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Yes I did type the STAT. It is not the patient's

Posted By: fault; and I didn't want that on my head all on 2008-01-09
In Reply to: Did you type that stat report? What did you say - to them when they called? nm

evening.  You have to understand that I am a professional.  I will not refuse to do work as that adds fuel to the fire.  I'll get my money in due time.  This field is full of pay-laters!  I'm not the only one waiting for my check, I'm sure. 


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Maybe a stat stat because patient is going to surgery or being transferred somewhere immediately? nm
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Did you type that stat report? What did you say
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Oh, that's hilarious - a STAT STAT! Never heard THAT one before!!! Heheheheh

You may be able to type, but thank God you aren't in the room with the patient!
Can you say horrible bedside manner?
Your job is to type what the doc says, not diagnose the patient and decide how to treat them.

Kind of arrogant to put your 9 months to one year education (estimated length of an MT program) up against a doctors 10 years of education, dontcha think? 


He may be an incompetent boob, but that's not for you or me to decide. It's up to the patient or their family members to decide to get a second opinion. 


I type for cardio docs. EVERY patient has been a smoker or continues to smoke. Hope you'll quit
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Putting patient versus The patient (sm)
When did this "rule" come about? I've been an MT/Editor/medeical records tech/ART for 30 years - Never, ever was I told to put that. You cannot make the sentence be "The patient sent to Radiology" but you can put "Patient sent to Radiology."

Thats just insane.
How about....a STAT that's hot?? SM....
Ya' know, Paris Hilton's always saying, "THAT'S HOT!!" Maybe your boss is trying to be a Paris wannabe and figures if she says "HOT STAT!" that's her way of being "HOT!"
Ugh! A STAT, no doubt!
When I used to do hospital dictation, there was one MD whose dictations were always in the 20- to 30- minute range. What was worse was that he was the kind with long pauses followed by speed-dictated phrases. That's my least-favorite style. And he'd have the audacity to mark many dictations STAT. I think there should be a rule that 9 minutes is the longest a STAT report can go on, so the Transcriptionist has time to do the other, real STATs!

"HOT" STAT please ?
  Supervisor keeps referring to a "hot" STAT.  What the heck is she trying to elucidate?? 
HOT STAT TO "MTme"
To MTme:   I'm perfectly aware that I can ask the person this question.  HOWEVER, perhaps you cannot understand that I only broached the question here in this FORUM to inquire whether or not ANYBODY else IN THE GENERAL MT WORLD had ever heard of this phrase.  Do you have some kind of problem with my asking this question?    Get over it!!!!
STAT dictations

Re:  Stat dictations.  Does anyone out there charge extra for STAT dictations that come in during the day so that we have to put aside what we are working on and type a STAT letter/document and send in?  This sort of thing can keep one behind in Turn Around Time if it happens on a regular basis.  If anyone charges extra for STAT dictations coming in, what would be a good fee to charge for these besides the line count?


 


Ginny


IC STAT work
We generally find out when our ICs will be working on our accounts and ask that they be available for STAT work. If they are not available within one hour of the request, we have one of our editors pick it up.
After typing the STAT, do you have to
take it to them the next morning also???? When I worked for a doctor as an IC who used tapes, I charged double when I had to scan a tape. It wasn't much, but they did not call too often for them; and I did not have to take the report in. I just e-mailed it to them and they waited for the original to get there.

If you have to then drive it over to them out of your normal time to do so, I would charge them mileage at least and double the rate you charge per line/report, whatever.

However, if this is a constant thing, I agree with the other poster, charge them by the hour to look for the dictation.

P.S. As an IC, you are allowed to set your hours. They cannot force you to work when you don't want, unless it is in your contract that you are on call 24/7.
Stat reports

Since they are still on tapes and it is an office and not an entire hospital, can they que the tapes for surgical patients, or can they put next day surgical patients on a seperate tape?  It might take some training on their part but I worked for a group of 11 Radiologists and we did get them trained to use a different tape for in-patient vs outpatient reports.  Seems like if they want you to get the reports to you for the next days surgery that they need to implement a procedure in the office for identifying where those patients are on a tape.  If they were on a different type of system it would be a different story.


How much easier it would be for to to have one that that is nothing but next day surgeries that need to be transcribed stat, beats searching all through a bunch of tapes.


STAT reports

Right - the MT profession has changed a lot since the inception of offshore outsourcing, VR, salaries going down instead of up, and sadly there are those MTSOs taking advantage of the situation, especially with today's economy and in effect saying, "Like it or lump it, you're lucky to have a job." and whom I would tell likewise, "So are you."  So its often hard to draw the line, and it is often a fine line, between bending over backwards to do your job and feeling exploited. 


As for refusing to do a STAT job on maybe the weekend, well, this should be made clear up front before hire ... will you or won't you?  I agree with the former poster re. family ... when my late husband was still around, and he was essentially bedridden and required care 24/7... he came first, even though I had a full-time schedule to maintain with production requirement.  But if my supe should call me for a rare STAT job to be done, he/she must have had a reason.  One Christmas, a supe from my company (whom I did not know) asked me to do a STAT radiology job (I wasn't even on the radiology account) bec. a patient was waiting to go to surgery and they needed the MRI report before they could do the rather urgent surgery.  While I don't defend all of a company's actions all of the time, if a supervisor calls me in the middle of the night for a STAT report, I know there must be a good reason for it.


 


"Pay for stat work"
What is the "going rate" for stat transcription?  I work for a hospital and get calls for stat work at all hours but do not get paid for this extra service.  Would love to hear from other MTs as to what they are paid for this service.  Really getting tired of it, but it is my largest account - still it's not worth sitting by the PC or phone all day just in case they might have a stat!
try a dermatologist! and/or internist stat.
x
Going rate for stat notes

I was wondering if anybody had any information on what the going rate for stat reports currently is?  On MTJobs there is a posting for 14 cents per line for stat work and I was wondering if this is the norm.


Kay :)


rate for stat reports
Hey, does anyone on here charge extra for stat reports.  I receive work in the evenings and the doctors need some stats done before the next morning for surgery.  I wanted to know what the going rate for stats are, as I have to stop what I am doing, work in the evenings, plus, they are on tapes so I have to search the entire tapes looking for the stat reports to type.  It is very time consuming and wondered if anyone charges extra for those, more per line, or a flat rate, etc.  Any information would be greatly appreciated.  Thanks!
So, if you were dying in the bed and needed a STAT
You wouldn't mind that the person behind the document only cared about the money? You wouldn't care they put a post on this board like "why does anybody do this?"
Patient would feel slapped in the face.
That would be dying you slapped in the face.
I am really shocked and saddened to see who we serve is forgotten for the sake of money. Yes, we have to survive, and we do well. I have 3 jobs, am exhausted, but proud to say I am behind the document to help a very sick child or dying person, or recovering person, or person who was saved from suicide. I guess the idea of self rather than others is prominent around here, but not where I come from. After 27 years in the business I am proud to say I work behind the scenes and give the best I can for the patient, the doc, the nurse, my boss, the patient's family and so forth. After all, I would expect the same for me and my little boy.
Were STAT reports addressed in contract? sm
I had a doctor that did this same exact thing. He would procrastinate on doing reports, or just overbook himself so he never had time to dictate, and then when someone called wanting a report, he'd call me to see if I could do it ASAP. Of course, he didn't want to pay extra for this service, though. He would also call me night or day and expect me to drop whatever I was doing for other (better-paying) clients and do his "urgent" report. I go by the old saying that poor planning on his part does not make it an emergency on my part. I will do it for them IF I have the time and IF they pay a higher rate. Otherwise, I will not cater to this behavior because the poster above is right - they will continue to do it as long as you oblige. You have to be the one to set the boundaries. Get voice mail and caller ID if you don't already have and screen your calls. I found that sometimes just waiting a few hours before calling them back allowed them to calm down and realize it's not the end of the world, and they'd then say it was okay to get in by the next day or whatever. Sometimes it's not so much that it's a stat report in terms of the patient's need but that they need it to get paid, in which case they'll sometimes back down if you quote a higher rate or tell them you simply cannot fit it in right then. Same doc would pile me up with a week's worth of dictation and expect it all back in 12 hours, too, so it was an overall mentality with him that he wanted everything done NOW. It wasn't even humanly possible most of the time but try getting them to see that. You should have no social life, after all, and live to work! LOL

Good luck with that. I got rid of the client that did it to me. He felt I should be at his beck and call but argued the rate at every turn, and it wasn't that much to begin with so it wasn't worth the aggravation! Seems like the most demanding ones are usually the biggest cheapskates, too.
rate for STAT reports after hours

I currently work for a group doing transcription all day as an IC.  I am delivered my work at night by the office for the next day's work.  But, often they have a need for me to do STAT reports that night for surgery the next morning.  I work all day full time for them and then have these to do in the evenings too.  They also use tapes still and I have to spend and hour or two searching the tapes looking for the dictation to transcribe.  It is so frustrating and time consuming on my part and I am making NOTHING for the time I am spending on this, 2-4 bucks tops for an hour or two of work.    I just wondered if anyone knew of a good line rate, flat rate, etc. to charge for this turnaround time and the time I have to waste searching through these tapes!!!!!  They will not go digital, which would be so much better.  Any thoughts????  Thanks in advance. 


Rates for working, paid more for stat?
Maybe others but I think mine are probably the average, 8 cents per line for straight and 4 cents per line for VR. My standard 4 are considered history and physicals, operative notes, discharge summaries and consults. A transfer, I think, would be a discharge summary. No extra pay for experience or lack thereof.
stat report. Under PMH: (female) vesiculopublic sling.

Off topic but need STAT ADVISE on deviled eggs

Hi,


I need help as I don't want to make anyone sick LOL.  Baby shower tomorrow night, my co-host who was making the deviled eggs along with other things broke her wrist this morning...soooo, I am in a time crunch and would like to know if I can make these things tonight (36), just boil them tonight, maybe do the prep just fill them tomorrow??  I usually make them & take them or serve them, but don't know about preparing them this 24 hrs ahead of time.


Thank any of you experts in advance for your opinions..this is so much easier than trying to call Betty Crocker


2 hr 30 min stat psych eval -- MD paid double rate :) NM
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You need to charge for this extra service. Stat reports should be charged at a higher rate or per r
Never lose money. I have unlimited long distance and when my docs what things faxed, etc, I charge them per report to fax the document as well as charging them to transcribe it.
don't type double spaces. Type single. Then no one will be cheated.
x
I can type with wine, can't type with coffee, though...too jittery.
x
That is, type the code above before and after what you want bolded in the text-to-type box. nm
nm
For me it isn't an account type but a dictator type ...
and that would be oriental. An oriental dictator (hahaha, that kind of sounds funny...hahaha) is the most challenging for me.
No, you don't type directly into ES. You type in Word -
or whatever their platform is, just like you did with your tapes.

Then you do your line count in Word or the platform.
You should type them. I usually type them in parentheses following the diagnosis.
x
remind me, type what they say, type what they say, type....
"He indicated that at the beginning of the year he complained of health problems recently but has gotten better."  C'mon doc, which one is it?????
Shorthand users: Is there a way to type a word, use a slash and then type another word..sm

immediately following the slash and have it expand.  For example if I needed to transcribe mass/sebaceous cyst, is there a way to use my expanded sebaceous cyst without having to back space after I type the slash mark?  TIA


Is the patient
x
patient name
It's surprising your company lets you put the name in the report.  The trend has been to use "the patient" instead of the name.
The patient is...
The patient is a 2-month-old elephant.

The patient is a 2-month-old infant.

Work from India.
The patient will . . .
be maintained on a clear liquid diet. He is specifically instructed that beer does not constitute a clear liquid. (pt in for alcoholic gastritis) Still chuckle every time I think of that one!
Also that few MDs can say a patient is
slurring without stuttering or slurring the word, "slurring."


the patient
The client preference is to type "the pateint"    To be even more exact, my account instructions state:  "NEVER put patient's name in the body of the report, even if it is dictated.  Always put 'the patient.'" 
Usually if it's a no patient name
allowed either. 
yea, but me as a patient...
when i asked to have copies of my medical records, i was APPALLED at the crap that was in them, by this I mean the errors ran rampant throughout, even if it was just a capitalization error, or incomplete sentences (which i consider errors).

I did not like what I saw at all, but would the average person care, if it doesn't change the meaning?


Patient logs
We are required to do a log for each batch of reports that we do.  I will fill the info on the report and then control + end to the log and record the same info.  Says time for me at the end of the whole document.
Patient info?
Where is my post on typing in patient information???????????
It took me 30 minutes to look-up a patient.
x
All FIVE of the patient's extremities....
Okey, dokey.  This one's American, too.
Yes, and patient demographics.
I'm not going to compare myself to others, though.  I've made a lot of progress, and that's all that counts.  I've only been on this account for three months.  Who's to say what I'll be able to do next year?
My doc would put that patient on protinix --nm
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patient names
This is a problem that I am currently struggling with. My accounts are not 'searchable' and some docs don't spell out the patient's names. I have QC'd these many times with a note AND my e-mail address asking QC if I should be sending all these reports to them minus the patient's name, or send it to them GUESSING the spelling, or just spell the names phonetically and NOT QC them. About 15 requests now, and NO REPLY!! Very frustrating!!! Otherwise, the account is really good. I am new, so did not realize that other platforms gave credit for footers, headers, etc. I know on DQS you get a fair line count on just the body of the report. Don't know about the rest.