just like quality care for the patient is going out the window-nm
Posted By: no name on 2008-01-09
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nm
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Probably something in patient care, maybe CNA. sm
They make about as much as I am making and with benefits on top of that at the hospitals around here.
Do you think patient care will suffer any?
will treat the laptop like it is you, and ignore you, the patient.
I think the average patient would care and
would think, 'Wow, they sure don't know English.' And what about all the abbreviations a lay person woudl certainly not understand.
Hospitals do not care about quality, just productivity, and oust their old MTs for others to pay the
this happened to me. I was making 23/hr inhouse plus a shift differential. That was taken from me when they kept nailing me on productivity. I was right there at the line rate, but they wanted more for their buck. My QAs were 99.8, but productivity was average 132/hour over a 6 month period, they wanted 135. Some weeks I was higher, some lower, never the same work reports, etc. Always different doctors and formatting issues. I finally quit, just walked out. Now, they cannot replace 3rd shift. So hospitals inhouse are not all the answer. I have been making more on my own as an IC for several companies. Less aggravation, and when I take the time to research something, not getting "nonproductivity" as being a problem. HEY hospitals, we are only as good as you allow us to be. If your in this profession, your a perfectionist. I hate leaving blanks. Have seen girls turn in reports with 6 or more at this facility and they are praised for their high productivity. WAKE UP HOSPITALS!! This is not how us old MTs were trained.
Through your years of experience you care more about quality I bet than quantity
This happened to me after midcareer that is after about 15 years. I started caring about the patient more than my paycheck. This might have cost me a lot of dough, and I can't afford fancy extras much anymore. But, I can sleep at night knowing I put the right gender of the patient with the difficult ESL dictating. I do not know you, but I just bet that your 1200 is a really good 1200.
where did you get the idea we were involved in patient care?
We are typists with a specialized vocabulary. If we were doing this for NASA, it would not make us rocket scientists.
I am neither advocating, nor participating in, low quality - I do the very best I can with the experience, knowledge, and tools that I have. The fact that employers do not want to pay me enough to survive, thus making my trips through *QA* a little more thorough, ensures that I will get through reports as absolutely expeditiously as possible.
My bottom line is MY survival. Good luck with altruism - it doesn't buy much at Safeway.
vent on failure in patient care
My husband took my son to see the doc for a tetanus shot after he stepped on a nail. I'm always transcribing and couldn't go there myself. After coming home from the doctor's office, my son and husband tell me that his foot was never even looked at by even a nurse, let alone the doctor. My son got the tetanus shot, and the paperwork said "do not give if a fever is present." Woops, they didn't even take his temperature. Rather than looking at his foot to determine if it was infected, they just asked my son if it was infected. I called the office totally irate, and they reduced the charges from $88 to $7. Wow, didn't expect that. It's a crying shame that we're a society so hung up on paperwork and billing (HIPAA, etc.) that a doctor or nurse would not even take the time to actually look at a patient's wound. What's really ironic is that very day I transcribed a report where the doctor states the patient shouldn't self-medicate with vitamins and supplements. So, we're not smart enough to determine what vitamins and supplements to take, but we are expected to determine whether or not we have an infection?
OR, instead of being funny, it could hurt patient care.
nm
A 2-day strike will not hurt patient care
it will give the physicians something to think about when they have to hand write their STAT H&P for patient's surgery tomorrow.
Anything an MT can do when you have grave concerns about patient care?
Is there anything at all an MT can do when you have grave concerns about the care a patient is receiving? I know the answer to this is probably no, but I am so completely frustrated with my one of "my" doctors right now. I know that one of his patients is not receiving the proper care, and I am really worried for this patient. I wish I could contact the patient's mother and let her know my concerns, but I know that is not allowed and I would be fired for doing so. I know that I'm not anywhere near as smart as a doctor, but my son has the same condition that this patient does and I know that the patient is not receiving the proper care or even the correct diagnosis. It is hard to go into all of the details for confidentiality reasons. I just know, 100% sure, that this patient deserves better care than he is receiving.
Sometimes the virtual world that we work in is great, and other times it really stinks. If I were working in the doctor's office I could gently share my concerns (maybe I would still be fired but I could give it a shot). Here in this virtual world where the doctors don't even know I exist I can do absolutely nothing.
I'm just so frustrated at the doctor and so very worried for this patient.
ONLINE nursing program? Do you not care about the patient's well being?
/
I agree that if it hurts the patient's care you should speak up.
s
actually, they are boasting better quality care with point-of-service mobile devices...
as they (service providers) will have immediate access to all information on a patient throught a "MedChip" rather than have to wait for, you know, "people" (heaven forbid) to get old records, records which have too much information, etc. The system will eventually be world-wide as well, which that will take years and years, I am sure.
This is also to be used not only by doctors, but nurses, physical therapists, anyone who performs a service on a patient. They will have hand-held devices that do everything, document, code, bill.
I realize that will take years, but you can already see the 'growing pains.' Look at all the complaints about MQ. They are losing work because of the speech recognition. All the good, easy, clear dictation is being switched over. This alone seems to be 'weeding' out quite a few MTs.
There are supposedly over 400,000 MTs in the US.
I understand there is no going back, and technology is moving forward and eliminating jobs just as automation did; but excuse me for having some passion. I love this job.
And all this time I thought the bottom line was patient care. nm
nm
Could your hubs become a patient of a home health care agency and then you could work for them
s
The hosptial administrators aren't interested in safe patient care.
I venting as a patient! No doctor cares if I live or die--could care less in my eyes!!!
Study found that electronic health records did not boost patient care. sm
Link to article on yahoo news stating that electronic health records fail to improve care, study says.
http://news.yahoo.com/s/nm/records_dc;_ylt=AsT2t1nasUEaoOxgIsyoMUOs0NUE
Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
nm
I think that depends on the quality. Do you honestly think there is good quality just throwing every
MT on any account like they are. I also think QA has been told to not waste a lot of time on blanks so I think the hospitals are getting a lot more blanks. I certainly have more when I get in a hospital I dont know and they talk 100 miles an hour.
I thought quality was a given. Speed and quality are not mutually exclusive. sm
I maintain 99% accuracy above on my reports. However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well. :-) I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run. There are too many interruptions and such when you have other people running in and out, phones ringing, etc.
I doubt that anyone but me really cares about the lines per hour it takes for me to do a report. They just want an accurate report in a timely manner. I take pride in my work, and would never just slop something out for the sake of the almighty buck. And, as an added incentive, I work for 2 companies, and one of them has my name on each report. I don't have a problem with it, but I did think it was a bit unusual at first.
Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck. 
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.
I think I see her outside my window!! ;-) nm
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alt printscreen for the window you are in..
just regular printscreen for the whole desktop. THEN. Open Paintbox (or Paint, whatever its called) and do Edit/Paste - then save - best to save as a .jpg, then it won't take up as much space as a bitmap (.bmp) - I save all mine in the "my pictures folder) or you can make one special.
Chickadees at my window...
Strangest thing just happened. A chickadee flew to the window chirping away. He just kept going away and flying back to the window again chirping loudly. I finally went out to add more seeds to the feeder. He then stopped trying to get into the window. I've never seen anything like it. I guess I have been trained by a chickadee. lol:)
Why does my Winscribe window
disappear between every radiology job (and that means at least one hundred times a day)? It falls into the abyss known as the margin. I have to minimize all other windows for it to peek from the corner where I can grab onto it and drag it back into view...arrrrgh
Long difficult day I am having...
I have a chair next to the window
so the furries can jump up and look out when they wish.
No, I didn't mean the suggestion window -sm
I meant I deliberately, because I caught myself, for instance, typing CD for common duct because I forgot that I already had used CD for cystic duct and flying along I thought CD was for common duct. Of course, there's C/D ratio too and sometimes you need to type just CD, so I have all of them under CD and I have to pick from a list which one I want in there so I don't screw it up.
You can add messages and remarks. Like if you can't keep straight Celebrex and Cerebyx, you can make little reminders which is which so you don't put the wrong one in.
My cat loves to sit on the window sill too...
I make sure and keep the blinds up some during the day so she can do so. I think she likes sunbathing. My other cat could care less. He's getting older though. He is definitely past the age of wanting to "hunt" anymore. The youngest still trys to get out sometimes, but is generally pretty happy sitting at the window (this was a wild cat rescued out of the woods too BTW). The older one we let in the backyard with us sometimes. He just sits there and walks around some, but that's it. None are allowed outside by themselves though, especially since we just moved and they could run off and get lost easliy.
I've had inside and outside cats my whole life. It is a personal decision and just depends on the circumstances I think.
Isn't there Okay or Accept, etc. at the top on the right at the Ctrl/J window? Need to do that af
d
....nm up there. And I meant to say a Suggestions window so you
s
You might also try turning off the suggestion window SM
or whatever it is you have for a while. I use Shorthand, but it's pretty much the same thing. That way you could give yourself a list of often-used abbreviations to memorize and get very comfortable with and/or a rule that tells you what a lot of your abbreviations are going to be. As you get comfortable with those few, you'll end up loving them and wanting MORE, MORE, MORE. With that attitude, you can turn the window back on or give yourself yet another list and another rule or two to get used to.
Just think, if you only used abbreciations for the words "the patient" (tp or ?), "hydrochlorothiazide" (hycx or ?), and "blood pressure" (bp or ?) you'd never type those three out again and would be saving that much time with each of them. Start small and unspook yourself.
It's Alt= to make it show in the window. sm
Much easier that way. Don't know anything about Editscript.
Close that window in the task bar....not
by clicking the "x" in the message box. I was told that when I had my computer cleaned of the AVG thing months ago. Not all of them, but some of them, have the "x" linked to where it's the same as clicking "yes" to download. Sneaker characters, they are!
I'll give that a try since I'm in the 14-day trial window
Thanks for the advice.
Nationals with 10- to 12-hour window to work 8 hrs?
I did a search in the archives, but the info I found was a little outdated. Thanks for any help you can provide.
Shorthand can be set to show a preferences window. I like it
s
I have a 10-hour window to work 8 hours
and that works fine for me.
I am so frazzled I can't even find a Search window! sm
This is my first day on Edit Script and my mind has short circuited! I tried to find the Search window to no avail. Can you give me a hint??
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.
Happy MQer-Hurry, look out your back window!
I see T.W.H. getting out of a lawn chair in your back yard and stealing your grill to cook up a Nathans Hot Dog.
I would go with the in-house position. Our jobs are definitely going out the window. I wish I coul
nm
Aloe is amazing. I should grow it as a window plant, it's
Hard to chose, Notorious, Rear Window and - sm
A Time to Kill proabably--- have lots more of course that rank up there, many are old movies as my mom got me into them.
extext does not have popup window to show shortcut
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Nat'l. Crying-Babies & Leaf-Blowers Outside The Window Day!
X
The Add Entry window shows up but is completely empty..nm
nm
JC Penney's has awesome home decor. I buy all of my window treatments from them.
www.jcpenney.com
Good luck!
I have my suggestion window turned OFF in preferences so I don't have to pick from the list. Much
s
Click on File and then New (top left corner of window of MS Word)
d
YOU gather up his belongings and throw them out your window onto the curb, or in the driveway, or
wherever. Down to the last razor blade! It is highly unlikely that your husband will gather all of Loser Dude's belongings and bring them back into your house. Dude will gather up his Loser Belongings and find another place to be a hospitality sucking leach. (leech?) Good riddance. Just DO it! And if you have one molecule of sympathy in your brain for this Loser, then you need to go to therapy. You have gone above and beyond the call of duty, nice lady.
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