my gripe is with the airheads ... sm

recently (holidays? flu season???) even doctors who are usually pretty good seem to have the attention span of a gnat ... so even something as routine as reading lab results becomes a two steps forward, um, oops, make that three steps forward, two steps back as they MISREAD ... Not to mention the folks whose attention to what they are doing is so lacking that they skip whole sections, which they may or may not realize before signing off.... 

these reports are often followed by 20 second next "report's in which they remember that they want copies sent (I love waiting around for them to rifle through the chart to figure out who the other doctors on the case are too)  on which we make ZERO money at all -- they're not really addendums are they? --  but have to log, flag, etc.

I'm stunned at the number who seem incapable of not listening to the other people in the same room dictating and/or their conversations. Listening to people complain about not being able to use the hospital computer system (it's 2009 people, that excuse was old in 1999 and even tired 1989 --- again, it's 2009 ... get with it or retire already)

I hate listening to dead air -- period.

• What is it with these dictators..sm - Bayou MT
  • My favorite is the doc who either - Backwards typist
  • My favorite - s/m
  • To be fair, history and other sections are composed, SM - MissIndigo
    • LEGAL & POLITICAL ISSUES, ANALYZING ... SM - Bayou MT
    • Really? Wow, I didn't know that... - NOT *eye roll*
      • my gripe is with the airheads ... sm - susan
  • Oh yeah! - Happy MT
  • Oh yeah! - BellaDonna
  • Ditto. . . - itzme
    • Had an Iranian who didn't know the language sm - gemini

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I HATE HATE HATE this dictator.  This is how he dictates if I were to strictly adhere to the verbatim rules of transcribing:

PROCEDURES PERFORMED: Cysto, retro, uretero with stent placement.

INDICATIONS:  This is a lady who had perc litho by Dr. X.  She had a perc tube. She had a nephro stent.  On the pull of the nephro stent, did an antegrade nephro and apparently had obstruction in the ureter which was a probable stone.  She was set up for a cysto retro Friday, but she ate, so she was set up for this morning. She understands the risks, options, complications, etc.

HE DRIVES ME INSANE!  He has a very conversational style of dictating that makes it incredibly hard to make sense of his reports! He abbreviates everything, makes up his own words, and has been known to dictate one-word sentences!!!!!

We need a firing squad for dictators like this! 

Breath in, breath out.  Okay, I'm finished now.  I'm just having one of those days, crappy dictators, communication channels between my brain and my fingers have broken down, and I just need a nap!

Back to work.

I occasionally come on this board, as do some of my coworkers to get help with words, look around, etc.  I've never posted but today I'm fuming and frustrated.

I just got done working a couple of extra hours at the hospital this morning, worked all day yesterday (overtime I might add) and do you know what my job has been on all this overtime? Correcting ALL of the outsource's work coming in.  What makes me mad is that all of us have been complaining to our boss and even to HER boss about all the mistakes this company makes - terrible dreadful DEADLY mistakes - and all we get back is "there is nothing we can do about it.  We signed a contract and we have to continue to use them until the contract ends." Which, by the way, ends in another year or two, I'm not sure.  But anyways, this outsource company (who is WELL KNOWN) does not even make an attempt to do our ESL doctors, who are not really that bad. I know there are harder doctors to understand as I have been doing this for 16 years.  The service sends the reports back with a ridiculous amount of blanks.  We go in and listen to them and basically redo the whole report, to which they get paid for it.  Then there are the easy docs - the so-called "hold your hand while I dictate to you" docs - and the service still has mistakes. 

Our boss has asked on occasion if they are offshoring, which they swear they are not.  It was in the contract that they are not to offshore so they swear they are not and the mistakes don't look like they are offshore mistakes (the hospital used a company prior to this one that offshored - big difference in transcription mistakes).

I just cannot believe that our hospital has had this company for a little over two years and not only are they being paid a ridiculous high line rate, but we are correcting all their reports and they still get paid!! We have asked if we can start deducting lines, but we were told that their contract states that that cannot be done because our boss has tried that.

I have a friend that works at a hospital in another state that had an outsource service that was somewhat like the one we have, only they constantly lost reports and got paid for them, but she just lost her job because the hospital felt that there was no need to have all the overtime for the past year and the outsource service doing the overflow.  So they just hired a new outsource company, let all the transcriptionists inhouse go, and got rid of their current outsource service.  she is looking around for another job now.  She had that job for 9 years at the hospital, and because of the outsource service, the administration of the hospital looked at is as a huge $$ problem and just said bye bye.

I needed to vent. Aaaaahhh, I feel better now, but I'm worried that with all our overtime and what the outsource service gets paid, that I'm going to end up in the same boat.  Even our boss has admittedly had some worries about it as well, but she keeps telling us that her boss says her hands are tied and is just as frustrated with the service.  It makes you wonder how it is that these services can be in business for so long, make sooooo much money and do this.