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Acute care is considered hospital transcription - discharges, history/physicals, consults, and op

Posted By: reports. nm on 2006-01-02
In Reply to: ACUTE Care versus other. - Not sure!

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  • ACUTE Care versus other. - Not sure!
    • Acute care is considered hospital transcription - discharges, history/physicals, consults, and op - reports. nm

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Hospital work: Op notes, Discharges, Consultations, History and Physicals. nm
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Basic 4 hospital work - history and physical, discharge summaries, operative notes, and consults. nm
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 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!!!
Mostly inpatient hospital dictation - H&P, DS, Consults, Ops, some include ER
and progress notes. Acute care is usually inpatient dictation from hospitals.

Hope this helps.
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
Has anyone used the AIM program for learning acute care? Can
s
Acute care is also called basic 4, which is

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. 


 


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.
hospital transcription

Ok I have looked at hospital MT jobs in AZ and all of them want experience and almost none of them pay well or even list pay in the ad, your best bet is to look on monster.com or try the specific hospital site. for example a big hospital group in AZ is Banner Health, they have their own website and job listings, so try that direction.


 


k


VA Hospital transcription

Does anyone know any MTSO who has VA hospital accounts?  I ran across a great ad looking for MTs last year, but did not have enough MT work experience yet to be considered and was told to reapply when I had more experience.  I don't recall who this company was, but was intriged by the ad for MTs and would like to follow up and at least apply.  I saved the ad, but can't find it at present.  One of the things that interested me most was that the company sounded like it really valued its MT workforce.  I am looking for a company to move to and stay with for the long term.


I would appreciate any information anyone can give me.  My experience thus far has primarily been with hospital accounts and I am currently doing ER editing and standard.  Thanks.


 


H&Ps, Consults, OPs, and DS
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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.
history and physical
??
H&P = History and Physical.....

H&P = History and Physical


It is one of the "Basic 4" reports also.



Something you might not have considered
Don't feel like I'm criticizing your choices, because I'm not. We make choices based on the information we have and we do the best we can. My intention here is to show you a possible option and show future MT students something they need to consider when making their decision.

You graduated and have been unable to find work for 6 months, and you're now willing to work for 3 cpl. Someone who responded to you worked for a year at low wages, as well, and is still only getting 5 cpl. She feels everyone has to "pay their dues."

However, students from two MT schools typically get offered a job with a national within days or weeks of graduating, usually at 7 or 8 cents a line for straight transcription. As soon as they get up to speed in a few months, they're able to begin earning the expected income. They typically get those jobs without internships.

If you estimate that income at only $20,000 a year, those 6 months of not being able to find a job cost you $10,000 in lost income.

The other respondent also lost about $10,000 in that first year at half-pay.

When you choose a school, you have to add the cost of not-getting a job or being able to find only a low-paying job. You have to add the cost of doing low-pay or unpaid internships.

You've already chosen your school and completed it, but the school's reputation wasn't enough for you to get a job. Let's focus on filling up the glass instead of watching it leak. What can you do now to help yourself?

You're thinking you can take a job at half-pay to pay your dues and get the experience. You're willing to spend another $10,000 or even more to pay those dues in a half-pay job for a year. You may still need 2 years of experience before anyone will hire you, so that may end up being $20,000 in lost income.

In other words, to get the job you want, you're going to have to spend another year and $10,000 or even 2 years and $20,000. At that point, you might still be unable to pass an employment test with a national.

One option you have is to enroll in M-Tec or Andrews. The most it will cost is $3800 for Andrews. M-TEC costs less.

Before you say you can't afford the money or the time, stop and think. You've already been out of work for 6 months. You have no job prospects in sight.
Once you get a job, if you can, you will probably be working for half-pay. At that rate, you will lose $10,000 a year for one or two years. You're looking at another year and $10K lost, or two more years and $20K lost.

You could avoid that. It's likely that you can get through either M-TEC or Andrews in less than a year, since you've already completed a school. When you finished, you would have a nearly guaranteed job at a regular rate of pay.

You may not have considered that as an option. Now you can.

For prospective students, file this away as something to consider. You can take a lower-cost school, but you'll pay for it later, and you'll pay far more for it than you would have paid for a better school.




I went to CareerStep, considered one of the top three
.
Yes, same with me, a word is/was considered - sm
5 characters, so 13 x 5 = 65; I would of course confirm this with the prospective employer though before agreeing to anything. If it 65 then that is the norm and acceptable; unless they are offering dirt for pay.
I think their ad said that anything under 40 hrs was considered part time. And several of us have
b
M-Tec and Andrews are considered the best and easier

to get a job as a newbie if you have graduated from one of them.   If she is disabled she is limited in her income and putting out the $$ it would take for a good school versus what the pay is now wouldn't be worth the effort to me. 


Local colleges and community colleges may also have on-line programs.  Avoid any of those tech schools that advertise in magazines, on matchbooks, and on TV. 


YES. Career Step is considered one of the "big three"

M-Tec and Andrews are also in there.  Any school that advertises on matchbook covers or has mostly other nonmedical related courses is NOT good.


The VLC is most definitely NOT one of the best schools out there.  Some people are just promoting it to suit their own purposes.  Read the archives of the board.  Nothing good about them.  Has anyone actually met one of their grads who has gotten a job at home right out of school?  Don't forget about their digital photography and basket weaving courses.  I guess those are fallback careers for their MT grads?


Since when is asking for an answer on a test considered using a resource?
It's cheating, plain and simple. Are you the same Jenn who is having trouble with the Princeton test? If so, no wonder you disagree with what "resources" are.
Ashley, have you considered getting accounts directly with a doctor's office?
I have been very successful as an independent contractor. You should really consider it.
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.
hospital pay
I inquired in my area (Southwest Michigan) and one of the hospitals told me they pay $11 - $17/hour.
I want a job in a hospital sm

Do they usually post their help wanted on their websites, or do you need to know someone to get in??  I see ads all the time for work at home positions, but what about office positions?


 


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.
Starting pay in hospital
Any ideas of the pay for in the hospitals?
RE: Starting pay in hospital
Depends on what part of the United States you are inquiring?
I don't live where the hospital is looking - sm
I actually have two hospitals to recruit for - one in NY and one in Maryland. I will have another soon in Minnesota after I fly up there on Wednesday to find out their needs and look at the surrounding area. These would be for people wanting to relocate. Relocation would be paid.
depends on the hospital
There is hospital near me who will take on beginning MT's who have typing and medical terminology skills. They work with you for up to a year before you go on your own. They pay about $11.75 an hour to start. But, then there is another hospital that requires years of experience. You need to check with you local hospitals to see what their requirements are.