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Serving Over 20,000 US Medical Transcriptionists

Lord, preserve me from Sam's Club! That place is dangerous!

Posted By: di on 2006-03-11
In Reply to: Sam's Club will get you every time! You cannot - leave there cheap!




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It's the only place I have ever lived.. Great place to retire or raise a family. Low crime rate e
living is pretty easy here. Low stress..
Welcome to the club, NN...
Instead of Sloan Kettering, I typed Sloan Cattery multiple times in a report.  I worked at a veterinary school and it made sense to me.  Luckily the boss caught it before it was sent.  But, yes, with the volume of reports most of us produce in a day, there are bound to be some errors. 
If that is Yuck's club no thanks
her idea of cool is sitting and popping her pimples all day and then having her husband pop the ones on her fat butt all night.  That is why he left ya know.   Well, one of the reasons anyway. 
Yep. -- Welcome to the protectors club.
Sounds like me too.
How about Celebrity Fit Club??
Does anyone get into that?  I think this season will be good.  I'm Tempestt Bledsoe's age and I loved her in Cosby Show.  Go Vanessa!!  I'm also curious about Young MC.  That's good ole school stuff.  Tee hee.
Celebrity Fit Club
Just finished the show.  Really good.  I have to agree with the poster from earlier today that Tempestt did look wonderful.  She is radiant.  She and Chastity are motivating me.  I'm going to look into that SMASH diet they were talking about.  Who's with me?  No more cookies !!!  No more cookies !!!  Ugh, did I just type that "out loud" ?? 
Sam's Club will get you every time! You cannot
Then it is such a hassle trying to find a place to put it all! I go there to save $ but it just wears me out!
join the club
Age/arthritis? - see a doctor. Out of shape? - exercise. Here are some PT back exercises: http://www.nismat.org/orthocor/programs/lowback.html

Feel better!
18 years.. Can I be in the club?

It pays the bills.  I love it, hence my name!!! 


What about a gardening club?
You might check on-line and see if there are any gardening groups in your area. Or ask neighbors about it. Or you might consider starting a home bible class if there is anything you want to study. They have books to help you at the Christian book store. Or if you have pets, I discovered there are breed and non-breed dog clubs around. You can find those on line for your area.

Good luck!
I got mine at Sam's Club for about $70.
My arms don't adjust and I don't have a headrest, but I do have a high back.   My only recommendation is to be sure you get a chair where the seat and the back touch, not like the cheaper ones where there is only a small back piece and your lower back isn't supported.  
2.30 (but that was at Sam's Club with the membership card) (nm)
jjj
Anyone want to do a group savings club?

Just trying to drum up a little motivation.


If we pact to do 100 lines a day more each day that we earn and then put that net amount into savings each paycheck, it can add up a bit!


For me, that would be 500 lines a week or $160 a month gross.  By the time my taxes are taken out, that's about $131 a month net and THAT adds up to $1572 a year! 


Any takers?!  See who earns the most for it or heck even stays with it?! 


  


How about a Marriott Vacation Club villa?
They have several in Orlando. I haven't checked the price recently but I think a 2 bdr villa used to be in the $220 per night range - full kitchen, washer/dryer, everything you need.

www.vacationclub.com
Join the club on being confused. With turning us

things are charged, billed, or anything any more.


It just seems like they wanted me to work for nothing to clean up ASR reports.  It was pitiful what they wanted, considering what they needed me to clean up.  I could have typed it faster and better using my word expanders.


I know the Club Med there will not be open until June 2006, if that is of any help. sm

No doubt a travel agent could give you an idea of how things are.  If it was me, I think I'd wait a bit.  They were hit pretty hard, and there is a lot of cleanup, I'm sure.


Wherever you go, have some sun in the fun for me! 


Maybe Surreal Life or Celebrity Fit Club? lol - nm
x
I'm in the 40's club also Kiki and wondering the same thing but the way I sm
see it is I'll be working until I'm at least 70, so I have a good 30 years left to work! Funny thing is I'll be going to college at the same time as my oldest 2 children which is kind of neat!!
Mine is a DJ at at strip club and yes, he's a wonderful, trustworthy man :) nt
*
The position varies from place to place..
Sometimes you end up doing VR, which can be really easy or a real pain. Sometimes you end up simply editing files and all is good. Other times, you end up with more job responsibilities and hours than you ever wanted. All in all better than typing LOL.
Club Sandwiches, Chips, Pickles, Carrot Slaw
exciting, huh? :)
Dangerous as far as what? NM
x
Not sure. I just know enough to be dangerous.
x
Is it dangerous to buy used?
Used may be cheaper . . . but is it safe?  I hadn't really thought of getting used because I'd hate to get a "problem" computer.  However, if it were just as good as new . . . maybe . . .
Oh, Lord
And if you read it on the internet, it must be true, right?
Oh, lord, so did I! LOL! NM
x
Oh Lord!
:(
Oh Lord!
That's the problem with MTg with a lot of newbies.  They never bother to employ a medical spell check that will underline mispelled words as they go!  This word is BASIC.  You should have learned how to spell it correctly the first week in MT school, or did you NOT get schooling and just "learned on your own" or "learn as I go?"
I thank the Lord every day
I do thank the Lord every day.  I love my accounts, where else can I make $4500  to 5000 a month and work at home.  They provide me the income to live where I want to live - watch the sun come up over the river every morning.  I am so thankful that I have what I have.  My accounts do not bore me, I like my doctors, the office staff are my friends -- we share good times, bad times.  I  would not go back into an office again for all the money in the world.  I do thank the Lord every day with my first cup of coffee because I am grateful for this. 
dangerous abbreviations
It really depends on the account. Some facilities/doctors really don't care for the new set of guidelines and want their work verbatim precisely. But employers want it practiced just in case for some of the more confusing abbreviations.
dangerous abbrevs

Pharmacies make plenty of mistakes on prescriptions and I have never heard of one being shut down.  They aren't any better or more careful at their job than anyone else in health care these days - which is to say, the consumer/patient needs to be on their toes at all times because you simply cannot trust anyone to do their job properly. 


Yes, sloppy writing is responsible for some of these mistakes, which is one of the reasons why many elements of  the AMA, the pharmacist associations, and the pharmaceutical industry are pushing for all drugs to have an individual number assigned, so that medication errors can be eliminated or at least greatly reduced.   Thousands of people are injured, make sick or even die from prescription errors every year.


I have been doing MT since the 1970s and I have seen huge changes in health care.  Most obvious change is that it has become a BUSINESS rather than a human service.  Most if not all involved in health care delivery care foremost about the bottom line and their own "bottoms."   Like one of the posters below, I too have noted how long the disclaimers are at the bottom of the H&P and Consults, particularly by the surgeons and interventionalists. 


When I started MT, almost no report was more than 1 page long.  Now, I sometimes transcribe reports where the "disclaimer" section with risks, benefits, alternatives, possible outcomes explanation is half a page long.   This information is already contained in the consent forms that are signed by the patient, so it is redundant to include it on the dictated report, but more and more MDs are doing it.   I have also noticed, or perhaps it is just my perception, that all dictators are including more information about patient attitude, knowledge and compliance regarding their (the patient's) regarding their medical condition.   Personally, I think that is a good thing - people need to take more responsibility for themselves and stop expecting the doctor to solve all their problems. 


 


 


Dangerous Abbv. below
I want to know how come a hospital says they are compliant with the list and AAMT guidelines but tell you transcribe ver batim even if incorrect? Can't have it both ways seems to me. I got caught by QA between a rock and a hard place about this but stood my ground. I did ver batim because that was the hospital's wish even though I knew it was wrong dictation. At least I flagged it for QA but it caused a problem. No one seems to have the answer. Next time, I'm not flagging it.
Not just lazy...DANGEROUS
This is how patient care errors are made. I know they hate dictating, but it is very disrespectful to their patients when the doctors won't even attempt to dictate clearly so that their patient's lives are not in jeopardy. They should be chastized by their hospitals and not allowed to dictate like that!
Dangerous Abbreviations

Q.D., QD, q.d., qd (daily) = Mistaken for each other = Write "daily".


I woud say this should over ride anything BOS has to say, but we aim to please the client.  As transcriptionists though we should be aware of these dangerous abbreviations since it can affect a patient's medical record and how it is interpreted.


cc is not correct, mL is. cc is a dangerous
x
PO is not a dangerous abbreviation (see msg)

Go to this website: 


http://www.ismp.org/tools/errorproneabbreviations.pdf 


 


IV is not a dangerous abbreviation.
For Pitocin it is WAS given.
Dangerous Abbreviations
"IV" isn't on the Joint Commission list of dangerous abbreviations. Don't take this as an indication that you're getting old--the confusion surrounding those darned abbreviations can be aggravating.

Here are some reasons for the aggravation. You might have seen it on a facility's list in the past or you might have encountered it as a recommendation from a consultant or in a journal article. Before The Joint Commission solidified its list of dangerous abbreviations, there was a lot of confusion about this--some groups banned any and all abbreviations.

There is an abbreviation that is banned because it can be CONFUSED WITH "IV." It's "IU," the abbreviation for "international unit." While it's OK to use IV, some facilities do not want you to use it, reasoning that if IU can be confused with IV, then IV can be confused with IU. And then some would want you to avoid using IV, until they discover that they have to pay extra for you to transcribe "intravenously."

Here is a link to the whole list. The document on The Joint Commission website was broken, so this link is to another website, but it is the same thing. http://www.aapmr.org/hpl/pracguide/jcahosymbols.htm




q is a dangerous abbreviation.
x
If you suspect something dangerous, then
for heaven's sake go and visit a doctor.

Why do you suspect a pulmonary embolism? I dounbt tht you wiklk be able to cough it up. Are you producing some blood when coughing?

It might just be some mucus or phlegm that you cannot lodged in you lungs.

Does your cough produce blood?

Here are the symptoms tht indicate a pulmonary embolism
(blood clot in the lungs):

Google:

'Pulmonary embolism symptoms can vary greatly, depending on how much of your lung is involved, the size of the clot and your overall health — especially the presence or absence of underlying lung disease or heart disease.

Common signs and symptoms include:

Sudden shortness of breath, either when you're active or at rest.
Chest pain that often mimics a heart attack. The pain can occur anywhere in your chest and may radiate to your shoulder, arm, neck or jaw. It may be sharp and stabbing or aching and dull and may become worse when you breathe deeply (pleurisy), cough, eat, bend or stoop. The pain will get worse with exertion but won't go away when you rest.
A cough that produces bloody or blood-streaked sputum.
Rapid heartbeat (tachycardia).
Other signs and symptoms that can occur with pulmonary embolism include:

Wheezing
Leg swelling
Clammy or bluish-colored skin
Excessive sweating
Anxiety
Weak pulse
Lightheadedness or fainting (syncope)
Fever'

If you do not have these symptoms, take an aspirin, drink hot tea with lemon juice and honey, you might just have a cold.
Lord, I hope she's not an MT sm
talk about giving us a bad name! sheesh!
Wow! You know your Lord of the Rings! nm
nm
Praise the Lord!
 Jesus!
Good Lord!
The original poster asked a question that only a person who has done at least 2 reports with lab data would know what they were saying! COME ON! If she took the time and necessary brain matter to realize that the 41 was a test result and separated it from the rest of the phrase, she might have gotten it. Obviously, either this is a person has not had any training (if she did, she would have come across amylase and lipase a million times, they are so common) or she is just not cut out for being an MT. Just my opinion but then again, I've been in the business 25 years, what do I know!
Finally! Thank you Lord.
It's about time all of you whiners left MedQuist. I have had enough of you complainers. It is just more work for me now! Yeah!!!! Did any of you ever think that it is time to retire? If you can't understand DocQscribe, which is so basic, I love it, you probably shouldn't be a Transcriptionist anymore. I think that is why so many of you can't get your lines up because you don't know what you are doing in the program. Anyway, thank you lord that you all are leaving. It is about time you quit complaining and do something for once in your lives.
In regard to OH LORD
Per administrator you need to show some kindness to the new MTs. I doubt you yourself were so wonderful when you first started out. Try to remember we are all HUMAN and we all error at some point in our lives.
please don't take the Lord's name in vain....sm

if you kill unnecessarily, don't say GOOD LORD.......you think KILL first before RESCUE....and yes, do some research, snakes have feelings of fear and pleasure and feel with their tongues.


idiot.....probably a D.C./repub supporter too, kill first, ask questions later..... 


just our way of not taking the Lord's...sm

A way of not taking the Lord's name in vain.........My religious studies raised us this way.  It's done merely out of respect.


 Hope that answers your question. 


Oh my Lord, I could have written
Thank you for putting this into words that I've been thinking all along.  Phewee on QA.  QA is for weaklings.  Learn to swim or get out of the lake!!!!  
Oh Lord, I'd be depressed again too! :D nm
.......
Thoughts on dangerous abbreviations

You're partly right.  Joint Commission has no jurisdiction over a private office setting; however, this was adopted by Joint after it was first given to the national pharmacy assocition.  When a doctor has his/her nurse phone in a prescription or writes one himself regardless of private office or inpatient setting, s/he better follow these guidelines. 


Having worked in a pharmacy, I understand how critical it is to be able to know EXACTLY what the doctor wants the patient to have presribed.  Pharmacy is going down the same path as MT work.  Notice how many insurers allow for your prescriptions to go to a mail order company who will fill up to three months of your prescriptions at a time.  The first line of defense these companies have (well, really just one anymore as they are becoming the MQ of pharmacies), is to scan the prescription.  If it is not written clearly, a body must contact that physician.  Addtionally these mail order companies allow MDs to relay prescriptions online.  These guidelines better be followed or they will be contacted.


Depending on which division within the mail order pharmacy you work, a tech may fill more than 100 prescriptions an hour.  If ONE of those prescriptions is filled incorrectly, it is reported to the State Board of Pharmacy who requires a monetary penalty be forwarded by the company depending on the error classification.  If there are too many errors in a given month, the pharmacy is shut down, the supervising PHARMACIST receives (typically) a $5000 fine and a one month to five year suspension of practice, all actions of which are published and distributed to all 50 states in a monthly newsletter.


To say this is all AAMT's fault is ludicrous.  To say the doctors are not going to change their ways because they have god complexes is ludicrous.  This happened because too many mistakes were being made through haste, bad handwriting, lack of time to thoughtfully write prescriptions, etc.  This is today's reality.  If you do not adapt, you do not survive.  Just ask a Cro-Magnon.


d~