Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Acute care is also called basic 4, which is

Posted By: ME on 2008-01-25
In Reply to: What is considered acute care? - newbiemt

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. 


 




Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

Is this acute care?
My first MT job was as a secretary/transcriptionist at a doctor's office. I don't know how many lines I typed back in those days, but I remember training on acute care at the next job. I probably typed 400 lines my first day, but my mentor pushed me to keep making progress. If you are doing acute care, maybe they can start you on one particular work type to help you get your rhythm going, but they will be doing you a big favor if they agree to it. The other MTs will probably complain if they notice it. Maybe there is a particular work type nobody likes, like sleep studies, EEGs, EKGs, etc. At least it would give you a break from all the drug names, and the shorter reports don't seem so daunting to some newbies.
Acute care
  Sorry this question is so basic, but in classifides, what exactly does Acute Care experience mean?
Acute care is also known as the Big 4, which is
H&Ps
Consults,
OP notes,
Discharge summaries.

Sometimes ads will say acute care without OP notes, other times it will say heavy OP notes, other times just a mix. Acute care is extremely varied, covering dozens of specialties and hundreds of different dictators. Clinic work is usually easier just because there is more repetition of dictators and usually fewer specialties to learn. Besides these types there is radiology, pathology, and now and then you may see ER notes.



Acute Care?
I read a lot about "acute care". What exactly is this and why is so desired as a job?

Since I am still researching this career I'd like to know some of the basic job possibilities.

What is meant by the "Basic 4"?

Thanks to all!
Acute Care

I am a new Transcriptionist and have been looking for a company that will hire me right out of school.  I see alot of postings for ACUTE CARE.  What exactly is acute care, and why are there so many postings for it?


Thanks!


Acute care...

All right...I'm gonna do it, ask a very dumb question.  What kind of transcribing is "acute care"?  Is that by any chance transcribing for an emergency room at a hospital?  I see it all the time and have never really known what it applies to.


Acute care
Acute care is the basic 4; History and Physicals, Consultations, Discharge Summaries, Operative Reports, and usually Emergency Room reports thrown in the mix. Acute care is hospital work as opposed to clinic work where you type only office visits. Much more knowledge and experience needed to do Acute care.
ACUTE Care versus other.

What defines someone to be an acute care MT as to a multi-specialty MT.  What is the difference?  Sorry if this is a dumb question..


Thanks!


 


is it acute care or one specialty sm
progress notes? Progress notes are progress notes.
Not acute care but psychiatry
It is not acute care but psychiatry filse
Acute care understanding
What exactly is Acute Care??
Acute care is usually gonna be
your basic 4 worktypes. H&P's, Operative Reports, Consultations, and Discharge Summaries. Normally what you would transcribe in a hospital setting or working for a national that does transcription for a hospital.
What does acute care involve?
I have only typed clinic notes for an orthopedic surgeon. I have noticed that there are a lot of jobs for acute care and was just wondering.
What does acute care involve?
Basically, specialities you would encounter in a hospital setting, including surgical, procedures (i.e., cardiac catheterization, GI, GU, EEG, etc.), endocrine, neurology, hematology/oncology, internal medicine, etc. To name a few report types, discharge summaries, clinic notes, history & physical examinations, psychiatry, etc.
I started at 6.5 cpl for acute care.
I had 3 offers (2 of them before I even received my final exam scores):  One for 6 cpl no spaces, one for 5.5 cpl for straight transcription and 2.5 cpl for VR editing, and 6.5 cpl for acute care.  I took the 6.5 cpl since it was the highest cpl, but found that the account was awful.  It was mostly ESLs (probably more than 90%).  I could work a whole 8-hour shift without a single EFL (English as a first language) and most of the docs were new residents that had no idea how to dictate a report.  It was awful.  I had times where I could get 200-220 lph so I knew I could do the lines with decent doctors, but most days all I had were ESL residents and my average was more like 120 lph, so I didn't even make minimum wage.  I worked there for 6 months just to get the acute care experience and then began hunting for a better job.  I now work for a clinic that pays me 13.5 cpl and also for an MTSO that pays 7 cpl, but it took me several months of testing and turning down offers as I was not going to work for less than 7 cpl and did not want to work weekends. 
6.5 cpl for acute care and then to 7.5 within 6 months - NM
xx
What is considered acute care?
I know it is definately a newbie question, but what exactly is considered acute care versus clinical?  Can you give me some examples?  Thanks!!!
Has anyone used the AIM program for learning acute care? Can
s
Acute care would be a history and physical or
A clinical report would be what a physician dictates from his office when he sees patients.  Sometimes, it gets sketchy with outpatient surgery clinics.  Acute care is usually work dictated from a hospital setting and clinical work is dictated from a physician's office, which could be a cardiologist, urologist, etc. 
what is the difference between clinic and acute care reports?

----


Would the open positions be for acute care or clinic? FT or PT? Thx! nm
s
I did 10 years ago and have worked at home doing acute care ever since! sm
They prepare you for the real world of working from home.  It is worth every penny! 
try to stick to ACUTE care. You don't want to find yourself 'stuck' in one area.

What program is not teaching the difference between acute care and clinic work?
I have seen quite a few questions about this lately and was just wondering.
Acute care is considered hospital transcription - discharges, history/physicals, consults, and op
s
Yeah, it's called Caller ID - nm
xx
Company called MedGarde

Wondering if anyone has any info on MedGarde as well as how many hours you might think a newbie would have to do to transcribe 30 minutes of dictation?


Any comments welcome.


 


Jenn 


It's called taking advantage. SM
Two weeks at no pay?  Two year contract?  Please.  More like 2 years of indentured servitude.  Good luck with that.
It's called experience, Paul...and that is why it is so valuable $$..nm
x
Oops! It's called RMT REVIEW guide :)
nm
I think there's a CD program out there called ADAM for studying anatomy in a gen
//
basic 4 is
OPS, Discharge, H&P, and Consults (hospital notes)
Basic 4
What does the basic 4 consist of?
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.
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
s
The AAMT and the "Top Three" just feed each other - so-called approval by AAMT means nothing

a lot of community college programs are far better than the "top three." Just make sure you get plenty of actual dictation. If you don't have good grammar skills and aren't a literary-type person this may not be the field for you. I can't tell you the unbelievable applications I get for MT jobs - misspelled words, sloppy grammar, and how about those st*pid email addresses  THEHOT1@aol.com, etc. Sheesh. If you're one of THOSE, then be prepared to look for a   l o n g   time to get your first job LOL


Basic 4 hospital work - history and physical, discharge summaries, operative notes, and consults. nm
s
acute process
nm
clinic versus acute
acute care consists of patient care in the hospital from the time they are admitted until they are discharged (emergency room, history/physical, consultations, progress notes, lab/imaging data, transfers, and discharges are the most common). clinic notes are office visits (sometimes include consultations and maybe lab/imaging data). these are usually shorter dictations than the acute care.
I could care less what school you went to...
but as a medical transcription service owner, I am astonished at the amount of new MT's that want the same pay as experienced MT's. Why would I hire someone who has absolutely no experience with working at home, researching words, working with a software program -- all things I have to teach them -- when I can just hire someone who has been doing it for years for 6-7 cents per line. Yea, I know, I know, y'all are going to tell me stories about how you got a job that paid 8 cpl when you were fresh out of school...all I know is I see all the time people on this board crying that they can't find a job anywhere they look. All I know is I worked for peanuts so I could get the experience, then the jobs were whereever and whatever I wanted.
Is this post for real? Take care of your
or napping.
Sounds like my DH, doesn't care that he - sm
is leaving behind a wife and 2 kids(me and our children)---and I presume you have at least 1 child from your name. I hope you had life insurance already in place since no one will undoubtly touch him now. ---Good luck in your new job.
I'm not sure employers care, I would make sure

to pick a training program on the AHDI list ...


http://www.ahdionline.org/scriptcontent/mtapproved.cfm


my work/child care issue
I was having the same issue. I was having my 3-year-old daughter go to my sister's to save money and one morning, she refused to get out of the van. What I did was change my hours from 4-8 AM and 2-6 PM. These hours work perfect for me. She gets up around 7 and I will take 10 minutes to get her breakfast. She knows that when I am done working, I will get her dressed, etc. My line count DOUBLED when I changed to this. She is getting so much more attention from me, my house isn't trashed and if I go to bed at 9, i get 7 hours of sleep. Getting up that early stinks, but it is working absolutely perfect in every other aspect. My son and husband get home around 3 and 3:30, so she only has to occupy herself or watch cartoons for about 1-2 hours.

I'm sure you will find something that will work for you and your family.