the office) call me because she didn't know why there wasn't work, etc. At this point I got suspicious and had asked the recep. if there was something going on I should know about. She said they're working on this new software and maybe they just got behind. New software? I talked to his wife and "I" mentioned this software. She didn't. I asked if this affected my workload and she said 'yeah, probably quite a bit.' I asked if she would please let me know AHEAD of time if they were going to make this transition so I could prepare and plan (she had just made it sound like they were just looking into it and kind of testing it out, NOT that they'd by any means started using it full-time). She said oh certainly they would let me know ahead of time. Then I pressed a little more and finally she told me he'd already been using it for his patients and when I asked if I should replace his work, she said yeah, probably because he really seems to like it and will probably use it. I don't know what the software is but I hate it just because it took a big client from me. But I"m also wondering if this is common practice for a physician just to outright not tell an MT that they weren't going to use their services any more. I mean, not only did they not give me notice beforehand, but they hedged on admitting it when I came right out and asked. I find this incredibly rude and inconsiderate, especially when I've been a faithful MT for them for three years. I"m just dumbfounded at this behavior. Has anyone experienced this? So now that leaves me in the lurch with bills to pay with an already tight budget (hubby in college, two kids, high heat bills, blah, blah, etc.) and me looking for work to fill in the gap. Sorry I ranted and rambled. I'm just really upset by this and wondered if anybody experienced being treated this way and/or knows what this software might be and if it poses a threat to any of us. Thanks so much!
Own clients
This has been discussed many times with many different opinions/ideas. You might do a search as there was quite a heated debate on this about two months ago. I have a brochure that I send out with my card. For those I am very interested in I do stop by in person or if anyone calls inquiring I stop by in person. You have to be prepared with equipment to do tapes or digital and some may inquire about a call in system. You may have to pick up and deliver, provide your own paper. Be prepared to do any type accounts. Your rate will depend on the area you are in and can be anywhere from 11 to 16 cpl from what people say on this board. You have to be prepared to have some back up if you get very sick or have an accident and for vacations. You will not get any benefits, will not getpaid when the doctor takes a month off to go to Spain. It will be a tough go at first until you esablish a rapport with the office staff. But I like it and have been doing it for 18 years. Just did a report and have made 4K more this year than I did last year so things are looking up for me. Good luck. Patti
One of my clients for whom I have done only
tapes for has given me a CD to load onto my computer. I haven't put it on yet but I'm wondering if you all can help. It's an Olympus CD and looks like it's for .wav files which is what he intends. He says I should be able to load this onto my computer and then after that, he can email me voice files. Now, is this correct and what will I need to have in order to play and transcribe his voice files? I have a Bytescribe pedal. Please tell me I won't have to buy a different pedal for this! Thanks in advance for any help!
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