Basic 4
Posted By: New on 2006-09-10
In Reply to:
What does the basic 4 consist of?
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basic 4 is
OPS, Discharge, H&P, and Consults (hospital notes)
Basic 4
Just wanted to be sure what the basic 4 is referring to. I think it means like ER, h&p, radiology or something like that? Thanks. 
Basic 4
History and Physicals
Operative Reports
Discharge Summary
Clinic Notes
are the basic 4
Are these the basic problems with MQ?
Is it that the grumbles with Medquist from MTs that they put in voice recognition software? That technology sucks everywhere. Everyone who does voice recognition has to clean those suckers up, it's awful and very time consuming. Is that along with the fact that supervisors are not as attentive (or in some cases too attentive) the main problems?
I am looking to hire on with a company for the long haul and possibly retire with (or at least reach social security). I don't need a mansion on a hill or a brand new double wide in a park. I just need a basic, dependable MT job that I can count on for being able to earn a regular paycheck.
In some threads, I get the impression there are too many chiefs and not enough indians. In other threads, I get the understanding that there are too many indians altogether, therefore not enough work to go around. Across the board I get the understanding that the "higher ups," for lack of better words, don't communicate well between themselves or with the MTs. Could someone at least tell me if that much is correct?
Thanks.
Basic 4 = HP, Consults, DS, and OPs.
Acute care may contain ER notes if you are lucky, but will usually contain the basic 4 plus more procedure notes like cardiac studies, and a wider mix with wound care clinic notes, possibly rad-onc clinic notes, just depends on the hospital's specialty. Or the terms can be used fairly interchangeably.
The main focus of hospital work is the basic 4, but on some accounts they will say with OP notes and others without OP notes, because (I believe) some MTs will sign up to just do OP notes because they are their favorite. With a smaller hospital you are more likely to have a mix with little departmental procedures, IME, and larger hospitals tend to just have a service do the basic 4, again, IME.
learn the basic tricks. sm
learn how to set up templates with field codes (F11 to jump). Learn how to set up your expander. If you don't have a clue look into the ABCZ system. Use Google to search for information on this. If you are stuck using autocorrect instead of a better Expander learn how to enter words quickly w/o a mouse (alt t a to open it. then tab then enter). These will save you a LOT of time entering or editing your entries.
Very basic question about x-rays
Can someone clarify this for me.
When the doc states, "X-ray, AP and lateral" - Does it mean that the x-ray was taken front to back (AP) and in the lateral plane?
For a while I was thinking that AP was one film and lateral was another, but I wonder, because the docs keep saying "shows" (indicating by their grammar that it is one film) instead of "show". I feel kind of dumb not knowing this. I looked in my reference that describes all of the different ways to take an x-ray but still can't clarify it.
Thanks
It's hospital work. The basic four.
because the larger companies can handle the larger hospital accounts. Acute care just means hospital work as opposed to clinic, which would be physician offices, i.e., family practice, cardiology, nephrology, 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.
Don't worry - you'll learn all that basic stuff
in school. They used to teach it in secretarial classes, of course, but if you know you want to be an MT, go to one of the top schools (M-Tec and Andrews), and you will be ready when it's time to test.
I've mentored AHP newbies, too, and they lack SO much basic
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Basic 4 hospital work - history and physical, discharge summaries, operative notes, and consults. nm
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