that is verbatim. QAs are only human too. nm
Posted By: Ummm on 2005-08-08
In Reply to: THANK YOU!! As QA I run into the same crap. Like they do not care... - sm
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Call human resources. I called human resources about it. Sooner or later they will get tired of the
calls and do something about it. Safety in numbers. I have called twice. I forgot to mention the assinine QA point plan though. Mostly I bitched about the no work thing. Told them the new pay plan based on incentive is another joke with no work. Cant make incentive with no work.
Verbatim is verbatim, but I defintely to the little things to make the doc look better such as..sm
an eye problem instead of a eye problem. I definitely wouldn't change too much. Stick with what they say and only make changes when you absolutely think it is necessary. I took a test last night and have an interview today and this is what I did. FYI, I do clinic work.
Verbatim = verbatim......flag it...NM
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Human? - sm
To err is human...to scam is criminal....and she will be brought up on charges this time, I will make sure of it.
You must not be a human being.
If you knew a patient's life was in danger you would not be at all concerned?
Human responses?
?
Actually it is the height of human
We are poisoning the earth and ourselves. Nature is amazing in her resilience, but do you know how long it takes the ecosystem to recover from fires and floods? Did you know that fire retardant has been found in human breast milk? What about the amount of pesticides and chemicals in the bloodstreams of infants and children? Denial is the only thing scarier than that. Do the research, it will open your eyes.
Every species EXCEPT HUMAN. nm
x
Yes, I think it's human nature
NM
I agree with you. We are ALL human...nm.
x
Human nature
People generally don't talk about how happy they are on a regular basis. They tend to want to talk to others when something is bothering them, and focus more on the negative. So I guess it makes sense that you don't see a lot of posts that say "Ladeedah, how I love my job and what a stupendous day it is in the transcription world today!" The job is just a means to a happier life, not the definition of a happy life.
Personally, I feel honored that I am in this profession. Not because of the money or the skill and intelligence that it requires, but primarily because it allows me to be home with my daughter instead of shipping her off to daycare every day for some stranger to screw up. That is why I will deal with the lack of raises, crappy dictators, periodic lack of work, mgmt that is too overworked to care, etc. To be with my baby all the time and still bring in a paycheck, however meager it may be.
They believe ASR is human transcription?
They were all probably told that is why the work is over there and they have to fix our stuff, that way it boosts their egos.
I still believe it is the other way around. OH...our ignorant minds.
Yes, we are all human BUT my post isn't going to part...
of a medical record.
DeVenture & Human Rights
You may want to check out the Bangor Daily News online State page for August 7 of this week. President, Michael Deville was found liable for employee discrimination. Sounds like a great place to work. In addition, that manager you are speaking of most likely has no backbone when it comes to standing up when it's require of her.
You are probably more upset than the doctors will be. They might act tough, but they are human too.
I'm with you, we're all still human beings operating these
It doesnt hurt to say a few words on behalf on someone at the other end. If you don't have that within yourself, and you don't need it in return, you're a cold and lost person.
ENFJ here, miss human contact
working at home.
No, I like to feel human thank you. I wear my jeans or better.
I am not the type who wants to go around sloppily all day. It makes all the difference in your outlook as to how you dress and your personality.
Nice job by calling it. Docs are human too.
Its human nature to impose on other people whats right for yourself!
Even when its not asked for. Maybe some people like to surround themselves with nonsense and chaos, where as I like peace and quiet! I think people who like working with other people are either pretending or just plain crazy!
sorry, you are assigning human logic/emotions to animals...
seal mothers do not go nearly insane with fear and pain as they watch their babies being clubbed to death in front of them. - you've got to be kidding. Animals are incapable of the complexities of logic and emotion to get to that conclusion. If you want something to be frantic about, go to Africa and see the abandoned newborn infants piled in chicken wire crates in the hospital. Let's get priorities in order and no, a boy is not a dog or a pig or a rat.
You're human. Blanks happen. Should never be penalized for them. nm
s
Sorry. I am human and I make mistakes like everyone else. Obviously I meant "two." nm
nm
I'd love to agree, but I can't. I do think some doctors are aware a human being is transcribi
for them, but I think it is far from the majority.
When I worked for a vet. guy had dog allergy tested and dog was allergic to human dander. No kidding
:I
And create enormous amounts of trash and pollution. Human overbreeding is doing us in. nm
v
The people proofing are human. Humans make mistakes daily.
nm
I wouldn't take a position that docked for errors. We're all human, not infallible.
s
Anyone know higher-up contact names at Dept. of Health and Human Services..sm
this is who created HIPAA. Anyone willing to email or write any of these people in regard to these offshoring issues and how the doctors should be required to inform the patient when their medical information is leaving the country in order to be transcribed. HIPAA was created with privacy and protection as its main purpose, but ironically once the work leaves the country, this means nothing. The Dept. of Health and Human Services (HIPAA) needs to step up and do the right thing here in the best interest of our country's citizens, while preserving many U.S. transcriptionists who will lose their jobs if no changes are made.
HUMAN RIGHTS COMMISSION RULES IN FAVOR OF PAST EMPLOYEE OF DEVENTURE
NOT GOOD!!!
Verbatim for ESL too?
Geez, if that were the case on my account (not MQ), you wouldn't believe the crap I'd be putting out - "59 years old pt, denies of chest pain, comes to ER for short of breath," and I could go on and on.
Verbatim
I still don't understand, for example I have a doc who does about 20 lengthy bypass operations a week. I have a 4-page "standard", that I just immediately pull up. He never dictates it the same way twice, I just simply pull up my standard, put ears on, follow along and delete, insert, change and so on as he dictates, and that is as good as verbatim.
Since I am on verbatim also, I use whatever s/he says..
Jim for James etc....however, if the doc is clearly off track, he starts calling Mary by the name of Frank for instance (it has happened) then I flag it.
verbatim
The docs at a big teaching hospital I formerly worked for did not put punctuation marks after the word HOWEVER. That's the way they wanted it and we were marked down if we added the comma.
verbatim, really?
Of course verbatim means typing EVERY SINGLE word they say, even when it's a side conversation, a snide comment, etc. One thing I do that may not help them at all but makes me feel that I've at least let them know that I know - I enclose such words in quote marks to set them off from the real words.
Verbatim
As a private IC there was a prominent heart surgeon from Iran whose dictation I "cleaned up" constantly or he would have been the laughing stock of the community. Sometimes you have to "save face" for the client. If I worked for a national and they QA'd me from saving someone from a drastic error, I would immediately "quit." Another ESL went to hospital admin to tell them I was "his friend," I did not change the meaning but there were several instances when I had to make sense of things for him to cover the hospital's reputation. I was taught never to "change the meaning" and to put certain language "in quotes" although as an IC, I would always call the client first and they usually thanked me. When you work for another service, you can't do this, so it makes it very difficult.I guess you have to go with who pays you, but I would never, never type a senseless sentence.Good luck to those who have "bad QA assessments." They should know better.
verbatim
it's stupid and dangerous to type verbatim. Some hospitals stupidly insist on it cuz they believe we can't think for ourselves. They say "We've always done it that way." Well God forbid you should TRY TO IMPROVE. they say "well, you don't KNOW what he meant." My answer to that is "well, YOU may not know, but I do!" They just don't want to be bothered with having to actually think about it. Any decent trx with many years' experience and worth her salt GENERALLY knows what the doc really means but can't spit out, for one reason or another. I'm married to a doc - I know. But he DOES want us to leave blanks if we DON'T KNOW - better that than making something up, which he does see all the time from Spheris trxs. That's what happens when you hire people with one year of experience and don't monitor them closely, of which Spheris is guilty. And leaving a message for them on ESA doesn't work, cuz the doc won't see it till he goes to sign if off, and by that time, he has no earthly idea what he said. Nor does he care!
IF they got verbatim EXACTLY what they said,
they'd probably be in total shock at how ridiculous they actually sound when they dictate. Don't you just want to give them what they give you sometimes?
Verbatim
The problem is with the client profile. It should not ever have the word "verbatim" in it because the word by definition means "word for word" and we all know all of us from time to time and doctors especially speak garbage and have to be cleaned up. If with followed the client profile and transcribed "verbatim," screams would echo across the country. So I am all for removing that word from all the client profiles unless they truly want reports transcribed verbatim, word for word. We could do that, but it would not be much of a record.
verbatim, no BOS sm
Who are they? I would love to throw the BOS out the window, please e-mail me. Sick of all the new rules which don't amount to a hill of beans anyway at most times.
verbatim
I must be getting old. I'm finding it more and more difficult to "follow directions" as I age regarding this subject. I can't believe these younger physicians don't want us to fix the glaring errors. The real trouble is there's no one who will be the intermediary between the transriber and the doc, maybe, like back in the day. Way too many cooks stirring the broth and complicating what used to be a common-sense and less complicated situation, transcribing, that is.
i do verbatim too, but still BOS has
many points of reference that are helpful. I am one that hated the idea of a BOS, but when i finally succumbed, found there was a lot of useful info in it. Its not a bad idea to have a common reference point.
They may want verbatim, but if they are in
an acute care facility BOS overrides what they want. JCAHO can give/withhold accreditation based on the medical records and they say follow BOS. It isn't that is is an issue of style as much as it is a patient safety issue.
Verbatim
The hospital I work for now is a verbatim account, but we were told to spell out everything in DX, Impression, etc. I spelled out a lab abbrev and it looked so weird, but QA/Trainer told me to spell it out. Very contradictory so if it ever comes back as getting "dinged" for it I am going to tell QA who told me and they better not takes points off my audit.
verbatim is hard for me too
It is very hard for me to deliberately type wrong words, phrases, etc. It makes me think someday someone is going to read that document and say "gads where did they get that transcrptionist!" not knowing we have to type it as dictated.
verbatim accounts
I thought the idea was to correct their poor dictation in most circumstances...I'm wondering why any client would prefer it verbatim, for legal reasons?
you could fix it if you wanted to or is it verbatim? nm
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Well, now if it is a verbatim account and
the dictator said, "during this hospital stay" and the MT transcribed "during this hospitalization" -- that is wrong. It all depends on what the client profile outlines.
Seriously, do you *really* type verbatim? sm
I don't. I'm supposed to, but I've told my super that nothing with my initials on it will ever read like "Patient hand swollen." Yep, I take some liberties. I clean things up, I've added in words, taken some out, rearranged words. I think count-wise it comes out even because I'm not padding and I remove words probably about as often as I add them.
If you are on a verbatim account, are you really typing "Obese patient older than says age, no toxic"?
Only typed verbatim twice
once for a Russian infectious disease MD. After one week of strict verbatim reports, evidently she got a talking to by the senior partner and her style became acceptable.
The hospital is one of the larget and most respected hospitals in the US. All residents much pass a week-long course dedicated strictly to how to chart, how to document, how to dictate. Each resident must personally sign his/her own name daily on a log in sheet and anyone who misses a day does not get to start with the rest of peers. One day is devoted SOLEY to HOW TO DICTATE and accepting full legal responsibility for the dictation. They have to sign an agreement that the hospital will not provide legal support if their documentation falls short of their standards and the resident has to provide his/her own funding against any lawsuit. If they dictate a reversal of pulse rate/respiratory rate, I could switch them, but I had to send it to QA who attached a note to the dictator covering the MTSO from any repercution.
Best dictators I EVER had!
If these dictators actually got verbatim
reports, they would probably have a stroke and need immediate medical attention. It is scary to think that these people dictating take care of us and our families. I certainly hope they are better at treating than they are at dictating. 
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