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Serving Over 20,000 US Medical Transcriptionists

On-call transcription in a small hospital

Posted By: Jamie on 2007-05-29
In Reply to:

I work for a very small rural hospital with only two full-time transcriptionists and one part-time transcriptionist.  We have recently been told that the administration of our hospital is entertaining the idea of on-call Transcriptionist for uncovered hours.  We already work alternating Saturdays (day shift only).  I wanted to know if any other hospitals out there do on-call transcription (Not from home and not outsourced).  They want us to physically drive in and be in the office to do this transcription.  Any information at all would be greatly appreciated.  Thanks. 




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Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


small hospital
I get 12 cpl as an IC for a hospital. No pickup, delivery, or printing. All work is internet based. Not only is gas expensive, but have you seen the price of printer ink lately? I would stand firm on the 15 cpl.
IC working for a small rural hospital
I have worked for a small rural hospital as an IC for 9 years, this year I asked for a raise.  Hospital thought about going to a national until they found out how much they charged.  They contract their transcription themselves.
Small MTSOs using call-in system....sm
What is your usual mode of delivery?   Email? FTP?  Or something else?  Any information would be great!  TIA
Opinions please! I have been asked by a small rural hospital to do their overflow. SM

It is clinic notes that are pretty easy to type.  Some of the work is digital and some is still on tapes.  They want me to come in and pick up tapes, and they want me to print and deliver reports when I pick up the tapes because they don't know much about setting up a remote printer.  I made an introductory offer of 12 cpl for the first month and then 15 cpl if we both feel like continuing to work together.  I felt that since I am going to be out the cost of gas and ink, my offer was more than reasonable.  Well, they countered with a flat 12 cpl period with a one year contract and then we reevaluate at that time.  While I was mulling that over, she called back and asked if I would be interested in doing some radiology for them in addition to the clinic work.  So basically this account will keep me very busy and is not going to be just overflow.


So now I'm back to thinking 15 cpl and because they balking, not offering the introductory rate anymore.


What does everyone think?


Why don't you call the hospital?
If it is a VA hospital, I would think they would be concerned if subcontractor was playing games with the money.
My first job was a total cold call to small local company...got hired over the phone- sm
give it a shot. Look in your yellow pages or on-line white and yellow pages and see what you can come up with. MT Daily has a list by state of MT companies to with their contact info. Also test your butt off anywhere and everywhere on line, you will learn a lot during the process. I found it quite enlightening when I was doing it 3+ years ago. Good luck.
at my local hospital, they always call the

I think that is pretty standard. Calling by the first name only would be rather confusing. Especially if it is a busy hospital with a waiting room that is always full, like our local hospital.


I have a "questionable behavior" story for you! I went to the walk-in clinic held at our local hospital b/c I was having pain in my pinky finger. The waiting room was packed, as always. I go in, see the doc, and he tells me to go back to the waiting room until they call my name again. After a few mins in the waiting room, he calls my name & I get up thinking he was going to bring me into a room to privately give me my diagnosis. NOPE! The dope says it to me, loudly - not at all in a whispering tone, in the middle of the waiting room for everyone to hear!! He said "I think it is some kind of fungal infection" His actions were not only humiliating, but wrong! It was not an infection, rather a blood clot that developed on my nerve that needed to be removed surgically! Now, that, I think qualifies for a HIPAA violation!!  (Yes I did file a complaint with the Patient Care Rep)


Call the MR department at the hospital and ask sm
simply "who does your transcription". May not work every time, but they gave me the name of the service, and the phone number. I called the service and asked if they were hiring. She said, "we are always hiring", and I was working for them 3 days later.
don't worry, you may end up getting a call from the hospital to come back - sm
it has been happening a lot lately. Hospitals are getting rid of certain services and taking the work back inhouse and local.
Hospital transcription

A customer of mine called me the other day to let me know about a diagnostic imaging opening at a hospital and she told me the benefits are around 300.00 for child and spouse added.  I would rather pay something like that than to have to put up with this woman.  The pay starts out for bottom line 10.06 an hour, maxing out at 15.09 an hour.  I am really thinking about getting into coding too. 


Thank you all again for listening to me. 


Paulette


New to hospital transcription
Hi,
I was wanting to get some advice from some people who have done hospital transcription before. I am new to it. I have done clinic transcription for 9 years mainly family practice and the doctors that I have done have been for the most part really easy going and are not too particular about grammar and so forth, but I have just gotten an IC position for a local hospital and was wondering how difficult it is. I have always heard that it is really hard to do. How much difference is there between hospital and clinic transcription and what is it that makes it so much more difficult. Any advice would be gladly appreciated. I am really nervous and I need this job and I want to be able to do it. Thanks in advance.
I had to call my supervisor to get the hospital to program those settings.
nm
No more radiology transcription at my hospital
The medical center I worked for did away with radiology transcriptionists a few years back. They came up with "canned" reports and VR and have ZERO radiology transcriptionists. They also cut back on their xray lab/medical record clerks by installing a PAC (sp?) system as well.
Do you work in a hospital or a Transcription Service
Office? It is a hospital there should be a manager that you can go to or an administrator. Production is key in hospital work, and it is important you have the quiet you need to produce.
How do I find out if a local hospital's transcription is done in-house or not?
Can someone please give me some advice?  I am trying to find out if one of our local hospitals has in-house transcription or what company they use for their transcription.  I called the MR Dept. and the lady acted like she did not want to tell me anything.  She said some was done in-house but most of it was done electronically and would not elaborate as to what company they used.  How can I go about finding out who does their transcription for them.  I never see any actual job opening in the MR Dept. or for transcription for them, so I am assuming they outsource most to a transcription company.
I would like to get on with the hospital or possibly the company who handles their transcription.
I have been considering working locally instead of for a national or switching to another company from the company I currently work for. Since losing my initial primary account and having to switch to another account, my income has declined and it doesn't appear to be getting any better. Not sure why, it is not from my lack of working. I just can't seem to make the counts on this new account as I could on my previous account. I now do some editing on top of my transcription due to time restraints I cannot put in any more hours than I already do. Thanks for the input. My husband recently started working at this particular hospital. I am hoping he will be able to find out for me but no luck yet.
In 5 years there won't be any transcription departments in any hospital. All will be outsourced.
Same thing happened to me and if those HIM hags who control our destiny think it's a good thing they are so WRONG.  Life has been hard since having to work at a service, and I refused to work for the Monster MTSO that took my job as a matter of principle.  I think we should all write to Hillary Clinton, Nancy Pelosi, Amy Klobuchar (the MT in MN can write to her), etc., and express our strong needs to  have MT jobs and American information STAY in America with American MTs.   
Take at home transcription job or unit secretary job at hospital?
I've been an MT for 12 years and have worked at home doing MT for 10 years. Recently got replaced by EMR so had to find work elsewhere. I took a job at a local hospital as a unit secretary working 3-11 now I have been offered a job with a national transcription company. I'm not sure if I should go back to transcribing since the line count/money making potential has me worried. I've been assured that I will never run out of work but I'm worried that I will actually be working longer than the 8 hour shift in order to make the amount of money I need. I would love to be back home with my kids typing again as I miss not seeing them as much as I used to and they want me to be home. I am just not sure if I should stay in a job at the hospital which has a guaranteed amount of money per pay period since I'm being paid by the hour and not by the line where my paycheck can vary. Any thoughts/suggestions/opinions, recommendations out there? Any and all would be greatly appreciated!!

Thanks!!
What companies provide computers? Hospital is outsourcing all transcription and I am out of a job..

in about two months.  I lost my computer and reference books in a house fire and can't afford to replace the computer until I get my tax refund back or until my homeowners insurance co. gets their act together which ever comes first! 


This is the second time I've lost an in-house hospital transcription job to outsourcing and have decided if you can't beat 'em, join 'em and so I want to go back to working at home.  What are the best companies to work for that provide equipment and are fair regarding line counts (i.e. count spaces and don't short MT's on lines) and have balanced accounts (accounts that have a fair ESL to EFL dictator ratio) to work on?


I have 13 years experience as an MT and I am desparately looking for a company to call home for as long as they will have me!  I worked at home for a couple of years, but never could find that perfect fit.  My new year's resolution is find a job I love working from home, and forget all about last year!


Thanks!


Keep applying at jobs is my opinion. Find out where your local hospital transcription is done
dd
Is a C-phone like Bytescribe call-in system or Philips digital transcription
My 2 stations don't have the actual phone piece, but I can make calls to the place where I get work.  I'm just curious because I want to take a test that requires C-phone, and I'm not sure if my stations will work or not.  If anyone can give me some background or information on this, I would appreciate it.  Thank you. 
Lost account of 28 years to Dictaphone because hospital believes it will eliminate all transcription
Curious if any of you are working for Dictaphone or Infomatics and doing an account out of Miami with mainly ESL dictators?  I was convinced I would not lose the account after a few days with VR. However Dictaphone is not using VR right away and will transcribe reports the regular way until they have a database. I am certain this hospital will never be done by VR. I posted a job on here about a year ago offering 18 cents per line to help with this account and not one person  accepted after hearing the ESL doctors we have. They are that bad.  Anyone else have this happen to them? Losing to Dictaphone  And we have had to do most of the work for over a month since they supposedly took over because their system is not working.          
We're not a transcription service. We offer toll free call in dictation
service at rock bottom prices. I was only offering you an alternative without having to put out a lot of money by buying handheld units.
Most in-house hospital jobs allow only 30 minutes for lunch! So I wouldn't call an hour lunch
"rigid."  If you are an employee, there are rules, set schedules, etc. that you have to expect. 
small mentality usually means small pocketbook
Still make more than you and I but that is deserved. They've put the effort forward and educated themselves.


got the "phone call" -- get this, MQ has hired a bunch of telemarketers to call all of us to

we received our "incentive packet."  They don't even have the wherewithall to contact us personally.   These are temp-agency hired telemarketers sitting around a boiler room making sure we're reading our mail.... told him it don't pertain to me because I've been demoted from FT to SE.... He said, "yes, the letter is vague, but it does pertain to FT as well as SE...." yeah right, we'll see.


*70 will disable call waiting unless you are expecting a call and want it on (nm)
x
Agree, verbatim transcription equals poor quality transcription.
x
On-call requires on-call compensation by law
This field gets more disgustingly grotesque daily.
Know AIM transcription system, never heard of Hull transcription. Are you sure
you are not thinking about DHull who is a recruiter for MDI-FL?  They use the AIM system. 
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
Call me, call me anytime.
I'm waiting to hear back on a job.  Call me!
Call KS and call your bank. Why ask here?
.
If they don't call you within 15 minutes, you should call them. There
is no excuse for leaving you sitting by a phone all day. At the very least, an e-mail explaining why the delay. If this is the way they train, how do they pay. Do you really want to work for a company who thinks so little of your time?
If one's biz is small I do not think you can....nm

Yes, you should get a small
social worker, psychologist, or whatever. You just have to wade in and start swimming. If you find the right account, that should help you start out.
Huge, I think it's small on my end (NM)
NM
$18,000+, small national. nm
 
Any small MTSO need PT help? sm
Okay, I have tried the big nationals and that did not work out for me.  I would like something for a few hours a day - would love to do family practice SOAP notes again or something where I can just type away and make some decent money.  I promise a fast turn-a-round and I am willing to work hard, but no complicated platforms and no set hours.  
Why not sue in small claims (sm)
You have a business contract with them. It's not a paycheck we are talking about. It's payment for services rendered. Are they going to send someone to your state to defend it? Probably not!
It's actually one of those small bldg. you
added to the house but it's on the same property as the house...I can't really describe what it looks like. I have only seen it a couple of times. Not sure if that would work. It doesn't have to be that. Just whatever would work. I am more interested in seeing what has worked for others. Just wondering. Thanks for your response.:)
my office is a small
table between the kitchen and the dining room. Books are in a closet right next to it. It helps so I can keep an eye on what my toddler is doing.
how did you get your print to be so small?


if you are for real, your best advice is read this board and take good notes.


 


Yes, small services (sm)

used to pay 11 cpl IC, have now sold out to squids who in turn pay 7-8 cpl.


And services left average 8 cpl, if you're really experienced you'll get 10 or 11 and get such bad dictation you'll get a headache you'll never forget. 


Small accounts
What kind of small accounts are you talking about? How do you find them? Thanks.

I know a couple of people who key as fast as you do, so it is possible.


small company
You just keep your eyes open all the time. Keep looking. You will find them. Opportunity comes knocking at the strangest time if you just keep looking.
A very very small family.
z
I had a small MTSO ask that once. sm
As I was heading toward the exit door, she asked me to send her every single one of the normals I used.

So, I sent her the exact ones she had sent me in the beginning, before I refined them to a fine tune, which had taken me hours and hours to do. I'm telling you, I had most tests for every doctor where I could just hop around and fill in the blanks. No way was I giving those hours of work away!
Thanks! The 16" look so small and the 20" so large! nm
x