ultimately it's the hospital's responsibility but do you want to keep your job?
Posted By: sm on 2006-09-30
In Reply to: What do ICs with own accounts do...sm - tia
If you do, you'll make sure the hospital is happy. Not a lot you can do here unless you want to cut a deal with the hospital where you will have a sub work your account for you when you are off. That may or may not fly at the hospital. Another thing you can ask is that they hire a third person to work the account. Of course, that means you risk losing work if she wants more...
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Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
Maybe so, but ultimately it is the client
x
Don't know who is ultimately correct on this...
as I've had to do it both ways, depending on account request. Right now, I'm having to use 2, account before that used 1, and there was one point where I was having to do it both ways, because I had accounts that wanted it 1 and 2; if that wasn't a trip!!. I know, when I took a Microsoft Office class some years back, that the instructor said to use 1 space now because of proportional font business, etc.
But it is ultimately the company
Not the IC you've contracted to transcribe 500 lines per day. What needs to be in place is another IC to pick up the slack when your contractor is in need of some help. That is not fair to just say that a contractor has no say in whether or not he or she chooses to do the work day in and day out. Cut me a break here. By the way, clueless is hardly what I am. I am very successful and the reason is because I am accountable for my own work. I have my own clients that I service and I do not rely on contractors to do MY WORK. If I did contract work out, I would make sure I could do it if they couldn't. Now if I have employees, then they'd be made to comply or they wouldn't have a job.
If you have as much as you say you need to ultimately lose,
have you considered gastric bypass or Lap-Band?
what may ultimately be the greatest hurdle
Is finding the job that gives you everything you want:
1. Good line rate.
2. Benefits (all types, if you want/need them).
3. Freedom to work the hours you want.
In the final analysis, you might have to relinquish one to get the other two. Sort of like the old days of dealing with clients:
Quality - Turn Around - Price
Pick Two!!!
But ultimately the doc is the boss...so you do it their way if they insist they want it a certain wa
d
Don't give anyone your MACROS... You ultimately will be replaced... sad... (sm)
but that's how docs work, at least some of them.
You can do stretches, but ultimately it may take an oral prednisone burst or
c
I think it's terribly irresponsible of the doctors, but ultimately it's THEM who is responsibl
x
responsibility?
Everyone has made a bad decision at some point in their lives. That doesn't mean that we deserve to be killed because of it. The responsibility lies with the criminals. They are the ones who do the bad things to innocent people. How many girls are kidnapped and raped who aren't out drinking? Many. Why not talk about the parents of the suspected boy? Where does their responsibility lie? We are criticising Natalee's mother, but what about this boy's father? How could you hide information about your son's actions when he has possibly killed someone?
Your mentality is lacking. If you get in a car and drive to work, does that mean you are just asking to be killed in a traffic accident. And if you are, people should just say Oh well, she chose to drive! That's what she gets. ????
Responsibility
Sorry, but I think Beth should be held accountable and responsible for her actions/words. She is out of control, in my opinion, fueled by her raw emotion and e-mails/letter/cards she feels are supporting her actions. She is supported in her ordeal and I support her. However, she has crossed a line now and she needs to step back and reassess. She seems erratic and just grasping at straws now, saying a lot of stuff in interviews that really makes no sense. I do not know how I would react if I was in her situation so I should not criticize her. I just really do feel that her emotions are too raw now for her to be rational. It is like she is declaring, "I came to Aruba. I found the criminals myself, now prosecute them." What if she eventually finds out she was dead wrong, that her beautiful, intelligent, outstanding daughter was alive when she the mother arrived in Aruba but she drove the investigation to go the way she wanted it to go, the way she felt in her heart/soul was the right way. But, what if she is wrong? What if the investigators dropped what they were doing to catch the real criminals to passify Beth and the media? What if Natalee could have been saved? How will her mother feel then if she finds that out?
let the dr take responsibility
Liability insurance? The doctors are supposed to read over our transcribed reports and when they put their signature on the report, they have taken responsibility. Why should we have to pay for liability insurance?
Where is MTs responsibility in this? Is it always
x
How about the responsibility of the INDIVIDUAL
You've totally missed the whole point of the article!
Govt responsibility
Totally agree with you. I dont care if some were not prepared..what I care about is now they are hungry, thirsty, homeless..It is the responsibility of our government and the brothers and sisters of America to help other Americans when they need help. I am from NY and I have been through quite a few hurricanes..nothing like what Florida goes through but I do know hurricanes hit sometimes when you are a day or two from your paycheck and really dont have any money to go shopping or rent out a hotel room. It scares me that so many Americans blame the victim and turn a blind eye and deaf ear to Americans in need.
No, sorry, dear. It's her responsibility to
set and example of standards and intelligence because she's representing the company she's working for. She's a manager, not an owner and she's not paying anyone. She's on the payroll too and has the responsibility to make the company look professional and polished.
You're dead wrong on this one.
Your first responsibility is to YOUR kids. sm
Since it's obvious this other family is troubled, and also that they will not respect the rules of your family and household, you need to talk to YOUR kids.
They need to know they are safe, and that you will be responding, and they need to know HOW you will respond. Predators use some of the crap these kids are pulling, and your kids need to have an identity strong enough to remain KIND but NOT give in to the other kids' behavior.
I'm going to assume (ouch) that your kids are uncomfortable with the situation. Please let it be a teaching opportunity for them. They know the rules; why are the OTHER kids allowed to break your family rules? They want to be kind; can you teach them also to be FIRM?
Good luck. Your kids are your first priority. You may never even KNOW what in the world is going on with the other kids, let alone be able to do anything about it, but your kids will remember this episode for the rest of their lives, probably. Will they also remember how you taught them to understand and overcome?
Yes, I think it is a responsibility and I mad a promise...
to mom to not ever put her in a nursing home as a young 20-something. As an only child, I followed and kept that promise.
I cared for her for 6 years. It should have been more but I didn't realize she was going downhill so fast. I was very stressed out in her later years as she started to develop a lot of problems including memory problems, but when I look back, I would NEVER, EVER, change my mind. She was happy here with us and although she was having a lot of problems, the only thing I wished for was for her to be comfortable and happy. (She was in a nursing home temporarily for 2 months after she broke her hip and was very unhappy. This was sort of a test to see if she would like it, but she didn't.) I did everything necessary to make her comfortable in her last years.
It was hard, but I kept my promise even though every doctor told me to put her in a nursing home. Thank heavens, I worked for a great company that understood and allowed me to take as many breaks/days off as I needed to care for her. I would never have changed a thing even though I got very worn out during the end myself because she was almost totally bedridden. Still, I loved my mother with all my heart and still miss her even though she died 6 years ago.
I only hope my children would do the same for me unless i have Alzheimer disease. If a parent is unhappy at a nursing home, by all means do what is necessary to make their last days happy. After all, they raised us, and we should return that love.
You need to be patient, be a nurse, doctor, etc. for an elderly parent and if there is none, it could be very, very "unhealthy" for the parent and the child, but I feel we need to make sacrifices for our parents happiness in their later years as they sacrificed for us in our early years. After all, they are the only parents we had, andI I have NO regrets, knowing I did the best I could for her.
Sorry to ramble. I'm still grieving. I wanted her to live to be 100 if possible.We were really close all our lives.
and he as mayor of that city had no responsibility at all?
Such convoluted logic. Believe me, he's doing a great job of pointing the finger of blame and ducking responsibility on his own without any help from you.
collective work and responsibility?
thats insane
The doc who signs off on it has ultimate responsibility.
.
You chose IC status. Your responsibility. nm
///
and it is our responsibility to know the account specifics...
nm
This is the responsibility of the MTSO, in my opinion. SM
Go directly to the transcription service or company owner. I have always felt strongly that the person in charge of the particular problem account must address this directly with the physician(s) who are dictating the garbage. For years, I had several local physician practices. Most were excellent dictators, but one in particular was horrible. I put up with it for a few weeks, and then addressed the problems with an outlined specification sheet indicating what information needs to be given in dictation to protect the safety of the patient record, as well as to produce an acceptable medical report. I also indicated that transcriptions requiring repetitive deletions, going back and changing dictation, and constant misspelled words would be charged a higher line rate. This is also the doctor who would give the filled in blanks back to be retyped. These were blanks that were completely inaudible in the original dictation because of excess noise, coughing while saying the words, or laughing with colleagues while trying to dictation. In bold, I also specified PLEASE DICTATE IMPORTANT PATIENT MEDICAL RECORDS IN A QUIET AREA THAT IS FREE OF EXCESS BACKGROUND NOISE TO ENSURE ACCURATE INFORMATION IS BEING RELAYED. If the owner of the transcription company had to type this work, trust me something would be addressed with the dictator. Speak up about this because after all you are the one responsible for producing the report.
Interesting and typical. Accept responsibility for nothing
He's a loser
There's always a reason. The question is is whether people are willing to take responsibility.
and what the heck does "variate" mean?
love and responsibility are sure left out of your assessment.
x
It's your responsibility to give them their documents on disk/CD!
nm
I was responding to the post above asking if it was our responsibility to know the accounts we are w
nm
bushies? Advocating personal responsibility
for one's actions is NOT a political party issue - it is a common sense issue!!! If bashing dishonesty and laziness offends you, then stay off this board. Sounds to me you are the same type of person this lazy slob is.
I would take responsibility for my actions and I would not call citizens of the country
criminals if there is no evidence to hold them and I personally have no evidence to present to the law to hold them. I am not one for the spotlight even without grieving for the loss of my child. I certainly would not get up on world-wide TV and insult the people conducting the search and investigation for my missing child. And I would not be in the frame of mind to get all made up with glitter eye makeup and false eyelashes to tell other countries not to accept "criminals" who the legal system did not have evidence to hold. She is a loon.
These knee jerk bleeding heart liberals could not take responsibility for their
actions if it hit them in the face as it did with Mrs. Twitty. The Arubans are sick and tired of her and frankly so am I. Wash the makeup off your face, take off the false eyelashes and go grieve for your daughter.
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
hospital MT
Call the hospital. You can offer a better deal to them. Most MTSOs charge the hospitals a lot more than what they pay out for the actual work done. I work for a hospital. I asked for a raise after 10 years, they baulked, started looking at outsourcing. They changed their mind really quick when they found out how much they would charge them. (four times what they paid me).
Hey, if you don't want that hospital job can I
have it? Just kidding (only because it's probably not where I live in central Florida). Started working at home for the kids over 10 years ago, but they are all grown now and I realize I don't know anyone because I hardly ever leave the house!!
hospital job
My situation too. Son out of the house now. Still know all the people at the hospital as I worked there for 10+ years and still do side typing for one of the units there that were not taken over when they outsourced! So seriously considering it....Sorry, its in PA!
I think they did that to us at the hospital
but no O/T. But you could get on there and do BONUS MINUTES at 6/cents a line all you wanted.
I always felt like that should have been illegal. If I'm working, then I'm working. If I'm an hourly employee - then anytime I'm working!!!!! I should be an employee and thus paid HOURLY WAGES. But they got away with it. Sort of a hybrid deal.
They screw us any way they can.
 (good little screws all in a row)
 (Medical Records Supervisor yucking it up drinking coffee, practicing snapping her whip)
 (Me at the end of the day saying WHY AM I HERE?????)
Hospital pay
I make about $15 per hour at my hospital job in Washington state and have recently quit that to work out of my home. However, I have not yet found any home job that even comes close to that when being paid based on lines.
hospital pay
i make 21/h. living in the hawaiians islands, thats actually pretty good
hospital pay
my main job is at the hospital and i would never leave it especially with all the benefits and good pay. ic has its benefits when it comes to tax time, but as far as job security and being a single mom, i choose to stay at a guaranteed $20/h. too many people are unhappy with the problems of security in this line of work and i dont want that to happen to me.
Hospital pay
Out here in Oregon, all hospitals pay from 14 to 19 plus benefits. Am considering going with Kaiser after the first of the year and having my I/C's run my business. Have one doctor retiring after the first and deciding whether to do all my own accounts and make $40K doing 30 hours per week without benefitis enjoying life and not saving much or going with Kaiser at 18.50 per hour with benefits and having the I/C's doing 80% of my work and I will type parttime on the weekends. Have only 10 more years to work. Have been offered work at Kaiser, Providence and Good Samaritan Hospitals so the work is out there.
Hospital pay
At least with the hospitals out here in the west, they always have posted salary ranges and you can usually always exept with decent experience to start in the middle somewhere and reach the top in 5 years. Worked in HR in a large hospital for a bit. They always post the salary ranges here with positions and with that you go in with a bit of knowledge. I never did see one start at the top though. Good luck.
Hospital job
Let us know how things go. I would fear that they see MT as just "typing" and would give you so many secretary duties that the MT part would be pushed to the back burner.
TAKE THE HOSPITAL JOB - sm
national services lose accounts all the time whether it is nonrenewal of contract or fired, or whatever, your pay is never the same from week to week with a service, you may have extra transcriptionists on your account all of a sudden, work load varies, etc.
With the hospital work, you know your doctors, you have guaranteed hours and work and even down time (some services don't offer that), overtime, benefits, etc. Some hospitals even offer reimbursement on college courses - CAN AN MTSO SERVICE OFFER THAT?? Some hospitals have family leave time for 12 weeks of maternity!! Can an MTSO service offer that?
Take the hospital job!
Take the hospital job...
Those are only real "for sure" MT jobs out there anymore. I worked for years for a service but since I took my at-home hospital job, I feel like somebody for the first time in the eyes of my employer. We are all local, so we have staff meetings and come into the department for different things, yearly reviews, parties, etc. We're all in touch via e-mail and know each other face-to-face too. I get paid by the house, have a set schedule, and can earn incentive pay too. I have paid holidays, benefits, and am a hospital employee except work at home. I love it, would never EVER go back to clawing for lines at a service who barely knows my name.
Hospital Job
One thing you have to be careful of -- are there witches in that hospital who will send you the "worst" work or not send it at all and keep it for themselves? Be sure - I know one hospital who "punishes" the work at homes because they're afraid their dept. will be outsourced completely. Be careful who you deal with. Don't like MTSO's so I started my own, but family sickness and my own illness forced me to retire (temporarily, I hope). When offered work at home from a hospital, I had to say no and glad I did, another person said yes and just sits there waiting, and waiting, while the in-house people make the bucks and if they do send, it's all stuff they don't want to do. Be careful and good luck!!
HOSPITAL JOB ALL THE WAY!!! the Way (sm)
That's good pay and bennies to boot!!! I would die for that.
I worked for a hospital as an IC for many years at home. That's the only way the hospital bigwigs would allow it, not employee status. Never ran out of work except in the first few weeks in a new year. Never had "just the junk" as some suggested. I did the same work as everyone else. I tried to get my employee status back (which I was once) but no luck. I was at home. Some rule about that, but I was happy.
I'd go back to my hospital in a flash. My buddies want me back. The boss wants me back. For some reason, they still won't give me employee status. That sucks. ('scuse my French).
Don't even THINK about what to do, DO IT. You'll never be sorry.
Hospital
I work full-time from home for a local hospital and am paid per hour. I also work an IC on a part-time basis. I would say if you need the benefits and steady paycheck and can handle working possibly rotating weekends and holidays, yes. The only good thing with working with some nationals is having the flexibility with your schedule but you will NOT make a steady income. You will constantly run of out work, loose money and find yourself clocking in and out all day long just to make 8 hours. With a hospital, you know that the work will be there everyday and if you have downtime, you will still get paid. Also, having that security in knowing that you can speak to management face to face or over the phone. Go for the hospital, because I know a lot of MTs wished they could have that opportunity. Go luck to you!!!
hospital
security, benefits,local, communication, "real people" versus "phone people"
take less money and have these advantages, the days of making a lot by working on production are over
Good Luck!
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