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Does anyone use Steno for MT work?

Posted By: C-C on 2008-05-20
In Reply to:

Could you tell me about how many lines per hour etc you type using steno. I've found a local college that offers a court reporting course and have thought it might be worth the investment if it could speed me up some more. I'm doing 250-350 lines per hour with a qwerty keyboard right now.

Thanks a bunch.




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MT-steno

Well, learning machine ShortHand isn't the easiet thing in the world.  I think it is what you make of your practice time.  I'm returning to an online school for this in the near future.


Good luck!


 


steno vs ASR
Today's steno machines are electronic and computerized so they hook up to the back of the computer.  Then we use a CAT program to translate steno Keystrokes into English using a dictionary of steno/English entries.  The translation occurs before getting back to the computer word program that is active on the screen.  The screen only sees QWERTY, not steno.  It's all highly technical and I don't know it all, but I do know that steno is way faster than longhand typing for me, and way faster than ASR.
Steno
Wow!  If you're already doing 250-350 lph in long hand then you don't need to steno!
Steno for MT
I have used a steno machine for 10 years and if you are already doing 250-300 lines an hour you are beating me. I get around 250 on a good day and really with the dictators and filling in ADT information I would think it would be hard to do much more than that even if you never stopped except for spell check, sending reports, et cetera. Learning the machine is no piece of cake either, took me years. I passed my 200s, but never could pass all my 225s, so never got to be a court reporter. I can keep up with most dictators, but they back up, change their minds, et cetera, so it is not like you can sit down and write without a break, so it is difficult to do a lot more than you are doing right now.


Just my opinion.
steno for mt
Hi Julie,
I'm not sure if I have emailed you before, but I saw your post about using your steno machine for medical transription. I've passed all of my 120's, and I am thinking of making the switch and going to school for medical transcription. Do you think it can be a lucrative endeavor? Did you just add medical terms to your dictionary as they came up? I use CaseCatalyst software. How did you make the transition? Anything you could tell me would be great.
Thanks
Lorraine
steno machine
What kind of steno machine did you purchase to help you?
Steno transcription

 Yes, it is definitely possible to use a steno machine and do transcription.  I have done so for over 10 years.  I never could pass all my tests to be a court reporter, so finally decided to use that skill in medical transcription and has worked out great for me.


I'm a steno writer
I went to school to learn how to use a steno machine, like in court, to "type" my medical reports. I have been doing this since 2000. I trained at 225 words per minute back in the day, so now I have a reservoir of speed to draw from when dictation speeds up. I rarely need to lift my foot off the pedal with steno.

I think steno is the fastest way to produce a report, but now that MQ is forcing us to do ASR work, I am not using my machine as much. To me, this is unacceptable since they only pay 70% of our base line rate for ASR. I have hung in there so far, but I'm fast approaching the need to get out of MQ since I used to produce 2000 lines a day easily with steno, way less now on ASR reports.

They say ASR is 30% faster than non-ASR thus they justify knocking off 30% of our base rate. Not true. ASR has slowed me way down, can barely make the minimum each day. Last I heard, they will not take us off ASR if we request it. I'm getting madder by the week and losing tons of money in the process.
learning steno, et al.
Hi mt,

I looked into closed captioning many years ago here in San Diego, but it was not as good as it sounded with many problems both internally and externly, hard to explain in this forum, but I didn't want to get involved in that mess.

I started court reporting school way back in 1988 when we still had saber tooth tigers running around. I started the program at San Diego's City College. The first semester was learning theory which taught the steno language and the keyboard. We used the old manual machines, which are still available for students. The second semester and thereafter was all about the dreaded speed-building classes. We finished the first semester at 60 words a minute. Speed-building is a very personal matter. It can take years and years or less time, depending on the person. It took me 2 more years to reach 225 words per minute which qualified me to take the California state board test for licensure. I passed the academic portion the first time but not the machine portion. So I took it another 6 times, never passed that damned thing! Nerves got the best of me each and every time, so I could not go into the court reporting field (something I don't regret in hindsight). Instead I opted to enter our wonderful field of MTing.

I'm using my machine to write this message. I really like using the machine a lot. Each stroke produces either one word several words or phrases or parts of words that have many syllables. It all depends on how you have your dictionary defined.

Today's steno machines are electronic and computerized allowing us to interface with any word processing program.

I hope more people learn this skill and start using it for medical reports so we can get rid of this rotten ASR chap which has reduced my income way more than I can live with. I need a firm that will appreciate my skill and recognize its value in this field.

BTW, it would only take about 10 months to a year to become proficient enough on the machine to start using it for MTing, maybe even less time depending on the person. I didn't work during 3 years of my early training as I had financial help at the time (which I had to pay back, of course, $30,000 - it's paid back now).

Dave
Do you use your steno machine to transcribe? nm
nm
Has anyone ever done steno transcription? What is involved? Is it
most importantly, are there jobs out there available? Toni
I can't testify to the steno pads

But when I started I used tapes and a selectric typewriter with 3 carbon copies.  We used to use a scapel blade to correct the carbon copies and then slide a little piece of carbon paper in to re-type the correction. 


I think it started going downhill when the  MTSO's started showing up more and more.  Only because, they cut the wages because after all, you got to stay at home, didn't have to pay for work clothes, transportation, meals, etc.  And you could write off part of your house mortgate, utilities, etc. as long as you had a room that used only as an office.  Everyone bought into it saying they wanted to work at home and thus they bought into the little less in wages that they offered.  I still think there is a distinct advantage to knowing the doc's you are transcribing for.  Working in a clinic or a hospital and getting to know the doc's make it alot easier to look at them and tell them they sound like they are gargling with peanut butter, they acutally laugh, and listen and I found they would make a bigger effort to be a better dictator because of it.  Better dictators = easier to type = faster TAT = less errors = less need for as much editing.  We used to transcribe all day and our work never went to QA (what was QA) QA was the doc complaining about our work which = counseling from your supervisor = getting written up = out the door if you didn't fix the problem.  That was what it was like when I first started 30 years ago.  I didn't have google, I had little notes taped all over  my workstation for those words I had never heard before until they came naturally to me, then that piece of paper was replaced by another one.  I had what I called my "bible" of phrases, etc. certain doctor's always said, no short cuts or expanders, we typed it all out.  That was real transcription.


Question for the steno machine user

I keep remembering how much faster you said it is than typing and I am wondering how one would go about learning how to use one?  Is it something that can be self-taught with a book?  Would I likely be able to find a good used machine?  Also, will they work with any transcribing software?


I am a slow MT and need all the help I can get!    Thanks for any further information you can give me.


 


I get my work from an FTP site that they load the work to, however I don't have pool work so to
speak, but I tell them how many minutes a day I want.  The work is generally put in my box by 5 pm every day, then I have until 10 am the following day for some priority work, or 3:30 pm for the rest, so TAT is not too bad. I would like to work less at night though, but I working on that. My downside is I do not get the same dictators day to day, there are a few I do on a semi-regular basis though, some generate great lines but take longer to do that other doc's and are not "money-makers", I also do not get paid for spaces so that hurts a bit too.  This is WP5.1 too.....so very antiquated but that is what the hospital uses, so not much choice there. But I understand what you mean about the C-phone. I was just doing another job with C-phone recently...they incidentally did not tell me how to get off of the system, which was very simple.  I'd finish a job, then hit stop and hangup if I wanted to get off or quit working.  That is what you need to do if you want to sleep, eat, etc.  Don't feel guilty, do what you signed up for, believe me they watch the pools and will get others to do the work you don't finish.  If they get on your case remind them that you are only PT and only want 500 lines a day, etc.  It's not worth killing yourself over.  Good Luck.
You go by your schedule and have no work. Everytime I get on to work, there is always work.
x
Then you would have no life at all except work, work, work if you did that. I wouldn't do it. nm
.
Same thing with nationals. You work all the time to keep the account caught up when others dont work
and then when they decide to put a whole lot of extra people on your accounts and run you out they could care less about how much you worked.
Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
Usually work "live" on a Cphone, while connected. There are ways to record & work off line, bu
s
steady work...gearing up to start new account....but there was no work on Tues as it was a holiday
Be patient with your eyes open....
I work for Warminster at MQ and I am sick to death of being jerked around with no work all the time.
I would like a job where I can depend on the work and it does not seem to be in this office of MQ.
Speaking of offshoring MT work, who does not directly send work offshore?
Just curious.  Has anyone got a list of companies who do not send work offshore?  Precyse?  MQ?  Spheris? 
Becky you work in a great place. With no one hovering, I bet you get a lot more work done w/o agoniz
wants what. The only people qualified to do QA on my reports are the dictating doctors and the rest is just pure waste of money and time. If I have a question fine. But this random QA bites and hurts everyone. BTW, I don't have random QA for those who seem to think I may have an ax to grind. No dog in this fight. Just common sense.
Good. Why dont you send some our way. What office do you work for so I can call and get your work.
:
Before needing to work, I did volunteer work through the Junior League where I am from in Texas. lm

Junior League was like a full-time job sometimes, but I loved it. Now that I have to work, even though it is from home, I still volunteer through my son's school.  I am a school teacher in my previous (pre-MT) life, so I volunteer my tutoring services for children who need the help beyond what the schools are able to provide but whose parents cannot afford to pay for private tutoring. I also know how you felt about being afraid.  I was strangely afraid before I joined the Junior League.  It was just the unknown. But I was SO blessed by being able to help.  Honestly, I am sure that it helped me just as much, if not more, than I helped others.  Go for it.  You won't be sorry.  (Just remember that you have to say NO when you have to say no, okay?  Remember that and you will be richly blessed by the experience!)


nm would you mind if I asked where you work and what type of work hosp, clinic ?
x
All I know is it caused the company I work for to be unable to do all work due today and the rest
:+
Just return the work, submit your bill, the scurry and find more work elsewhere. sm
They will never meet with you before next week. It is Thursday, already. Be prepared to sue for payment, because you will probably need to. But, most of all, find other work elsewhere, because I have a feeling this final payment will be a long time coming.
I work on Escription platform and the adapter didnt work for me. I tried it on my laptop though
and the foot pedal would just not play correctly with the adapter. I think others have tried it and done it but it just didnt work for me.
IC sets their own hours. As long as the work is done by the deadline, you decide when to work.

Glad I work somewhere where you cannot cherrypick....our work is divvied out by minutes and - sm

the office manager (who does not normally transcribe) dishes out the work, so some days are easy, others are a mix.  So no cherrypicking is possible.  You type up what is given to you, period.  She will alternate the tough one's out so no one person gets him/her all the time unless they want him/her and are used to that doc, or everyone gets a little piece, etc. There are days when I ask for easy work (tired, chemo day, Jen sick, or a lot going on, etc.) but not often, generally I get a mix but they all get easier the more you do them.  I am not working as much as I should be of course, every week is different here so I adjust my limited work schedule accordingly, so sometimes it hard to get better at certain docs.  I used to have a lot of blanks with the Trauma ER unit, but I have been doing that a lot lately and now and very good at it, still a time consuming account but at least I am improving. -----------------------  But I believe the OP was stating she did it to clear out the log, not to make more lines, and only when she was asked to do so.  At an old job I had #s meant everything, everyday we would get report (2=4 x a day) of the backlog, and emails pleading us to work, work, work.  The QA rules sucked  (MQ probably is basing their new plan loosly on this one), however we did not get penalized, just chewed out if you sent in too much work to QA (over 5%, and was 80% ESL), I would imagine eventually fired if you continued to do it. They were a great place to work for until they re-organized....it all went downhill from there.  This is why I prefer smaller MTSOs, it's not all about the #s, yes, they want production too but at least it's not so cut-throat. 


i used to work for a company that divided the work types up and i loved it. sm
there were only 4 of us working a major teaching hospital. someone was assigned surgery, different assigned discharges, different admits, etc. we all had the backup work type in case the original assignee wasn't available and were cross trained. it made us much more efficient, ability to get used to dictators, set macros, and in the long run we were all much happier.
Used to work in Cooperstown, NY - and on the way to work is a huge turkey farm
It made me never want to eat turkey again - seeing them all cramped up against the fence and cages, packed tightly, no room to move. Actually, it made me want to do some harm to the farmer who found this acceptable.
Do not work for Amherst if you can work for any other office in MQ. It is terrible. They overload
accounts terribly. We are always running out of work or need to have 8 or 9 backups to get lines in. This is the way it is. There may be a few out there that it is different but I do acute care and was just transferred there along with my office and everyone in my office is in the same boat. Not a good deal at all.
An MQ recruiter told me yesterday if work is low they "cut off" the work

SEs are doing it.  She also told me that it is written in MQ policies


that MQ can let go EMPLOYEES without notice (I'm not saying statutory employees here, I'm saying employees).


 


You're lucky they work for you. I've never gotten a refill to work right, ever.
x
Has anyone breast fed while trying to work at home, can you do this and still work full time?
It seems like the more literature I read on the subject, the longer it seems to take, especially in the beginning when you are breast feeding every two hours, or does it really just depend on the baby?
HAHA! Yes! I have those daily! But it's not really work as I work nights, it's little things l
turning on the pool filter in the morning and then in the afternoon running out there because I thought I forgot to turn it on. Or preheating the oven and then 5 minutes later saying "shoot! I forgot to preheat the oven!" It's really bad. And I'm only 31. I'm not 90!

I don't know if dementia or Alzheimer's runs in my family, but this could be a sign of something to come. Or as my husband says - you jut don't pay attention to much. He's probably right!
I work Sun.-Thurs. normally and will work on Fridays to get Sunday off if I need it. Works
s
The company I work for said cable phone wouldn't work, just FYI.
nm
Easy to work with. You can look up old reports. Your own word expander will work
s
I just work with ShortHand minimized. Smarttype doesn't work the same way? nm
s
Work for 1 hour, then count your lines of the completed work - sm
either check you total characters in word (with spaces) then total them all up and divide by 65, and you get your total lines per hour. 10,000/65 is 153 lines. Or if you have a line counting program us that to figure you count, either way will work quite well. Maybe do it a few times and then figure an average over 3 hours or something like that, it will vary with the ease/difficulty of the work you are doing.
Sounds like where I work. Everyone morning I wake up to not enough work. I'm quitting
This has been going on for a few months so I don't know if they have overhired or just sent a lot of it to India. I just know I can't sit here everything day waiting until "volumes build up." I'm looking elsewhere.
The state told us that MTs are employees because we they work in our system and do the same work as
maybe you can work for a company in another state.
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


Question. How many MTs sit and wait for work when companies overhire and there is not enough work
on your shift.  Is this what these companies want for people to sit around and wait on work.  As an IC, this probably doesnt amount to even close to minimum wage.  What do you do in these cases of no work and sitting waiting for practically nothing to come in when obviously lots of others are doing the same thing.  It actually almost seems as though you need to have 2 jobs to survive in this business really.  I cant image how you can get the lines in they require.  Crazy business this is.
I tried Relacor, it didn't work because I wanted it to work without
my trying to really lose weight, i.e., dieting.

My true belief is that any product will not work unless you TRY yourself. I had 20+ lb loss with Metabolife (sp?) and really felt more energy.

BUT, I truly believe if I don't really try, nothing will work to make me lose weight. Please know, I'm right there with you and wish there were a magic pill that could make the lbs just shed away.
Yes I work for AMHERST ALSO and it is 9:30 and no work. Everyone really needs to call Corporate
about this. This will not get any better unless you go to Corporate and complain very loudly and I am very serious about this. Some of us have already done this but it will take all of you to do it. If you dont get a person down there put it on someones voice mail. The human resource manager is Donna Jack at extension 4905 in Mt. Laurel.
Dont you think some of the better work and ASR work goes to the newbies they are hiring lately. I
am sure it goes somewhere because I will be finished with all jobs and the next morning there is ASR work from 14 hours ago. Odd right. Where was it. Probably in another pool so we dont get it and others do. I am pooled for ASR so I would have gotten it but didnt.
No (IC)....but I work for a small MTSO and have set deadline each day for my work
I will not be working on Thanksgiving day, though I will have 120 minutes waiting to be done and turned in by 8:00 a.m. on Monday morning.