...or when a nurse is dictating for doctor...
Posted By: jade on 2007-04-20
In Reply to: annoying - mt
and he doesn't know how to pause dictation. Last week I listened to four 30 minute dictations with only about 100 lines to show for it! Finally the office taught him how to use the system! Rookies ARGHHH!
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- annoying - mt
- ...or when a nurse is dictating for doctor... - jade
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If it's that big, don't they keep dictating? Why would you be out of work?
I might be going on the same account with them. It is new for them. They are doing about 20% of the work right now, going up to 100% as they phase out the old company is what I was told. This is to happen over the next three weeks. I decided to go for it. It cannot be worse than no work at all and if it works out well for me, then I am ahead. Good luck to everyone. We need it in this business now. Who would have thought that we would be in this situation after they hyped it up that we were in such high demand. I blame the AAMT or whoever they are now.
You can tell on some dictating systems how sm
many minutes are on the system, how many are backlogged, how old they are, and how many MTs are online working.
Can anyone tell me how to change the dictating physician SM
in the gray field on the Spheris TWS screen. For example, if I need to change a dictating physician from a PA to the attending, the field is gray and I can't change those fields.
Thanks for the help.
Yeah, not too many ESL's dictating, but plenty of ESL's transcribing!
.
Scenario: No work. Docs not dictating. You are an employee. What does that do to your
If you are doing no work, well, any formula to extrapolate your "down" rate of pay is still going to equal zip.
And if you go on vacation? what does that do to your "down" rate of pay? If you have no sick leave and you can't type, what does that do to you "down" rate of pay?
If you have no PTO yet and you are down for weather, computer problems, etc. if you are an employee, are you kicked to SE? What happens to your insurance?
These are all questions you need to get hard answers to and get answers that are palatable. And get them in writing.
Sue, a former nurse AND can do over 600? SM
I'm impressed. Regarding your last point, a little present:
For VR, use your expander's ability to record your Keystrokes to set up macros for all the corrections you typically do, both of words and punctuation. Especially punctuation.
If you jump from word to word, you end up on the next word when you need to insert a comma behind, right? So enter the keystrokes you use to do this in your expander: backspace-comma-space (to return to the first letter of the next word). Then give that macro a 1-keystroke name. Then start doing the same for all the typical and more involved corrections you do. Copy macros you can't make yourself from others.
You're going to find your Expander incredibly helpful, and I'm guessing you'll be breaking 600 typically.
MT vs nurse
Believe it or not, I would rather work at home as an MT for $10 an hour than ever again work in a hospital as an RN, even if the pay exceeded $25 per hour.
My computer doesn't bleed, and 15 jobs don't demand/require my attention all at once. I still only work on one report at a time.
In other words, as an MT, no one is depending on me for their very survival, and I rejoice that I no longer have to depend on a broken system or other individuals to provide my patient the care he/she needs.
Even for those hospital systems that claim to be not-for-profit, the bottom line and top priority is profit. Therefore, they plan to run on as few individuals as the laws will allow. Short-staffing and overwork was a fact of life at every hospital that I ever worked. Home care had its own challenges.
Again, my computer gives me relatively little trouble when compared to my experiences as a nurse working face-to-face with sick and needy people in a sick system that does not always provide what the patient needs when the patient needs it. The money may sound enticing, but the reality was extreme frustration for this nurse!!
Nurse practitioner?
Unless the nurse practitioner is shadowing the doctor, which they usually have their own schedules to follow, how can she accurately dictate his patients??? Great suggestion though?
You are right, not a nurse, never wanted to be one
because my math lacks a lot but always good with spelling and fast typist so MTing was something that fit right in with me. Having said that, why do you stay with this profession if unhappy? I have made as much as a nurse in years past but like everyone else in this job, the pay fell. I have worked Christmas Day but I usually plan to either work very early and take off later for family dinner or if I had young children I would work later in the day or with TTS the last year worked early Thanksgiving and took off Christmas. Most jobs out there are a lot less bending than ours. I worked so many years out in the regular places am glad to work at home, finally.
another nurse turned MT already sm
complaining about the hours, job, etc. If you liked the hours as a nurse, go back to being a nurse.
Geeze I get so tired of everybody in every profession wanting to switch to MTing just to work at home!
So you saying you're "still" a nurse then, SD?
LOL
nurse ratchett (not sure of spelling)
xxx
As Nurse Diesel (love that name) indicates, SM
the number of lines required really isn't that high to reach the incentive level, but you have to produce them on what I presume are the four highest-volume days of the week. Also, Webmedx provides all MTs with the ShortHand Expander program, classes in using it and developing other productivity skills, experts for personal one-on-one help, MT forums for sharing abbreviations and tips, and other help and encouragement designed to bring those line counts and paychecks up.
Hey Nurse Diesel!! I just wanted to thank
I love your posts and do recognize you when I browse these forums. I keep a constant eye on the Company Forum, keeping track of good company reviews versus bad, etc. I just wanted to thank you for coming back on and giving an honest update of your situation. I used to love my old MTSO, and gave glowing reviews, which were true of my personal situation, but when things went sour on me, I also tried to share that experience as well. It really helps potential MTs in getting a truthful outlook of a company, rather than just the emotional trashing posts or emotional praising posts. Not saying you ever did that, just trying to point out to others the flavor of some posts. It also lets others know that they are not alone in their ups and downs with a particular company. Things are just so unpredictable, even within 1 MTSO. One MT is having their heyday, while another MT on the same account is hemorrhaging $$ due to no work. Its just so bizarre these days. I had thought of Webmedx for a while, fell for the old employer of the year stuff. But I was not accepted as the recruiter doesn't like me from a past experience at another company, and while I understood on 1 hand, it honestly wasn't fair, and I thought I was missing out on perfection. Their loss, though, not mine. I had my choice of employers, and went with my other first choice. I am so glad that I was rejected at Webmedx, as no work situations would have killed me, not acceptable at all in my boat! So, sometimes rejection comes with a silver lining! And the company I went with, while it had been touted for years as the BEST MTSO in the world, well.... it sure is lacking. Looking back over the years at the posts, there were 1 or 2 poor MTs who would try to share a negative experience with this company, and they would be crucified, with the usual blame that they must be lowsy MTs. Well, truth be told, the ones with bad experiences were telling the absolute truth, probably even minimizing their plight, and this company is no more a wonderful company to work for than the next MTSO. I am so depressed about our industry, but I do take comfort that I am not alone in my struggles - I am a top notch professional MT, but this nonsense of no work, etc., just cannot be avoided it seems, by any of us. It has been a humbling experience, as I honestly used to read posts about MTs with no work,and somehow I felt that in some way it had to be the MT. Maybe they only worked the 5th Tuesday of each month, maybe they only typed Consults, etc. So I have learned that skill seems to have nothing to do with anything anymore. The job itself and then the work versus no work, versus work type seems to be just a plain old crap shoot, plain and simple. I may as well spend my days down the street in Vegas, gambling at the casinos! At least I could count on free drinks! Well, again, thanks for sharing your experiences, calmly and honestly, both the good and the bad. It makes at least this MT feel like I am not alone in these trying times. 
I wonder if an MT can make as much money as a RN nurse? Curious about that
and wondering
Nurse and exMQ pretty much illustrate SM
the range of possibilities. The rate is high, but it's not a gift--you need to be a good producer for those nice chunks of change to show up in your bank account.
Someone understands my Nurse Diesel reference! Yay! LOL nm
x
Ok, thanks, also how do I look up a doctor
while already in a report on Meditech??
I know, I'm just starting today and am CLUELESS!
Sorry!
Is it possible to have the same doctor
20 times or more in a row? I feel like I am purposely assigned reports and continue to get the same doctor. This morning, I have typed 20 reports one after another on the same doctor. This cannot be an accident, right? The company software is a nightmare and I only hope people on this board will not go to this company. I will not mention the name, but the software starts with a D and it is very problematic, always break down, and flickers on your screen. Thank goodness I had the good sense to accept two positions. I will hold on until next week and bolt so fast, they will not even remember who I am.
Also doctor lists
They can be a nightmare
You are so right about going to the doctor direct!
You can do that and make great money, the only problem is, what to do when you need time off. I've actually been the one to cover all these years (17 years experience) than be the one to ask for coverage. Also, you must make yourself, I think, a little more available for phone calls, STAT requests, doctor getting a bug in his you know what! Sometimes, it is easier to let a company do that for you. No contact, means less headaches! Like I said, I have done all of it, and I'm still providing for my children. I would at home full-time now with a nice mix as an IC. My husband is full-time, and the kids think it is great to have Mom at home. Pros and cons with everything I guess. It may be the region you live in as well. There is a posting regarding gas prices, which is varying in all of the states, it seems. Have a great day!
Maybe WL should see a doctor and have her records
s
I think it is nice to have your own doctor
That would work as an IC. No set hours. Pretty much know what you are dealing with. 
That's the doctor's rules
They do the account the way the doctors want them done; I guess that's why they don't have a turn over of accounts so that we are constantly losing accounts and having to start over. They follow BOS unless it is stated in the instructions otherwise at the doctor's request.
depends on the doctor sm
Most are good, but you still have the inconsiderate ones who refuse to use the pause button. 4:30 report for 13 lines is a waste of your time. Can you have someone speak to the doctor? Or can you? If not, find another job. (I know, easier said than done.)
It might be that the hospital or the doctor who
buys the VR system does not pay the whole amount in 1 payment, but makes installments, namely by giving a percentage of the line rate, until they VR system is paid off.
Does this make sense?
LOL-I saw one of those at the eye doctor earlier
this week. The gal taking my information just turn 62 on the 12th. She said she still uses the electric and the docs would probably retire it with her. She said it was a great conversation piece. My MIL has an old carriage return. It has 2 keys that rise above the others. Haven't seen that in forever.
I work in a doctor's office. SM
I got a $600.00 bonus.
The doctor was a participating provider - sm
per the website given to us by TH. I would never choose an out of network physician if I could help it.
Obviously they were trying to unload a difficult doctor...
on you, and they got mad when you wouldn't take him/her. They were probably hiring mainly to find someone to do this lousy dictator.
I truly think that if every doctor or dictator had to spend
was forced to listen to themselves for a period of time...say an hour or two, I would almost bet the farm that a lot of mumblemouths, yawners, eaters, and people who dictate in the bathroom while they are flushing would change their habits radically. Or sending their dictation EXACTLY the way they say it...um...uh...uh...ummmm........hmmmm.........dead air....You know the ones.
No one will ever convince me differently. LOL. IN a perfect world maybe. in the MT world??? Not!!!
It also depends on age. I'm 60. I haven't been to doctor
xx
It means he is the doctor from Hades. EIther
an ESL that is very difficult or a son of a gun American doctor who can't dictate worth a flip but will throw a hissy fit if something isn't right.
Doctor's Medical Center
I searched this board and couldn't find any specific info on this company. Does anyone work for them? Know anything positive or negative about them? Know about their pay scale?
The Transcription Doctor company
Does anyone know anything about this company? Thanks
I am trying test 1 also and I am having the same problems as you so I think it is the doctor -sm
dictating. The other two were easier. Good luck to you.
I used to do an ESL doctor that stuttered and sometimes it was really interesting -
I never considered not doing his reports, just patiently waited for him to get his words out and then would type. However, one time in particular, I laughed so hard at his dictation that I almost wet myself.
He was dictating about a man who was admitted during the night after he went to the bathroom and while in there his wife heard a loud fa-fa-fa-fa (of course, you know what I was thinking) and then he manged to get out the word FALL!!!
EMR distracts from doctor's attention
Went to the doctor for GI problem. He spent most of the time dinking around with his laptop. He ordered tests and didn't prescribe anything for interim relief. I paid the bill. A week later, got another bill for his time spent with me in the exam room dinking around with his laptop!
I have a doctor that has been saying for two years that MTs were going to be extinct and that it was
Saying that something like 2010 clinics all had to be on EMR or an electronic system of some type. But he is the only one I have heard mention it. He always says still got a job, yours is not going to be around much longer.
Closest doctor is 30 miles away
Already looked into that and the closest doctor is 30 miles away which is too far for the money and they are all going to EMR anyway.
The doctor's lack of attention to what he was doing
When I get a dictation like that, unless they're only a few lines into the report, I send it, and the doctor has to pay my company for it. You have to draw the line somewhere, and there's simply no excuse for dictating an entire report and then saying 'never mind'.
I personally think there should be a way to count all the words, sentences and paragraphs we type where they back up and correct themselves, too. 90% of the time, they just change it to say the same darned thing, only in a different way. They should have to pay for that, too. Every lapse in their memory comes out of our time, and our paychecks. It shouldn't be free. They can afford it.
Just wondering if anyone answered the private doctor ad.....
and had contact? TIA
If a doctor "knows things" and dictates them, sm
then that's EXACTLY what MTs need to know! DUH!!
With the KS ortho accounts, each doctor is assigned to an MT. sm
I have 3 doctors that I am responsible, some only have 1 if they are high volume. Easy system to use, great docs, great lead MT. Pay starts low at 0.08 but goes up after 90 days. There are no ESL on the ortho account I am on, which has around 40 doctors. The downside is the first week. The accounts are overwhelming with instructions at first, but once you have it all down, they are great!
Not so. Can barely get 9 cents directly from the doctor!
Doctors see all these Indian companies offering 6 cpl, balk at 9 to 10 cpl, and they want it printed, free courier service, ect.
Well, I put in writing mine has to be when I see a doctor or hospital.
Yep, took my daughter to the ER last week and told them that the record MUST stay in the U.S., be transcribed by an American citizen (inhouse) or only to a company that employs only American citizens, and they better darn well note that in the chart. They do. I do this every time I go to a doctor, hospital or any medical center. I tell them if they have no such option, I'll transcribe my own records, which always gets a chuckle.
Isn't that job post from doctor recruiting work and not MTs? nm
xx
My kids' doctor's office also use laptop sm
They also use the laptops at my kids' doctor's office. It is basically a program where they check/uncheck items on a list. I have had the PE printed out for school sports physicals and it is pretty short (even for my son who has had a broken femur - no mention of that in the note). I also recently lost an account with no warning to EMR. The docs will be doing their own notes now and I am left to try to find another job so I can pay my bills and maybe buy a few Christmas presents. Most of the MTSO's I have sent my resume to do not even bother to send an e-mail. I know I will eventually have to look into another line of work but can't bring myself to do it until my kids are out of school. Sad situation all around.
When I worked at TransTech, there was a doctor on one of the accounts sm
who stuttered. At first, I was really frustrated, but then I also saw it from his side, how frustrating it must be to know what you want to say and then face that challenge. I do not know about the physician you are referring to, but in the case I am referring to, I do not think the patient record suffered because of the doctor's stuttering. I just kind of grimaced when I got him. You would think that people like that, as well as the ESLs who are so challenged they can barely form a sentence, would hire a P.A./N.C. to do their dictating for them. Go figure.
Sorry you have that to deal with. 
Can an office/doctor replace you for time off?
I am an independent contractor. Later this year I am having a medical procedure that will put me out of commission for 4 weeks. The doctor has decided to replace me with an in-house transcriptionist.
The office manager there never liked that the doctor asked me to transcribe for him 5 years ago and I'm sure she saw this as an opportunity to get rid of me. Usually, he does everything she says but for some reason, he sought me out way back when to do this.
I was mad at first but now am just sad. It's a portion of my income but not all....what a loss though!
Maybe a spin doctor, or a damage-control
nm
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