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Serving Over 20,000 US Medical Transcriptionists

where did you get the idea we were involved in patient care?

Posted By: fg on 2005-07-17
In Reply to: And all this time I thought the bottom line was patient care. nm - silly me!

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.


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    We are not involved in "patient care". The dictator is responsible for that.
    x
    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.
    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.
    just like quality care for the patient is going out the window-nm
    nm
    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
    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


     


     


    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.
    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.
    I am involved, but that
    has never kept me from seeing all sides of any issue.  Getting a CMT may not be for you, but it is worthwhile if you feel you want to do it.  I think that the nastys you see here are only an opinion and that people should research the issue .. whatever it might be .. and make an informed decision.  Having a CMT has worked for me and I know as many MTs who are very proficient at what they do who do not have one for whatever reason they chose not to test.  I do not get in their faces about it nor do I expect them to get in mine.  Some days I think we forget to respect each other as professionals.
    If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
    Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
    Try 12 cpl and no sweating involved. LOL
    I'm happy.

    I'm not allowing myself to be taken advantage of at all.

    What a sucka** attitude you have.
    I don't think much talking is involved, if ya know what I mean.
      Skank-o-rama
    hi, i'm not involved in this argument, not trying to be mean
    in?  Congrats on getting a degree, I think thats wonderful!  A lot of hard work.
    There is no equipment involved.
    I use my own computer. I don't use any of their stuff.
    I wish I could, but it would implicate others who don't want to be involved
    nm
    Ok, she was a parent when she got involved w/ a

    asdf


    There are several factors involved
    I believe the average line rate is anywhere from 100 to 200 lines an hour. The software platform you are using, what type of report you are typing, whether you have templates you can use, whether you have an expander, all factor into this. If you type letters only and have no expanders, for example, expect the lower range. Those with many standard templates and heavy use of Expanders can expect to type much more than that.

    The other poster is correct in that a lot of the national companies expect 150 lines an hour.
    Get him involved in either a hobby, or doing

    volunteer work.  Let him do for those less fortunate and maybe his life will seem pretty good.  If he feels needed that may change his whole attitude and everything else with just fall into place.  


    He might also need some adjustments in his meds.  It s/l there is some depression involved, but it could just be situational and the counseling will help with that.   Meds could possibly diminish his libido and it would be worth talking to his doctor to see if that could be the case in his situation. 


    Maybe you could make him a list of little things to do to help out, or plan the meals and have recipes on index cards so that he can actually prepare the meal.  If he is home all day he needs to at least be doing the daily chores. 


    Because of all the variables involved, sm

    I think it's ridiculous that your team leader would post such a thing.  Every MT's situation is different--different accounts, shifts, work types, hours, etc.--and a team leader should know that.  As far as working for a national goes, I feel less "communication" is better.  Why stir things up?  These companies ought to just let us transcribe and keep their silly emails to themselves.  Don't they know the old saying, "Familiarity breeds contempt?"  Maybe your team leader needs more real work to do.  Don't let it bother you.  Just do your part and forget about it. 


    One time I told a national bigwig (because my opinion was requested) that if I were asked to draw a cartoon which described this company's relationship with its MTs, I would draw the MT in a cage, sitting at her computer, with a (particular) "suit" poking the MT with a big stick, saying "They produce more when they're angry." 


    Fortunately now I am a happy IC with a very nice company that treats its MTs with respect.  Ya have to kiss a lot of toads in this life, ya know? 


     


     


    Just what would be involved in copywriting our
    p
    LOL There is alcohol involved in that
    message. Lucky girl.
    There is a lot of training involved.
    I'm not sure a 16-year-old would want to go through that much training. I know I wouldn't have. Are you a transcriptionist? I could be way off base here, so please don't be offended if I am, but I'm wondering if you believe some of the hype that a person can just sit down and do medical transcription. If you've been misled that way, I apologize, as it is much more difficult than that. It's a very common misconception that it's an easy job.
    There are so many variables involved that you

    really can't compare things.  A lot of the people making that money have their own accounts or are working many hours.   You don't know if the person making 60,000 is an IC and has to pay their own taxes.  IC positions generally pay better than an employee position.  One acccount may not pay for spaces or headers.  You might actually be doing the same amount of lines, but they aren't being counted. 


    At one time it wasn't that difficult for someone to make that amount of money if all the variables were favorable.  These days it is harder because line rates are overall lower and companies are always reconfiguring how to count lines in their favor.


    If you are pleased with the amount of $$ you are making that is all that really matters and I would not feel that you are inadequate. 


    the wifey involved is always, always

    and I mean it.  Every time I've had contact with an office and the wife works there, things are not as they should be.  They like to hole the money up as if they'll miss a shopping spree they could take on that cash or something!  It's sooo true!


    These physicians are loaded, and the wives don't take kindly to the money flying out of the window or at least that is their perception. 


    I'd leave that sucker like he was yesterday's trash....  He deserves nothing and didn't even deserve the cut in rate..  what a jerk!


    Yes,, I know that there is no 'plastic' involved!
    Geez!

    Are you a naive blonde?

    I meant 'plastic' is short for 'plastic surgery'.

    BTW in this 'face lift' the sutures with the 'hooks' are left in place.

    It is very seldom that the surgery or lift or whatever the expected results are achieved.
    Either no results are seen at all or it is so obvious that one can spot the 'plastic' miles away.

    I would NEVER do it.

    Are you so desperate to improve your looks?


    My job for the past 18 months involved this sm

    Worked in a local office for one doctor and took a laptop with me into the room and documented the encounter while he and the patient talked, etc.  I learned a lot and I LOVED that job.  I had to quit due to babysitting issues at the end of May.  He then bought the Dragon Nat. Speaking and told me he was very impressed with it. I heard this week that he now has an ad in the paper for an MT......LOL.   The DNS slows him down and he hates to type so having an MT in the room with him was faster.  I think there is a chance this type of thing will really start becoming the norm.  Every doctor's office here is already using some type of EMR.  Most of the time it's the nurses that do the typing from what I've seen.  I'd love to go back to that job because I always felt I was working in the future of MT.  I still have a hard time thinking that it  will work in  a hospital setting though.  I can't see a doc there taking the time to sit down and log in and do all that, but then if you think about it they're already having to stop and dictate, so who knows.......


    You think there are no responsibilities involved in driving a bus? sm
    What about all the lives they are responsible for in the bus and on the ground?  Most bus drivers are considered "professional" drivers.  They must study for, pass tests (written and driving), and maintain a CDL license (commercial driver), pass regular physicals.  This also entails no drinking, etc., on time off work as they are subject to random testing.  Very insulting.  That is the pay scale in NYC, everybody there makes more money. 
    Maybe get one of your local TV channels involved?
    :+
    There are lots of factors involved. Do you
    use an expander/macros, are you able to be disciplined and work and not up and down or on-line frequently, do you have good quality sound files, do you have good dictators, how does the company count lines, etc.    Most companies require 1200 lpd for FT, so use that figure as a minimum and do the math. 
    Has anyone ever done steno transcription? What is involved? Is it
    most importantly, are there jobs out there available? Toni
    There are lots of factors involved.

    How easy is the platform, how are lines counted, do you have reference books or do you use Google to do all your research?  Do you have lots of normals/macros, do you use an expander, do you spend too much time on-line or are you up and down frequently? 


    I make $40,000/year working 5 to 6 hour days/5 days a week.  I have an easy platform, lots of macros, an expander, multiple reference books.  I do work for a national, but I am also an employee and get paid by gross line, so my $40,000+/year is better than an IC making $40,000/year. 


    I guess I was blessed.  In my entire 20+ year carrier I've only worked for 3 companies and each one has been better than the previous one.  


    Is $40,000 what you think you s/b be making based on the TV commercials say you can make or is that what you need to be making?   If you don't need that much money to live on then don't worry about it.  You have to look at pros and cons of what you are doing versus working in an office and you might come out even by the time you factor in clothing, food, gas, etc.  (I'm assuming you work at home.) 


    Doubt this board would become involved sm
    Anything negative usually gets deleted. I'm surprised your post stayed on this long. I don't think they would offend the service people who place ads here. We shall see!
    Gotta love the attitude. Wonder if it would be the same if it involved

    Most likely not.


    I see thru that big ole elephant and around it as do the people involved in lawsuits and SEC.

    Very upbeat about MQ being FORCED to comply by law enforcement.


    That is awful. Anyway the police can get involved? These kids need
    ss
    My niece was involved in a similar situation..sm
    This man, my father-in-law, her grandfather recently grabbed her breast and butt and tried to kiss her. We all thought he was a saint and could do no wrong. I find it hard to believe that your stepfather just started this behavior. He may have done things like this before. I told my niece to tell her grandmother. It did not go over well but in the end, she believed her granddaughter. She chose to stay with this jerk, but she also still has a relationship with her granddaughter. The granddaughter does not go over there anymore but grandma goes to see her. We've warned other family members to stay away. Later, it came out that he fondled his stepdaughter when she was 14. We have also found pictures of a neighbor in her bikini on his computer. My niece was 25 when this happened. The incident with the stepdaughter was 25 years ago. That's why you should be very careful about your stepfather. I would just tell your mother and stay away from your stepfather. Don't be afraid of the person with the big mouth. This shouldn't be kept a secret. Tell everyone. My husband's family wants to hide this from everyone because they'll think badly of the grandfather. Too bad for him. I've told everyone who will listen. He at least admitted to it. I think everyone who comes in contact with him should be aware that he's a pervert. I wouldn't even talk to the stepfather. Just stay away from him. Good luck in what ever you choose.
    I was involved in a class action suit
    against PayPal, probably 2 years ago, haven't seen a penny.  I was in a class action suit another time, can't remember who, and I did get some $$, I think about $15.00.   I don't initiate anything, just get e-mails or letters about them. 
    AAMT doesn't get involved in these issues, nor should they. sm
    These are matters of style according to the institution.  I have worked for a lot of hospitals through the years and they were all different.  Why all of a sudden are we turning to AAMT regarding these kind of questions? 
    Never for a minute thought parents were involved....nm

    nm


    Yes, but this situation involved falsifying information. The above did not. NM
    xx
    anytime a doctor's wife is involved in the
    practice, it's always something...susan