Yes it is possible - we are talking doc office notes
Posted By: MTJewels on 2008-01-01
In Reply to: NOW THAT IS HORSE CRAP - Kathy
with templated physical exams, using Expanders for whole sentences and paragraphs, etc. I have done it - no padding here either.
I should also note - this was done on microcassette, pickup and delivery, etc.
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SOAP vs office notes
Some of my docs use the SOAP -see below, all broken down into these paragrahs with headings.
S: (subjective)
O: (objective/physical)
A: (assessment)
P: (plan)
Others, my surgical oncology docs, just dictate and I put them in paragraph form and no headings. Also I have one that does the S and O and then puts his Assesment and Plan in one paragraph.
Hope that helps. Patti
Office notes versus SOAP:
Could someone explain the difference between an office note and a SOAP note when doing transcribing for a specialty doctor. Thanks.
Generally office notes versus hospital
For my accounts anyway, my multispecialty is office notes, letters, in office procedures and acute care is hospital notes.
I was sent a courtesy copy of the office notes for a family member once.
This was soon after I became an MT. I was so appalled at the sloppiness of the typing and the rampant use of inappropriate abbreviations that we switched doctors. At least I knew what the abbreviations were for, not sure the typical lay person would have.
I hear that; we had tapes broken several times where silly office people had put post-it notes on th
In retrospect, it was nearly laughable.
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
Wait a minute, I'm not just talking about the boards, I'm talking about the news article.
Specifically,
"JLG has a contract with Arrendale Associates/ A+Network/CBay Scribe, which the group says is in India.
A letter from JLG to Barbara Dingman, chief compliance officer and director of health information management, says all medical transcriptionists assigned to the Medical Center Hospital account live in the U.S. and all work is done in America."
But yet they do business with Arrendale/A+/CBay, what am I missing here?
I'm talking about MT school, not K-12, which is where I learned most of what you are talking abou
My clients DO NOT LIKE IT when I correct their wrong crap - did you actually read what I said?
I'm not talking about ignorant as in grammar or spelling. I'm talking about sm
ignorant in general.
Have most people had good luck with their MQ office closing and moving to the regional office. Have
things gotten better or worse for you.
Yes, I lost mine. I upgraded the Office 2000 package to Office 2003. sm
I have over 2000 autocorrect entries and lost them all as well as my supplemental dictionary for my Stedman's spellcheck. Lots of grief!
Maybe you will be lucky and not lose anything. Good luck to you.
Might be able to rent one from an office supply or office machine repair shop
s
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
x
I gave a tin of toffee for each office and a Lia Sophia necklace to each office manager. ~nm~
x
Office politics. That is why I enjoy working at home. In the office,
people are in other people business. Just mind your own business.
Can anyone suggest an office in MQ that is not run like this Amherst office. They are absolutely
pathetic. I wonder how many other MTs are in that office in the same situation.
Just DQS from my office was transferred and the rest are getting on DQS before the office closes.
:
Pay kids work around office, renovate office.
x
Office 2003 so far, but going to Office 2007 as soon as I can. nm
nm
30 day TAT in this office ... office politics at its best
I have kept in touch with an MT I worked with at the last in-house job (radiology). This was inpatient radiology and also an outpatient radiology clinic the hospital operated.
One of the girls, a person who at one time folded towels but who was hired as a clerk, was just discovered to ahve not mailed out reports for 30 days. These include both in house reports and outpatient reports. They have been sitting on her desk because she "has not had time to do them."
What do you make of this? The lead MT is close to this girl (hence her being moved from housekeeper to clerk) and is trying to minimize the impact that not having the reports mailed to referring physicians' offices, as if it is a minor problem (how they found out about it is a doc's office called the MT's supervisor and asked why 30 days worth of reports were mailed to their office yesterday.
They were keeping it from the director of radiology. I think this is BIG and that heads should roll for negligence.
What do you think?
at home vs office - i am in office
well, I really was referring to the MONSTER MANAGER that I have, who has her favorites here, and she assigns them the easy doctors who say the same thing over and over, you know. I have to do something. I am losing my SELF at this point, with no church and no family. The stuff on here about running out of work, my lack of computer savvy, all has me just frozen. MOre about in-office. Do you have little habits like talking out loud to the dr? Someone will complain about you. Do you ever say a cussword? Someone will complain. Do you ever sigh? Complaints. About age - I was offered 2 trans. positoins in San Diego before I came here. I had gone to a seminar about how to look for work over age 55, had revamped my resume and my "presenting" self, and it made all the difference. Things are way different than they were evern 10 years ago, you will be judged by someone younger than you, but in this line of work they do appreciate experience and reliability. And the computer doesn't care if you're pretty. It's not your age unless you are sickly. Don't give up!! if that's what you want.
ER notes
Don't worry. It has been my experience being a Transcriptionist for a huge hospital that I loved the ER notes the most. They are really pretty much abbreviated H&P's and are sometimes the most interesting reports of all. Not nearly as difficult as some surgeries or discharges notes can be. Simple and brief and sometimes a really good story.
OP NOTES
I just started doing op notes at the hospital I work in and it is hard as there are so many different instruments they use that I have never even heard of. I use a surgical word book and Google a lot. That's about it.
To me, O.R. notes
 get really boring. I prefer discharges - just my personal opinion. Plus once I get used to them, I can go really fast.
Doc notes
I do two internal medicine Docs, SOAP notes only and minor procedures and love it I also did other specialities, but all that was lost to outsourcing to INDIA!
op notes
Operative notes. Perhaps as far a leap from clinic work as is possible. Not something for you to jump into with no experience.
Not op notes but
This site has brand names of surgical instruments. You can choose by speciality and manufacturer also.
http://ptiresource.50megs.com/about.html
Even for op notes? sm
I can see where being paid this way would have its advantages when doing DS and work types where there is a lot of paper shuffling, looking for values, etc., but I am concerned about op notes where the dictation is speedier.
OP notes
I love doing OP notes. They are so interesting. Anyway there is a website that I use now and then and it is
www.mt911.com it also has samples.com on it and has alot of different samples.
Also a good reference book is The surgical word book by Saunders.
Hope this helps.
OP notes
I only type OPs. I have done it for 8+years and LOVE IT. Its a niche that is hard for companies to fill, it seems. I would say it would be a great move on your part. Good luck!
Op notes
At my current company, op notes are paid at 9 cents a line for over a year experience. At my previous company, op notes were paid the same as any other type of report; cpl was based on difficulty of the account and ranged from 7.5 to 10 cpl, with op notes being paid the same as other basic 4 reports.
OP notes
If you already work for a service, maybe they have OP accounts. I would tell them you would like to learn. Ask if they could assign you a few each day and have them go to QA for feedback.
I would also buy a few surgical reference books. I feel the books are much easier to use than Google because so many instruments, brand names, etc, sound alike.
Good luck. I love my OP accounts.
RE: OP notes
Some people like OPs and some people like DS. I like DS. They talk too fast on OPs. If you can get them down, they say about the same thing. You can put that in your shortcuts and make more money just by popping it in there.
OP notes
Any good sites for OP notes?
thanks Lori
Op notes
Does anybody have any tips on the best places to specialize in op notes? I need a place where I can do heavy volume ops -- not interested in basic 4 stuff.
Thanks.
me too as far as the notes and sm
standard phrases for certain docs go. It was nice when the docs would come in and talk too or even fuss sometimes! haha Most MTs knew how to come back at them and didn't take a whole lot off them and didn't have to. They respected us (at least most of them) for that. I think there are actually docs now that don't even realize there is a "person" behind all of this doing MT. NEver thought I would see this profession get like this taht's for sure.
And probably her notes look like
Op notes do fit in expander (nm)
x
So if you've never done OP notes,
do they figure 3 out of 4 ain't bad????? 
Would like to exchange notes..sm
I'm thinking along these same lines..email me. I have some questions.
Love OP notes, which I could do them always. nm
xxxx
I'm used to op notes, been doing DS lately, hate them. nm
nm
Chart Notes
Was wondering if anyone could help me out. I need to see some example of different ways to set up chart notes. If anyone knows of a place on the net i can view these of would send me some blanked out that would be great!!!!!
Thanks,
Jackie
Lotus Notes
Has anyone used lotus notes to transcribe in? Any info appreciate. Please email me if you like. Thanks!
I think clinic/ ER notes sm
would be a good place to start, either working as an IC/employee for a national or getting your own accounts.
Good luck!
I love ER notes and of course I never get them. sm
My favorite and I still laugh over this, was the patient that came in with a double AA battery in the rectum. Mind you the patient was about 25. Doc snickered all the way through the report and told the patient never to put anything there again.
yeah, I have all that already, that is the notes - sm
I refer to. If I have to I will re-piece it all together based on his info. and my own notations. First have to get the computer operational again, one step at a time.
cut apart chart notes
Told you I was an old timer. I print on sticky paper so that they can stick the chart note into the chart one after another on a piece of paper. It is an 8.5 x 11 label. I print sometimes up to 3 to 4 patients on one sheet as I can and I cut apart the different patient chart notes so the gals in the office don't have to do them and they can be filed right onto the charts. Just an extra service I provide. Takes me 5 minutes to do about 20 pages for all my accounts.
Endo Op notes....sm
I just started a new account for Endo op notes. Does anyone know of any good website that I can use for reference? Thanks.
Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report. hospital reports should never have an actual name but instead just have * the patient *. hipaa rules.
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