again, making medical record digital does not affect us.
Posted By: again, you are confused with Point & Click. on 2009-04-19
In Reply to: His mandatory EHR will hurt MT's. If you dont - believe that, I already know people affected.nm
nm
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Ticked: Explain why you think making records electronic will affect us.
nm
I still record but not onto tapes.. onto a digital recorder. sm
I use a skutch box hook up to the phone and recorder. Make sure you're muting out room noise, a speakerphone and mute button do the trick quite nicely.
if it was in my medical record?
It would depend upon whether or not it could have a negative impact upon my medical care. If the doctor dictated something like, "The patient has diabetes" (when I don't), yeah, I would ask them to correct the record. But for something like what was stated originally ... heck no. Let it stay.
But that's me ... I don't have OCD and I'm not anal retentive about this business like others. Never have been and never will be.
I still think you need to lighten up. There's a lot more to worry about in life than something like that.
It is about CLARITY in the medical record.
It makes the medical record easier to read, which means more accurate patient care
electronic medical record nm
/
A.S. in Medical Record Technology
This included a course in Medical Transcription. Went to work in a physician's office. My job title was medical records, but the main component of the job was transcription. This led to later full-time transcription job.
Let me tell you about falsifying a medical record
I know first hand it has been done and it was done about me. I had plastic surgery (3 part type) with face lift, tummy tuck and lipo in 2002. The doctor "forgot" to do the face lift. Had paid up front and I asked for the portion of the face lift only returned. He gave me an IOU on his office station but then later would not pay me and get this --- 8 months after the surgery he dictated my report, put in the face lift like he had done it along with the other. Now most people would say well, maybe he got you and someone else confused. Not so- this same physician who was head over the plastic at the hospital called me personally at my home, not through his office, but him personally twice in a threatening like voice when I tried to take thru mediation. I worked inhouse at the time and rather than risk my job, I left it up to Karma. This actually happened to me. I went to the lady over medical records, I worked in the same department, and told her exactly what had happened and she said I could write a note to put in the front of the chart disputing it had been done. Unbelievable, huh?
Protective of the US medical record???
She employed offshore MTs...how protective could she have been? Are you kidding me?
The actual medical record contains
those things you mention. The dictated report sometimes does, not that is not often. Some facilities, however, do have the physician dictate everything imaginable and even if it is 1 out of every 10, that is still too much info to let out.
I think that is very unprofessional for a medical record. nm
x
EMR (electronic medical record) and voice
Yes, they are pushing to make medical records electronic, instead of a paper chart. That doesn't affect MTs. We still transcribe reports and instead of the reports being printed and filed in a paper chart, they are part of the electronic record and can be accessed at any computer in the hospital , for instance. The doctor can sit at the nursing station and pull up all the dictated reports, the lab, radiology reports, etc.
Voice recognition, of course, is something different. There is no one saying that VR has to be used by 2012. That's simply an alternate way of getting the dictation onto the EMR.
Big deal is legal, medical record which should be the
truth, not a made up report. Medical records are supposed to stand in court just as a sworn statement, that is all. I like the truth and that is the way I try to live my life, not a bunch of falsehoods. I guess others can live on lies if they want.
The electronic medical record has replaced MTs at my job..it's all over!
My job has been scanning all the medical records over to electronic medium and the doctors are now taking laptops in the exam room with them and typing in all the info, so basically, my job will be obselete once this transition is over. 
Our boss has been doing a comparison of the clinics who now have the electronic medical record--those docs went from dictating thousands of lines in a weekly period to less than 50!!! Of course this is a tremendous difference and it's "lights out" for us MTs. We've got about a good year before it's all done.
Have any of you been affected by this new technology?
P.S. I didn't care so much anyhow...I hate this industry and this job, so I've been looking for other employment anyhow.
i personally would not want my boss typing my medical record either
nm
ALL of the clinics I work on use SS #s as medical record numbers, and many of them cc to the
patient at their home address, which is conveniently typed at the bottom of the report. Seems pretty straight-forward to us, then why can't the govt figure this out and put a stop to it?
Approve what? The information used is already part of the medical record and, therefore,...sm
has already been approved or authenticated or whatever one wants to call it.
Have MTSO's or IC's all become electronic medical record suppliers as well as transcription pr
I've been an IC for over thirty years and the medical offices are now asking me if they can search for old records? What, they don't keep their own records anymore? Do all MT companies now offer searchable databases on their company servers for the physician's staff or do they install databases on the physician's computers for this sort of thing? I've been asked to provide this and I'm thinking "wow, can't the office staff open word and find the appropriate folder and file?" Is this now a standard item offered by MTSO's? What happened to medical office management software? Are transcription companies now becoming electronic medical records suppliers? If so, please let me know.....If so I've become a dinosaur!
Leuden affect / luden affect
Hi. I am doing the H&P portion of a dictation and it states that the "Leuden affect is appropriate". Has anyone ever heard of this? Leuden or Luden. Thanks for the help!!
cathy
I do tapes and digital. And I was told if I'm not logged into the digital system, they assume I&
BUT she wants me logged into the system by 9:30 a.m. So I'm confused too. I've decided that I may come back to her and just say I'm not going to do the tapes anymore. I hate the tapes anyway. The voice quality is horrible, it fades in and out. It takes me twice as long to transcribe their tapes than the digital.
sure i was. i'm making fun of the people who are making a case for background checks, etc
to do medical transcription at home as if they may do something AWFUL with the info they receive. So if you want an invasion of privacy let's REALLY invade it and make sure fat chicks don't transcribe because they are so busy eating they can't get the work done, they mess up the keyboard with food and if they are provided health insurance they will raise the rates for the company sky high because their health risks are higher than others. Then there are the psychological issues overweight people bring to the table. After we eliminate fat people, we can go on to eliminate diabetic people who may have low blood sugar while typing and go into a spell and type the wrong thing. I could go on and on through the process of elimination. How about prescribed medications that may cloud your thinking? So you take Ambien to sleep but you have an Ambien groggy hangover when you are transcribing? Should they transcribe. How about your teens are on your last nerves and you take a Xanax? Should you be allowed to transcribe?
What I SAID was, "...there is NO WAY that can't have any affect...," and I ...
stand by that. Sure, an MT under the influence may get it right, but I certainly would never want to take a chance on that.
It's all about resposibility and realizing the critical nature of medical transcription. As an MTSO, I would not want an MT drinking while working. Period.
If I hired someone and found out they drank while working, they would be out the door.
it would be affect as in...
Rheumatic fever can affect the heart.
Your sentence would be:
Further bleeding, Per Dr. ___, will affect a hyerectomy.
affect v. effect
Effect is noun in the instance noted. Affect is a verb most of the time. Anything else?
Affect/effect
Affect can be a noun in psych - patient having a "flat affect" - no expression. Effect usually is used as an action word and in this case it is effecting a response or a cause.
effect or affect?
Here is a rule of thumb my boss taught me:
Affect - (a verb) "to change or alter".
Effect - ( a noun) "a result".
You will very rarely use "affect" in the context of a sentence, but it will come into play every once in a while.
what makes you think it will affect us?
affect/effect
Affect can also be a noun, as in "patient's affect", effect can also be a verb as in "to effect a result".
your affect has an effect.
Does this person think that English usage doesn't matter in MT work? Some of the worst medical errors got that way by misuse of plain English words.
Affect/Effect
Effect is not always a noun, and affect is not always a verb. When you "effect" a change, effect becomes a verb. When someone has a flat "affect," affect becomes a noun.
Affect vs. effect
Hopefully this will help, although I guess everything is subject to interpretation:
AFFECT is a verb meaning "to influence" or "to pretend or imitate". EFFECT can be a noun OR a verb. As a noun, it means "result". As a verb it means "to produce a result".
In your particular sentence, it is being used as a verb...so which one to pick?
Without knowing the rest of the record, I would have to go with "effect" because I'm guessing (again..limited knowledge) that the doctor is indicating that if the bleeding doesn't stop, he has to do a hysterectomy. If the hysterectomy has already been done, or it is planned, than surely, further bleeding could "affect" the planned surgery or something that happened during the hysterectomy.
Without more information, it's a crap shoot!... I'm sure that was as clear as mud. 
affect/effect. nm
x
affect/effect
To clarify affect/effect, here is what a friend said:(emphasizing the first syllable and pronouncing it with a "long E"):
"I affect the Effect"
This really helped me.
Mood and affect are normal
Further bleeding per Dr. **** will affect a hysterectomy.
EXACTLY - it'll never affect me mentality.
I signed, sent to everyone I know and asked them to send it to everyone they knew. Start believing we can make a difference.
I believe the goings on in the industry affect us as MTs?
x
It will not affect MT's. I think the limit is 250GB and
the tech people with my company says an MT uses around 2GB/month. Even if that is a conservative figure, still leaves you a lot of GB.
Does anyone know anything about the new EMR system? and how it will affect MT's work? nm
Affect is a verb, Effect is a noun, DUH
:P
Affect is a verb and Effect is a noun, DUH nm
:P
Definately affect/effect! Hate those!
/
I would buy new a Dorland's Medical Dictionary, Stedmans Medical and Surgical Equipment...SM
and Tessier's The Surgical Word Book, 3rd edition. Books you could buy used I would say would be Stedman's Pathology and Lab Medicine and Cardiology/Pulmonary word book. These are all the books I use the most during my day. You could buy other speciality word books as you need them and could probably go used with those.
I wouldn't bother with buying a drug book, new editions come out every year and I just stick to the FDA website and RXList as my drug references.
Also FYI, not a book, but I use my Stedman's Electronic Medical Dictationary a lot. It's easier to open the program than it is to pick up a huge 30-pound dictionary.
Get mouse in chair to see how drugs affect brain!
http://learn.genetics.utah.edu/units/addiction/drugs/mouse.cfm
Affect is an Action (or psych state)..Effect is a rEaction
nm
System Restore does not affect documents, only program files.
xx
System restore does not affect documents, only program files.
You will not lose any documents you've created. Restore does nothing to the normal.dot or other templates.
Be aware that as you age and lose skin cells, that will affect appearance of tatoo.
:+
I've worked for svl places that said to change it back to 100% before sending, so it must affect
s
Medical Transcription In The Era Of Electronic Medical Records
EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.
You realize by doing that they're making more money & you're making less? You should reconsid
For the record,
the solo-practices and smaller offices are outsourcing to the hospitals...
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