being assigned same dictators
Posted By: C.J. on 2007-11-30
In Reply to: I can tell you that remaining on the same account with same dictators - Carlie
does help you get to know them so you can get fast with them and set up macros and auto-text but when are these MT companies going to realize that and quick putting us in pools? I realize they have to have their accounts covered 24-7 but this is no way to make money and really increases your chance of errors. It would be beneficial for both MT and the company to assign us our own dictators. There are only really a few companies out there who do this.....what a shame!!!
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Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
?? Bad dictators are bad dictators regardless of their mother language.
wonder when people will just get over it and do what they can and move on.
As everyone said, you have to have it assigned back to you...(sm)
It's actually not a part of ExText that you do it in. The program that handles the voice jobs is Dictaphone's JobLister. Not only would you have to have the rights to access it, you would have to have the program loaded on your pc. This is, with most companies, only given to team leads and QA.
I have always had an access # assigned....
If you could get into a records system without a private passcode, that would be a major HIPAA situation! I always have a sign-in ID asigned by the facility for any C-phone account I have worked; but it is strange that you are hearing a beep and not an operator giving instructions. I've never had that situation before. If you don't have an account Lead you can contact to get help, I'm thinking you'd best tell your employer this isn't working! Good luck.
how is your work assigned?
I just started with a new company and very frustrated with how they handle work assignments. I'd like to hear from other MTs how they feel about it and how they are assigned their work. I have always been assigned a specific amount of work each day or worked a specific amount of hours. When my time was up or my jobs were done, then I was done for the day. This new company is doling out work in a very unusual way. It is a clinic Ortho account and she assigns work as it comes in, which is understandable. But if I happen to be gone for an hour or so and she gets work in, she will assign it to another MT who can do it right then and there. I have asked her to send me a whole gob of work each evening so I've got work that will last me the next day. She refuses to do it that way so I end up sitting here all day long waiting on her to e-mail me saying, "I've sent you a few files." And so far that's all it's been, a FEW files. Nothing I can't finish in under 30-45 minutes. This is just ridiculous but the line rate is so good that I am hesitant to try to find something else. Anybody else have this problem?
assigned work
Yes, I know exactly what you mean. I have the same problem. But I have an acute care backup account to work on. I prefer the other account though because I am used to it. It sounds like we work for the same company. LOL. When I get the clinic it is sent like you said as it comes in and sometimes if another MT is available she will send it to them. I work on a clinic general surgery account. And I wished they would let me do the accounts work exclusively. But no it is given to one MT one time and another the next time. But I have the backup account so I can't complain but that is how they do the clinic work.
Assigned accounts....sm
There's a lot to be said for "assigned jobs" if it's done on a fair basis and if the person doing the assigning doesn't have their own agenda, i.e, where the "Lead MT" does the assigning of jobs as well as having to get her own lines in. Who do you think is going to get the best dictations?? Do you think she/he will assign the good, easy dictations to the MTs on a fair basis and keep the lousy, crappy, ESL dictations for herself ? Come on! For the most part, management doesn't give a hoot as long as work gets done and is kept within TAT. 
How can you tell if you're being assigned certain jobs or not? sm
It seems to be as if I've been getting mostly the yucky dictators for a while now, with some good ones being thrown in here and there. I know a while back with this company (been here 1-1/2 years), I noticed a good change with getting assigned same clinics (clinic acct., obviously). It was even brought up at a phone conference, and the VP acknowledged they'd changed tactics and were assigning accts. as opposed to just letting us all in the pool. Said it was a good change for the company, and we MTs agreed as well.
But, for the last couple of months or so, I've noticed a downward trend in my dictators, and the job numbers aren't in order, just here and there, even different clinics popping in and out. I emailed the Account Liason and asked her if there was something going on here, and she said she didn't know, she'd have to check with the MT supervisor. She then came back & said no, there's been no change or assignments (which I reminded her the VP herself had said there was), and that I was just getting the luck of the draw.
However, something I'd read on this board got me to thinking. If these people in the position to control these jobs, such as the AL and who all else, are also typing and getting paid by the line, naturally they could pull in all the good jobs themselves. If they do get paid by production, I don't think they should be able to control the ques at all.
I just don't know whether to pursue this line of questioning or not, since I'd already tried once, and I'm not 100% sure of myself, just suspicious. Like, the other accts. jobs that are thrown in between while working on one clinic is usually a bad one.
Any advice/suggestions would be appreciated.
Also, should I ask for a line-rate increase? I've been here 1-1/2 years and am making the same as I started, .08/line.
ask them about your assigned (or not) doctors - be careful with KS
also, no auto backup with Lanier footpedal, can only work when Lanier is available.
Well we are individually assigned work...sm
The manager assigns the work out to each individual MT so I am wondering how much work the other MTs are getting on the account.
It was simply the work from your assigned accounts.
More of our work is transcription based rather than ASR. However, we are in a training initiative so all employees will be prepared for handling ASR.
Are you using a Cphone? Don't the files keep feeding into your que or are you assigned? You'll
s
I do have assigned accounts and even those I can't get back within 24-48 hours at end of week. s
I think I need to have on-call coverage to help, but I don't have much time to train...I sometimes just think it takes less time to do it myself than to train someone new, but I'm just tired of working all the time. If I could find people who have so much experience that they can just be able to work and get it right by having a sample report and a template...hard to believe, but not everyone can do that....Also need a c-phone to access work on my system.
I assigned single letters to very common labs SM
For instance, i is for calcium (i just because I wasn't already used it for abbreviations with low-range numbers). Calcium 10.3 would be i103. Creatinine 0.7 is e07, e used for the same reason. I like it.
10-20 red cells is 1020rc and 10 to 20 red cells is 1020rc', but I'm not crazy about it. The "tttrc" I used to use was just as basic but better; I just wanted a system that would be memorable and allow me to enter lots of values without conflicting with other abbreviations. Maybe someone will offer a good system so I can change without bothering to think about it. :)
This is becoming the normal, unfortunately. To get assigned docs & accts. makes for good line
s
I assume you are assigned number much like a license number that can be verified through the AAMT.
Beyond that, I have no idea.
You don't need to remove the key, remove the shortcut assigned to the key
in the customize keyboard dialog box.
how are they going to get used to all the dictators
if your source says they cherry pick and only do American dictators? Sounds like never. But you knew that.
PS: Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?
Dictators who keep....
  
I'm having a bad day with dictators and got this in my
email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.
http://www.thesmokinggun.com/archive/0916051disk1.html
I have had dictators like that!
when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime
Bad dictators
Chewing gum very loudly, blowing bubbles while dictating, drinking something and then chewing on the ice....all in the average day lately. Don't these people stop to think that someone has to listen to this? That they are chomping incessantly into someone's ears. No common sense. Maybe once, someone in authority should remind them that these are legal documents and need to be transcribed as accurately as possible, so no chewing, drinking, talking while yawning, etc.
Bad dictators
I have got to one-up y'all... there is a woman doctor in our group who actually takes her dictaphone INTO THE BATHROOM with her and, yes, that's right, uses the potty right while she's dictating...
ESL dictators
Maybe the ESL docs, knowing that the Transcriptionist must be having a difficult time with the language barrier, should hire an English speaking person to do their dictations. It would free up their time for being a doctor and seeing patient's, give a more accurate transcription, and a better quality report. Wha'cha think???
ESL dictators
Seems many MTs have this complaint. We should be told the correct percentage of ESL dictators BEFORE accepting a job. Imagine all the money a company would save by going over details with each new applicant honestly and thoroughly in the beginning instead of making the job sound good and then have a disappointed new employee, who will quit and the company will have to advertise and hire again. Advertising and training on a computer system is costly, including the time involved etc. The more a company can do to retain its employees, the more money it will save in the long run. Also, pay based on production, not quality of work, is counter productive. Imagine if each Transcriptionist was paid a salary and did quality work and no QA people were needed, except to pull random reports of new employees during the first 30-60 days or so. I feel there is too much QA and not enough emphasis put on quality reports from the beginning. Many transcriptionists feel, the QA people will fill in my blanks, yet they may be able to find the word/words themselves if production was not such a huge factor. But too many employees are trying to meet a line count. With a salary, you can establish a budget and know what to expect in your paycheck. I've transcribed for 25 years. I love my work. Since outsourcing and pay by production have been instituted, I feel pride in transcribing has suffered. Give an employee a job they can feel great about, benefits, and treat them with honesty, fairness, and respect and they will be glad to work for that kind of company. Hopefully, there are companies out there like this It's up to us to find the good companies.
Of note, 10 years ago transcriptionists were being paid around 10-11 cpl and $3.50-$4.00 a page. What happened, outsourcing!! We used to get a higher salary than coders, but not now. We need to keep our work in the USA.
Bad Dictators
I had my share of bad dictators this afternoon too! Is it full moon? I am sure I had your doctor's wife. LOL Can we band together and chart a bus to deliver them to the firing squad?? LOL At least maybe would could let the air out of the tires on their golf carts! Do these people listen to how bad they are???????
Dictators
OH PULEEEEZE spare me the whispering, breathy female docs who sound like they could talk all night on a phone sex line. I don't care what you sound like on the phone. Just TALK lady - spit it out. Am I mad or what? Gads I'm sick of these bimbos.
bad dictators
You ever wonder that when the powers that be become aware that you are making lines on low volume work days, they somehow sneak all the worse dictators your way? I have had bad dictators, none of them in sequential order, and am no where close to my lph this morning.
Dictators
 I could send you a lighter! Seriously, I have considered sending a voice copy to them to play after the fact, a day or two later, so they could see what they could understand of what they said!
BAD Dictators
Oh, you're not alone. They all must have spring fever or something. I have had more dead air than dictation on reports lately. If this keeps up the pay should not be by the line, but by the minutes listened to.
To all the dictators out there
SLOW DOWN! This is not a race. I cannot stand it when these dictators talk so fast that you cannot understand them. You know who you are, especially the cardiac dictators!!!!
Thanks for letting me vent. I get frustrated when my production goes in the toilet!
bad dictators
My huge pet peeve when it comes to dictators is them stopping to flip through the chart and not pushing the pause button. I mean I am just sitting there listening to dead air, wasting money while they find what they are looking for before they start talking again. How RUDE. I think all doctors should take Dictation 101 as part of their medical training before they get licensed. Speak clearly in complete sentences, speak at a fairly fast pace, and for heaven's sake.......hit the pause button if you have to stop dictating.
Bad dictators
IMHO, these are all due to the HIM department folks not training the docs properly. I worked at one hospital long enough to find out that the HIM department heads have total control over what type of dictation behavior is accepted, including the reports that are outsourced. It seems that, if the HIM departments for the various hospitals that outsource to us, or the office managers for the various doctors, would just care about what type of dictation we are getting, they would go out of their way to do something about it. I know they have plenty of time, cause these are the very ones who have no problem picking apart reports and complaining about missing commas!!
Bad dictators
Now my pet peeve.......dictators who say "go back and change" or "forget that last paragraph". You are essentially typing 2 reports and being compensated for only 1. Had 1 report today where CRNP did that 16 times.
Any suggestions welcome!
dictators
If MTs did the kind of job some dictators do they would be fired.
When dictators take a long time shuffling papers I just hold down my foot pedal down while awaiting the next words and check my email or read a paragraph in a book or do some upper body stretching exercises.
Recently I had a doc dictating over the barking of a dog. I wonder where he was? Or where the dog was? 
What is it with these dictators..sm
They'll ...um and ...uh and ...er all through the patient history..wasting more and more of the MT's time than necessary .. with the occasional 30-45 second pause between each item to paper-shuffle (on OUR time). But when it comes to the MEDS and LABS, which are the mainstay of an H&P or consult, as other doctors will base patient care on the meds the patient is already taking or present lab results, they'll race through them at 78 rpm so as not to be understood or able to be transcribed without rewinding 4 or 5 times. Just because they can race-read medications or labs doesn't mean we can type them just as fast... I guess accuracy in these areas takes back seat. (Who cares where the patient moved here from or went to school?)
bad dictators
I think the shoe should be on the other foot. The doctors have absolutely no respect for what we do - we should be the ones giving THEM feedback - They will be the first ones to speak up if there is an error on the report when in fact, it is entirely their fault. We are intelligent, professional MTs, not magicians !!!!
The dictators that....
Have a pager sitting right beside the microphone and it continuously goes off, a shrill BEEP, BEEP, BEEP, BEEP right in my ear and they don't bother silencing it, turning it off, merely MOVING it away from the mic so that my ears are still intact, they just let it beep and keep on talking away.
What are your favorite dictators?
I like the ones who right when they begin dictating, turn around and speak directly into their armpit. Or how about the ones who carry on a complete conversation in English to the nurse next to them, then when they start dictating they sound like one of those auction guys who have had a few drinks?
Favorite dictators
I have one guy, who really seems nice, thank's you each time at the end of the report, apologises if he has to correct something he said, long reports, BUT, he usually dictates at home, while cooking,bathing the kids and NOW, we must have a new dog because we are deciding to train it while dictating .
It's a verbat account so I really should have put in all the "sits, stays, good dog..would have made a fortune.
BUT (again), if it were'nt for the fact that the ER he works in is over 140 miles away, I'd have been in the ER, requesting him, to treat me for my ruptured ear drum, when he must have forgot the doggie treats and this dog started barking, loud, blew my eardrums out, had to crank the volume wayyyyyyyyy down, could NOT hear him, except for the good dog's and sit, I'll play later
SS dictators and LINES.
I HAD a problem with Softscript period. Heard their sever is down again. Look out, line count will be changing again. Horrible communication. Horrible dictators. Never pain on time, NEVER. Dictators from hexx.
dictators on the phone
I agree--I have mentioned this endless times to my supervisor about dictators being on the cell phone, the worse that I have had was a dr at a baseball game, doing dictation on his cell phone, you could hear the other parents in the background cheering--sounded like a little league game and yes I did tell my supervisor and yes it is MQ and of yes, nothing was done
I love the ones that are on their cell phones and then drive thru a tunnel or put the top down
Fast dictators
When are these ******** doctors going to figure out that by dictating 100 miles per hour they are NOT going to get an accurate accounting of their patient encounter???? I feel like I'm being set up to fail. I don't care how much experience we transcriptionists have, if you're going to dictate a three page report if 1.5 minutes, SOMETHING is going to get missed or screwed up. I hope that extra three minutes they saved themselves throughout their busy day is worth it when the patient's chart gets the wrong data and somewhere down the line a big mistake is made. I've had a terrible morning, struggling with Mr. All-Important who dictates vital signs as one long rambling of numbers, never in the same order (one time it will be weight first, then pulse, blood pressure, respirations and the next time it will be blood pressure first, then weight, then respirations, then pulse) -- I've had it!!!!! I've got so many blanks in this batch of reports that I'm embarrased to turn them in.
Thanks for letting me vent. I'm not a bad transcriptionist.
I am so sick of ESL dictators!
 What a lousy day! I am sick to death of getting 100 different doctors a day and maybe one of them speak English. Makes for a very long frustrating day.
If we all would refuse to do bad dictators - what can they do about it?
Let them do them themselves or have their fair-haired Indians do them.
Let the mush-mouthed doctors get back mush-typed dictation. It would be fair.
Tonight I had so many questionable lab values it made me sick. I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.
I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks. Just mess with me suckers! I'm ready. I'm premenstrual and I'm ready.
Not yet, but some days I think some of the dictators I get are going to
The dictators are terrible. NM
:
Love new dictators, don't you? sm
Had one spend the whole time spelling everything. Not just meds either. She even spelled lumbosacral and anteriorly.
Very, very clear English spoken very, very slowly as if she were speaking to a child.
She did not, however, give the name of the patient or the date of service. All I knew was that he was a 36-year-old male that took M-O-T-R-I-N.
Gotta love it. Won't be long before she's mumbling while eating lunch. 
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