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ACUTE Care versus other.

Posted By: Not sure! on 2006-01-02
In Reply to:

What defines someone to be an acute care MT as to a multi-specialty MT.  What is the difference?  Sorry if this is a dumb question..


Thanks!


 




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clinic versus acute
acute care consists of patient care in the hospital from the time they are admitted until they are discharged (emergency room, history/physical, consultations, progress notes, lab/imaging data, transfers, and discharges are the most common). clinic notes are office visits (sometimes include consultations and maybe lab/imaging data). these are usually shorter dictations than the acute care.
Is this acute care?
My first MT job was as a secretary/transcriptionist at a doctor's office. I don't know how many lines I typed back in those days, but I remember training on acute care at the next job. I probably typed 400 lines my first day, but my mentor pushed me to keep making progress. If you are doing acute care, maybe they can start you on one particular work type to help you get your rhythm going, but they will be doing you a big favor if they agree to it. The other MTs will probably complain if they notice it. Maybe there is a particular work type nobody likes, like sleep studies, EEGs, EKGs, etc. At least it would give you a break from all the drug names, and the shorter reports don't seem so daunting to some newbies.
Acute care
  Sorry this question is so basic, but in classifides, what exactly does Acute Care experience mean?
Acute care is also known as the Big 4, which is
H&Ps
Consults,
OP notes,
Discharge summaries.

Sometimes ads will say acute care without OP notes, other times it will say heavy OP notes, other times just a mix. Acute care is extremely varied, covering dozens of specialties and hundreds of different dictators. Clinic work is usually easier just because there is more repetition of dictators and usually fewer specialties to learn. Besides these types there is radiology, pathology, and now and then you may see ER notes.



Acute Care?
I read a lot about "acute care". What exactly is this and why is so desired as a job?

Since I am still researching this career I'd like to know some of the basic job possibilities.

What is meant by the "Basic 4"?

Thanks to all!
Acute Care

I am a new Transcriptionist and have been looking for a company that will hire me right out of school.  I see alot of postings for ACUTE CARE.  What exactly is acute care, and why are there so many postings for it?


Thanks!


Acute care...

All right...I'm gonna do it, ask a very dumb question.  What kind of transcribing is "acute care"?  Is that by any chance transcribing for an emergency room at a hospital?  I see it all the time and have never really known what it applies to.


Acute care
Acute care is the basic 4; History and Physicals, Consultations, Discharge Summaries, Operative Reports, and usually Emergency Room reports thrown in the mix. Acute care is hospital work as opposed to clinic work where you type only office visits. Much more knowledge and experience needed to do Acute care.
is it acute care or one specialty sm
progress notes? Progress notes are progress notes.
Not acute care but psychiatry
It is not acute care but psychiatry filse
Acute care understanding
What exactly is Acute Care??
Acute care is usually gonna be
your basic 4 worktypes. H&P's, Operative Reports, Consultations, and Discharge Summaries. Normally what you would transcribe in a hospital setting or working for a national that does transcription for a hospital.
What does acute care involve?
I have only typed clinic notes for an orthopedic surgeon. I have noticed that there are a lot of jobs for acute care and was just wondering.
What does acute care involve?
Basically, specialities you would encounter in a hospital setting, including surgical, procedures (i.e., cardiac catheterization, GI, GU, EEG, etc.), endocrine, neurology, hematology/oncology, internal medicine, etc. To name a few report types, discharge summaries, clinic notes, history & physical examinations, psychiatry, etc.
I started at 6.5 cpl for acute care.
I had 3 offers (2 of them before I even received my final exam scores):  One for 6 cpl no spaces, one for 5.5 cpl for straight transcription and 2.5 cpl for VR editing, and 6.5 cpl for acute care.  I took the 6.5 cpl since it was the highest cpl, but found that the account was awful.  It was mostly ESLs (probably more than 90%).  I could work a whole 8-hour shift without a single EFL (English as a first language) and most of the docs were new residents that had no idea how to dictate a report.  It was awful.  I had times where I could get 200-220 lph so I knew I could do the lines with decent doctors, but most days all I had were ESL residents and my average was more like 120 lph, so I didn't even make minimum wage.  I worked there for 6 months just to get the acute care experience and then began hunting for a better job.  I now work for a clinic that pays me 13.5 cpl and also for an MTSO that pays 7 cpl, but it took me several months of testing and turning down offers as I was not going to work for less than 7 cpl and did not want to work weekends. 
6.5 cpl for acute care and then to 7.5 within 6 months - NM
xx
What is considered acute care?
I know it is definately a newbie question, but what exactly is considered acute care versus clinical?  Can you give me some examples?  Thanks!!!
Has anyone used the AIM program for learning acute care? Can
s
Acute care would be a history and physical or
A clinical report would be what a physician dictates from his office when he sees patients.  Sometimes, it gets sketchy with outpatient surgery clinics.  Acute care is usually work dictated from a hospital setting and clinical work is dictated from a physician's office, which could be a cardiologist, urologist, etc. 
Acute care is also called basic 4, which is

H&Ps, discharges, Ops, and consults.  Clinic can vary from a doctor's office to an in-hospital clinic.  The in-hospital clinic might be a little more technical than an office and the format may/may not be similar. 


In my experience clinical is not a lot of medical terminology and the drugs tend to be the same ones over and over again.  I liked doing clinic work in that I knew what sickness was going around and what the recommended course of treatment was.  With clinical dictation you also tend to have the same doctors every time so you get to know them and can make lots of normals, which will have you producing more lines.  It can get boring though to have the same person over and over. 


The line rate is usually higher for acute care too. 


 


what is the difference between clinic and acute care reports?

----


Would the open positions be for acute care or clinic? FT or PT? Thx! nm
s
I did 10 years ago and have worked at home doing acute care ever since! sm
They prepare you for the real world of working from home.  It is worth every penny! 
try to stick to ACUTE care. You don't want to find yourself 'stuck' in one area.

What program is not teaching the difference between acute care and clinic work?
I have seen quite a few questions about this lately and was just wondering.
Acute care is considered hospital transcription - discharges, history/physicals, consults, and op
s
MT versus nursing
Pamela, this board may seem negative, but overall MT is not a negative profession. With the money you can make, and the ability to be at home with your kids, it is definitely worthwhile as a "transitional" job. You may find yourself 20 years down the road still doing it, as it works well with a family. Be patient, find the right company. It can be done. I see a lot of positives along with the negatives on this board; if a company is good, then the employees will let you know, if a company is bad, listen to the people telling you not to go there. When it's 10:1 against a company, something HAS to be wrong . . . Good luck
IC versus employee has nothing to do with either
IC is just a tax status.

There are plenty of MTs who get paid hourly.

It won't make any difference if you are an IC or an employee...you can get paid whatever method you are successful at negotiating with your client or employer.

Vista versus XP

I recently started working for another company and the computer tech is EXTREMELY knowledgeable when it comes to platforms and such.  I was informed that Vista is basically another version of Windows ME which, most people know, was a HORRID version of Windows and Microsoft is planning on coming out with yet another operating system early next year. 


I have also done internet research and there are posts regarding the fact that you can partition your hard drive to where you can have both XP and Vista running on the computer, however, in my opinion, that is best handled by an expert and not something that anyone should attempt on their own without extensive computer knowledge. 


Right now, I would say your best bet would be to try to find a computer with XP on it as far as a laptop, or if you can hold out, stick with the dinosaur for a bit longer.  Also, it may help to get registry fix programs etc, many of which are free and extremely good programs and might help to optimize the older computer in terms of speed, etc.


 


 


To AJ - editing versus transcription
Hi AJ - Have they requested that you switch to VR editing yet?  Do you know anything more about how they are handling transcription versus editing? Thanks!!!!
Teens versus adults
All of this thread reminds me very much of the conversations that happened between my teenagers and my husband and I.

They insisted they were adults, they had the maturity, they knew what they were getting into, they were right, etc. My husband and I knew better; we were adults who had already been teenagers and been there, done that.

Were we hateful and rude by not giving them full rein and encouraging them to act like adults when they weren't? NO!

We did the responsible thing: We told them as fairly and truthfully as possible that while it might seem they know what they are talking about, their insistence about it showed their immaturity. It would not be fair of us, as parents, to not be up front with them, etc.

And so the story goes here. We have young ones in this profession and those who have matured in it. We simply know because we have worked for years in this industry, seeing the ups and downs of it, worked inhouse and worked at home, and already raised our children. We already know what you're facing and what you WILL face.

Lisa, however, is that teen and so are you, Dreamer, who is insistent that she knows everything already. She makes demands and thinks her way is the only way. Not so. Not so at all.


Per Line versus Per Report
In a 7-hour day I can type 2000 lines or 200 reports. Most companies expect 1200 lines during a full-time shift, so that probably would equate to 120 reports if you are going by the 1200 lpd standard. Another way to look at it...the average "decent" (not exceptional) MT should be able to type 20 minutes of diction in 60 minutes. I don't proof after typing, I proof while I am typing. Hope this helps.
contracting versus employee
Can anyone tell me the pros and cons of contracting versus employee?  I have plenty of time throughout the day, but my husband works from 2:00 p.m. to 11:00 p.m.  This is a large chunk in the middle of shifts.  Is contracting setting the amount you will do for the day?  Like I would be able to work 6 hours but at split times throughout the day?  Any help on this would be appreciated.
Template versus document
The poster above is right, but there are definite advantages to using a template.  The biggest one is that you don't run the risk of saving over your basic document when you've made changes/additions to it in creating a new document.  You have to remember to change the name of the file when you save it or it overwrites your prior document.  With a template, this isn't an issue.  If you want to save out a basic document as a template, just remember when you save it to change the file type ("save as type")  with the drop-down menu to "Document template (*.dot)."  You'll be able to pull it back up when you create a new file by chosing the "on my computer" option under "Templates" in the task pane.  Hope this helps!
MT versus working at Wal-Mart

I have been an MT for 16 years.  Twice I've taken time off (over a year at a time), because of being burned out. 


Working as an MT at home is much better than working at Wal-Mart, or any other retail-type job.  I have much more flexibility in the hours I work.  I can be at home with my children, so that I can take care of their needs.  I've never had to have babysitters for my kids.  Now that they're all in school, it is easier, and I can still schedule my work time around their hours.  How in the world would working at Wal-Mart be better than that??  And even though the amount of pay I've been offered recently is less than my best job 5 years ago, I am still making 3 times as much as a Wal-Mart employee! 


I never went to school for training.  I am just an excellent speller with good typing and grammar skills, and I learn quickly.  I worked at my college health center for one year because of the above skills.  I didn't work after that for a time.  Three years later, I started sending out resumes to a bunch of local MTSOs and, after several months, one asked me to come test.  My persistence paid off.  I did very well on the testing and was hired.  I struggled those first couple of years.  Because I worked hard to learn new specialties, the MTSO was always asking me to take on a new one.  I probably worked a lot of hours for low pay as I learned each new specialty (I guess you COULD say I paid for my training! Lol!), and I shed a LOT of tears as I worked in the wee hours of the morning (because I didn't work until after my kids were in bed).  However, I am grateful to her for that experience.  I did eventually move on into acute care and did fine because of the opportunities she gave me. 


I still think MT is a good opportunity for people who just want to be able to be home with their kids and/or have a flexible schedule that allows them to run a forgotten lunch to school, go to a child's afterschool game, etc.  How many workplace jobs offer that??  It's still worth it to me!


NOW versus KNOW - Learn the difference as you will need to KNOW it at some point.
Trust me, you don't scare us.  As experienced professionals, we know what happens to MTs with delusions of grandeur; they are in for a very rude awakening, to say the very least.
local hospital versus national
Hi,
I was with a national company and, like you, only did about 1200 lines per day at 7.5 cpl with 18 months in. I felt like I was never going to make the big bucks!

In May, I resigned from the national co. and went to work locally. After a short 1-month in-house training, I am working from home again. This hospital has some great normals to use and yesterday, I did 2200 lines!!!!!

Finding a good fit is the hardest part. Thankfully, I think I have found mine!!!!! Just keep in mind that there are other options out there. GOOD LUCK!!!!
Shorthand versus Instant text
Looking for a great word Expander to work with. I am clueless at this point as to what is out there and how they even work. I have had ShortHand and Instant Text suggested to me, but not sure which one will be better.

Thanks for your help.
Hearing actual dictation files versus professionally read ones was a major plus
s
acute process
nm
I could care less what school you went to...
but as a medical transcription service owner, I am astonished at the amount of new MT's that want the same pay as experienced MT's. Why would I hire someone who has absolutely no experience with working at home, researching words, working with a software program -- all things I have to teach them -- when I can just hire someone who has been doing it for years for 6-7 cents per line. Yea, I know, I know, y'all are going to tell me stories about how you got a job that paid 8 cpl when you were fresh out of school...all I know is I see all the time people on this board crying that they can't find a job anywhere they look. All I know is I worked for peanuts so I could get the experience, then the jobs were whereever and whatever I wanted.
Is this post for real? Take care of your
or napping.
Sounds like my DH, doesn't care that he - sm
is leaving behind a wife and 2 kids(me and our children)---and I presume you have at least 1 child from your name. I hope you had life insurance already in place since no one will undoubtly touch him now. ---Good luck in your new job.
I'm not sure employers care, I would make sure

to pick a training program on the AHDI list ...


http://www.ahdionline.org/scriptcontent/mtapproved.cfm


my work/child care issue
I was having the same issue. I was having my 3-year-old daughter go to my sister's to save money and one morning, she refused to get out of the van. What I did was change my hours from 4-8 AM and 2-6 PM. These hours work perfect for me. She gets up around 7 and I will take 10 minutes to get her breakfast. She knows that when I am done working, I will get her dressed, etc. My line count DOUBLED when I changed to this. She is getting so much more attention from me, my house isn't trashed and if I go to bed at 9, i get 7 hours of sleep. Getting up that early stinks, but it is working absolutely perfect in every other aspect. My son and husband get home around 3 and 3:30, so she only has to occupy herself or watch cartoons for about 1-2 hours.

I'm sure you will find something that will work for you and your family.
Allied doesn't care if you learn anything OR if you get a job. They just want their $$. nm
x
Newly graduated MT - is it possible to find part-time acute work?

I was wondering if anyone has had any success finding part-time, IC, acute work as a new MT?


Care to reread your post. How does crow taste?
 
Apply for child care assistance and put the kids in daycare.
You can't juggle all that. Either that or have the father watch his own kids for a while so you can work.
No it is a typo, to versus do, is a typo.