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Cardiology and sleep study transcription questions

Posted By: Angie on 2007-09-29
In Reply to:

I am looking for other Transcriptionist that have cardiology and sleep study backgrounds. I am a newer MT, I am starting a cardiology and sleep study transcription account next week and have never transcribed for this specialty.


I wanted to know if there are specific word books or websites that you find helpful and are there specific things that you could tell me about the specialty that may help me?


 


I would appreciate any feedback


Thanks,


Angie




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Sleep study transcription...

I have been approached by a sleep study doc to do the transcription for them.  I have not done these before and I'm not sure what to charge.  Does anyone have any advice for what to charge them or any sample reports?


 


Thanks so much


Sleep Study
Get this: I had an appointment with the doctor this coming Wednesday to discuss a sleep study. Last Wednesday 2/1/06, his office calls me wanting to know if I was coming in because I was late for my appointment, and I reminded her that it was not that Wednesday but this coming Wednesday and she remembers and admits she got it wrong. This morning same girl calls to remind me of my Tuesday appointment!!!! Went through the same thing again and then she says, "Oh, yes. It is Wednesday. Can you come in Thursday? He's going to get called to the emergency department!!!" Uhhhhh did I miss something or is she clairvoyant on emergencies? This is why I do not go to the doctor unless it is absolutely necessary. I guess he has a golf game lined up.
Get a Sleep Study
It could be sleep apnea or narcolepsy. Yes, you can be healthy as a horse and still have sleep apnea or narcolepsy!
Here is a sleep study website
http://www.sleepnet.com/definition.html
I ran into this system when I had a sleep study
Last winter outside of Orlando Florida. I waited to be set up for the initial sleep consultation, and the technician who takes vitals went into the template and asked me questions and filled it in. I told her what I did for a living. She smiled and said so does she, now... except it took under 3 minutes to do my whole history and physical etc. with better accuracy because she had drop down menus for just about every possible suggestion I had etc. She gets paid hourly as a tech and did not get a raise when this system came in. But she does it for the job security. I asked the doc and he said it is not only cost effective, but safer not to send work outside of the office or even out of the exam room because of HIPPA reasons. I can understand this. Knowing all of this, for some reason, I did not feel in the least intimidated or put out. I say the serenity prayer. If and when these systems are the norm rather than an oddity, another door will open for we transcriptionists which is better than what we have now. We have to believe as things evolve better for the medical record-keeping, indeed so will the jobs evolve better for us, even into a new career. To not believe that would be fatalistic. Somewhere in fate, IMHO we have to be willing to accept the times moving with or without us, and what our part will be in a positive way, rather than think it will be a negative thing.
I would agree with getting a sleep apnea study,
but have you also tried cutting out the caffeine to get rid of the headaches? I have migraines that are related to caffeine withdraw. So, whenever I have caffeine, my body will crave more of the drug and have withdraw, thus a migraine. I used to have horrible migraines daily and then I met this wonderful neurologist who had me cut most of the caffeine out of my diet and it has worked wonderfully! Also, when I do get a bad migraine, I simply take Tylenol or aspirin with a Coke and it always makes the migraine go away. If you look at the ingredients in OTC migraine medications, they all have caffeine in them too, which for me helped confirm that my migraines were caffine-withdraw induced and not actually caused by the caffeine. Anyway, I only have about 2-3 migraines a year now, which is a HUGE improvement!
Typing for a sleep study laboratory...sm
I make $5.00 a page, $5.50 a page for letters and $6.00 a page for stat dictations.  BTW, this is whether there are two lines on the page or a full page.
Sleep disorder transcription
Does anyone know of any companies that do strictly sleep disorder transcription, that are looking for IC's?

Thanks,
Angie
More at-home transcription questions

Hi everybody. . . I have some more questions about at-home transcription.  Can anybody tell me the definitions to some terms or a glossary where I can find them. What is an IC? What is acute care? What are Basic 4 or Big 4 Reports? Also, when a company advertising for an employee says they will provide the software, does this generally mean just the transcription software? Does this tend to include text Expander and spellchecker as well? Thanks!


Questions about EMRs and transcription integration
Hi everyone! I am trying to understand EMR and where transcriptionists fit in, if at all. I see a lot of TASPs that claim they can be integrated with EMR systems. I have no idea what this means. I've even called them and they can't explain it to me. My impression is that EMRs work like big databases with fields that you fill in with information, but I've never actually seen one so I'm not sure. Do any transcriptionists work on an EMR-type systems or know anything about them?

Thanks for the info.
Transcription Gear user questions - sm

I just started using Transcription Gear/FTP and have some questions.


Do you keep TG open all the time? Do you keep Gear Export open all the time?


How do you send your work to the doctor? Right now I create my document in Word XP, save it, exit, and then go through several steps to paste the document to the medical records FTP site.  Seems like too many steps.


Any help with this and/or with TG in general would be most welcome.


Thank you.


 


Gearplayer, Cyberplayer, ExpressScribe,Transcription Buddy, Stop/Start questions

When you work for yourself which voice player do you prefer?  I have tried all of the above players and all of them seem to distort the voice when you slow it down.  Why can't these players slow down files like the platforms MTSOs use? 


If I work when the kids sleep, when will I sleep?

I understand what you are saying about the kids will always bug me no matter what.  I just thought that if I had a job where I didn't have to hear dictation and type word for word that maybe it might be easier to block out the kids.  There are no babysitters to watch the kids around here, besides that is why I work at in home in the first place.  The kids are 2 and 5 so hopefully it will get easier.


Thanks


Meditech questions and Cerner questions. Any input is appreciated. SM

I just recently went back to work in the office at a local hospital. We type in both Meditech and Cerner, depending on what you are typing, i.e. Medical Records reports versus Radiology.  We are currently typing blindly in Meditech, meaning we do not have access to our line counts and must depend on management to give us our totals.  In Cerner, we are able to run a line count report and print out a hard copy of our line counts at the end of the day.

We are finding that 800 lines in Cerner equals about 500 lines in Meditech.  We are not paid per line nor do we have an incentive plan, but we have a new HIM Director who would like to institute an incentive plan and the administrator over our department has laid down the law and decreed that all transcriptionists not making minimum in the department will be written up.  Problem is according to Meditech line totals that we have been given, that would be about half the department.

The transcription supervisor has taken our concerns to the new director who told the MT Supervisor to hold off on writing people and has taken home all the line counts from the last month and she is going over them with a fine tooth comb this weekend.

I am not a very trusting soul by nature, so I am doing a little research on my own.  I've been in this business for about 15 years.  I started out in a hospital and have worked for a few services at home and am now back in the hospital setting.  So I know a few things about line count and I consider myself to be pretty well informed on trends and technology in the industry.   I would like to walk into our next department meeting armed with as much knowledge as possible.  So I have come up with some questions that I would like some fellow MTs to answer, give opinions, and maybe even direct me to websites or individuals who could give me a better understanding of Meditech and Cerner.  Here are my questions:

 


  1. Is it possible for an MT to have access to her line count in Meditech or is strictly a management function?  Any MTs that work in Meditech on this board, do you currently have access to your line counts and if so, how do you check them?  Is it an option on the main menu after you log into Meditech?

  2. How is a line defined in Meditech?  (i.e. 65 cpl, with spaces, without spaces)

  3. How is a line defined in Cerner?

  4. What abbreviation Expanders work with both Meditech and Cerner?

  5. Examples of incentive plans (if anyone would like to share that with me that would be great, if not I completely understand).

  6. Measuring productivity by minutes of dictation versus typed lines.


    1. What would be the minimum minutes required for an 8-hour day?

    2. How would one structure an incentive program based on minutes?

I was thinking of presenting the idea that we keep track of productivity using minutes instead of lines since there is such a discrepancy in Meditech.  I also worry that if an incentive plan is put into place and we are still typing blind into Meditech, what's to keep management from shaving off a few lines here and there?


Feel free to email me or post here any responses.  Either is fine.  I really appreciate any input, comments, or just plain old supportive posts would be nice too! 




I do not like cardiology as well. nm
b
cardiology
I used to type for a cardiologist that instead of parentheses would say "clothespin".
I am new to cardiology and wonder if there are
Thanks!
New to Cardiology

Get Stedman's Cardiovascular & Pulmonary Words incudes Respiratory


ISBN 0-7817-3056-2


 


Good Luck your expeience will grow quickly.


 


Sue Kelly


Need help from Cardiology MTs
I was just put on an account that has tons of cardiac reports, lots of echos and cath reports that I have never done before.  Can anyone suggest good references or websites that can help me with this?  I'm having a hard time verifying guidwire and stent names.  I have 2 surgery books and Stedman's Cardiology, but I can't find everything I need to look up and I'm so overwhelmed.  Any suggestions would be greatly appreciated. 
Is anyone out there transcribing for Cardiology?
Just wondering if it is fairly easy to catch on or a pain in the butt? I might take a position but I'd like to know if I will be able to handle it as a newbie? What do you think?
HELP! cardiology question

when dictating...He has a dominant _______ (circ) which is 100% occluded....colaterals for a AV ______ (circ)


what is circ? circumflex artery?


Capitalization of Cardiology
I was taught (and it is required by my company) that you capitalize a word not usually capitalized when it is used as an entity as it is in your example (used to mean someone in the cardiology dept). A good example is when a doc says "An orogastric tube was placed by Anesthesia" you would capitalize anesthesia, as it refers to a person and not "the thing" of anesthesia. If not capitalized, it calls to mind some kind of anesthesia (endotrachial, perhaps?) placing the orogastric tube. Capitlizing it adds clarity.
Cardiology MTs will laugh at this

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Diagnosis Wenckebach -


http://www.youtube.com/watch?v=GVxJJ2DBPiQ


? zny best cardiology sites?
?
Thanks! I have the cardiology/pulmonary sm
book and that covers everything mostly I need but sometimes its easier to just get it off the internet.
Thanks! I have the cardiology/pulmonary sm
book and that covers everything mostly I need but sometimes its easier to just get it off the internet.
Cardiology is my favorite specialty (sm)
I can't say why, though. I just like the terminology and it just seems like it's easier to look things up maybe?

Be sure you have a good cardiology book. It will be helpful, but if you do caths and PCIs, etc. there are new instruments and stents that come out like it seems every minute, so having a few good cardiology sites and knowing how to search the web is a big help.

I ENVY YOU!! And good luck!
I've been doing Cardiology for 7+ years -
and have been thinking about changing as the company I work for is beginning to send things overseas.  What company is hiring for oncology?  I gues it wouldn't hurt to inquire.  Thanks and good luck to you.
Go down page to By Specialty, cardiology
http://home.adelphia.net/~ktm58/links.html
Yep, cardiology here, too! Used to hate those super long sm
op notes but found I got great lines with them! Now, I can't wait to do them.
Need tips on being productive with cardiology procedures
Thanks
Good cardiology info site?
 
i give credit to all who love ops cuz i cant stand them. i like cardiology
/
Hardest: Dental surgery. Easiest: Cardiology, OPs. sm
Most interesting: Psych.

I think it's generally whatever you get the least of that you'll find the hardest. I used to hate OPs, GI procedures, and cardiology, but eventually got used to them and found they are repetitive (aka good money makers!).
New study on MS and
Vitamin D, you can Google it.  Are you in the great lakes area?  Very common in that area.  I don't have it but many of my relatives do including my 20-year-old neice - she's doing very well with treatment.  Good luck
Cardiac Clinic - no do not capitalize; Cardiology - yes as it is referred to as an entity. nm
x
swallow study - sm
swallow study to check for safety in swallowing, to check for aspiration, swallowing problems, and what type of diet to give pte, puree, nectar thick, etc.
What is recommended to study for CMT?
xx
That study used very old data.
EHR has come a long way since 2004.
CMT study workshops or

I am looking for some reputable websites for info regarding the CMT exam that also include study material. Any info would be greatly appreciated :)


Honestly, probably the best way to study for it
is to work, work, work.

Good luck!
S/L Perfifth study per neurology?

I can't seem to find anything.  Any suggestions?


 


Thanks!


vellum - in swallow study???
is this correct
Sorry, you guys need to study up. "Affect" would never, ever go here. SM

Just FYI, to say "affect" would mean that the bleeding would change the procedure -- which makes not a lick of sense.


"Effect" would be the right thing, meaning that if this woman were to continue bleeding, she'd have to have a hysterectomy.


I didn't really like the wording of it anyway, but I thought I'd throw my two cents in because there seem to be people here still confused on the issue.


Employment after home study
Does anyone know who will hire a Transcriptionist who has studied at home? Also, will they hire you if you have not been employed as a transcriptionist outside your home? (I have a little hospital experience but years ago).
I found the study guide (sm)

was good with examples on the test and covered all areas.  However, the dictation CD probably has caused many a heart attack.  None of the dictations were as bad as that thing!


I don't really know how you can study too much for the beast besides brushing up on the ol' BOS.  The first part was a stinker, though.


Thanks, by the way!


Study your options though before committing...
I fill in when needed, vacation, sickness, etc, for friend at a local small town phys's office. Typist has been in hosp. and out off and on over the last 2 months. cpl confused Drs. wife so I said $10/hour, thought it was only temporary. I'm usually only there 2-4 hours, usually if it is 2 days of stuff. They work weird hours, 9 sometimes 11p.m. I work 10-6 so I tried to get in when I could in morning or go in evenings. Too aggravating, they are constantly interrupting me. I hooked their system up for C-phone access. Half time they forget to plug it up! But, anyway I have continued to do it by the hour. I will be changing to 10 cpl if this continues. Working at home by the hour I am cheating myself. I type it faster because I am more comfortable so end up shorting myself $10-15 each time. Some would say, drag it out but I can't do that I feel like I'm stealing, yet they are stealing my time.

You could join a study group through sm
AHDI, but there is no radiology-specific CMT credential.  In fact, I took the test within the past year and there are hardly any rad-specific questions on it.
My dad had a carotid ultrasound study done today --
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No, that's baloney. Study-up on meaning of 'cult'.
x
Graveyard shift study results
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