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Honey, I have been an acute care MT for 25 years.

Posted By: sm on 2005-12-28
In Reply to: It is a major holiday - who wants to have elective medical care - at this time of year???

For one thing, most of acute care is NOT elective.  And acute care does not consist of only surgery anyway.  Also, lots of people DO have surgery this time of year because for one they have time off, and for another if they get it in before the end of the year they can claim it on their taxes for this year, and also if they have already met their deductible they want to have anything they need to get done done before the first of the year, when they will need to meet their deductible again.

It's not the time of year.  It's that there are too many MTs.

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Actually I have done acute care for many years but
I'm an MT with 23 years of acute care

they told me to call them.  I called and Heather was busy at the time and told me she'd call me RIGHT back.  She never called and I never checked back; I accepted a job with another company that DID call me back.  I was very interested in DSG but since they weren't excited enough about ME to call me back, I figured I'd go with one who was.

With all the acute care experience I have (as a hospital employee, as an MTSO myself, and as an IC for other companies), I am used to companies falling all over themselves trying to hire me, trying to convince me to work for them, etc.  I guess they didn't recognize how VALUABLE I am! 

I have 10 years + acute care, maybe that is why? nm
I had 17 years of acute care with ops and they
3 years acute care experience sm
They do have ESLs and you need to be familiar with a wide range of specialties as they are hospital accounts.  But lots of good dictators too.  Good luck!
18 years acute care, heavy ESL. Thank you.
I was an acute care MT for 12 years in house
getting my own clients.  In my opinion, three years is not very much experience and not enough to have clients of your own.  All my clients I got by word of mouth, either from the hospital MT supervisor giving them my name or from one client to another.
NO! For 25 years of acute care exp and exc education

completely.  It was their way or the highway.  It took me about 2 minutes to get a job that paid 3 cpl more with very, very flexible scheduling.  Their flexibility and pay bought them an accurate, high-production MT that is 100% reliable and accountable. 

Also, as time goes on, Spheris' benefits have eroded.  I believe they eliminated PTO for PT.   There is no question in my mind that more and more will be taken away and pretty soon their MTs will be working for crap, have high insurance premiums, PTO and holiday time cut. 

BTW, the suits are gorging themselves on huge profits while MTs, the ones that make this all happen, get the shaft.  There is no doubt in my mind that there is a suit in one of their swank offices who does nothing but figure out how to reduce/eliminate MT costs (and likely get a huge bonus for screwing MTs for the benefit of executives).

Over 13 years of experience in acute care and various platforms
Dictaphone is one of my personal favorites.
I have 20 years' experience in acute care, can do any speciality, can
do ESLs and I've been offered several positions in that range, though they were employee positions.  
Over 13 years of experience, 5 in acute care and I did the same as you. I confess..
I just thought I was a smarty pants and knew it all so I did not use any reference material but now I wish I had.  Honestly, that was the hardest test I had ever taken for a company. Just when you think you know it all.... then, that makes you feel STUPID!! So do not feel bad, but I think she should re-vamp their testing process. That would scare anyone off.
Maybe in your case. As for me, I have many years acute care and am well qualified.
Acute Care versus Pathology.... After 28 years as an

acute care medical transcriptionist, and working from home the past 7 years, I have decided to go back out in the workforce.   I have an interview on Monday with LabCorp as pathology transcriptionist.   After almost 30 years in the medical transcription profession, and at age 50, I am facing no retirement benefits, no health insurance, no sick time or holiday or vacation time.   I know it's a little late to wake up and smell the coffee, but I figure in the next 15 years, I may have a little retirement to look forward to.      Anyone working for LabCorp know anything about the benefits?

I've got over 10 years acute care experience and
the recruiter (same one for the last 100 years) called me and talked to me like I was an idiot.  I pretty much told her to take her attitude and stick it where the sun don't shine.  I also told her I can see why they are ALWAYS looking for MTs.  She was a B-I-O-T-C-H !!
I was turned down with 13 years of experience with 4 in acute care. Go figure, but thanks anyway.
I was totally floored as I have experience with the basic 4 as well as multiple specialties. I am not quite sure what they are looking for. The ironic part was a year ago I received the same response from Spheris, yet they advertise that you have to only one years' experience. What is funny about that is the hospital I worked for had just signed a contract with them and they were hired to do work that I was doing on a daily basis at the hospital, yet I did not qualify. Very odd.
It depends if clinic or acute care, years of experience, can you do
ESLs.   They pay about the same as most companies. 
Experience needs to be defined better. Ten years of acute care is worth
I'm high level 4, all acute care, high ESL, many years exp. and highest QA grades...
In case you are wondering...All acute care, all specialties. I request new accounts, and yet they all run out of work...not just during usual slow periods...
On a bed of nails, honey... they don't care. Cold as ice! nm
Honey, I've been an MT 25 years. I never

that I post on a message board, but if you look at my work, it is top notch.  That's why I have contracts with local hospitals.  I have my own accounts.  Can you say the same?  No, I doubt it.

I think the recruiter is WRONG to encourage people to cheat.

Acute care

Acute care is (sm)
typically the basic four: history and physicals, operative reports, consults and discharge summaries. It's hospital work typically done in the medical records department of a hospital.

That's going to be your hurdle because it sounds like you don't have the acute care experience. Once you have 2-3 years of that, you've got it made. Getting your foot in is the hard part.

I'm not a recruiter. Is there a local hospital you can work at? That's sometimes the way to get the experience when you have some medical transcription but not acute care.

Good luck!
Yes, acute care
I have 5 major accounts I get backlogs for and they are all empty, completely!!!! It has been this way since the beginning of December and before that so light that if you got 300-500 lines you were very lucky and had to work morning to evening for it. If you talk to the owner, she will just say she is going to hire more, the work will be there, it is slow deal with it, etc. I can't believe we are not being taken care of.
Acute care, ER
They wanted to pay 7.5 cents for 150 lines an hour, and then anything over 165 was on a tier plan.
Acute care

I started out right out of school working for a national doing acute care for a large hospital.  Let me tell you, it was very scary for me.  But, I look back on it now, and I am glad that I had that experience because I learned a lot right from the very beginning.  I have transcribed every type of report in every specialty.  Acute care can be very difficult, but what I like about it is the variety.  For me, it never gets boring.  I am still working for the same company I started out with (along with another) and I am still very happy.

Since you already have quite a bit of experience, you will have a somewhat easier time than I did, but it will still be difficult.  In the beginning you will have to spend a lot of time looking things up and doing research and your production will probably not be that great.  In the long run though, I think you will enjoy it, I know I do.  But, you may also find it is not for you.  You just won't know until you try. 

Probably the hardest thing about working for a large hospital is getting used to the large variety of dictators.  At this point in time, I have approximately 30 doctors that I transcribe for that I would consider my regular docs.  Then, there is a very large pool of approximately 200 doctors, any of whom I may get on any given day.  Rarely a day goes by that I don't get a doctor that is new to me.  But, that is also something about the job that I enjoy because that keeps it from getting old and boring for me.

I have created tons of normals and expansions and that has helped me beyond belief.  I know that is no big secret for someone who has experience such as you.  My advice would be to give it a shot and see how it goes.  It could be the best decision you ever made.  And if you find out you don't like it, at least you will know that for the future.

Best of luck to you!

They said maybe I could do some acute care if
the Rad work is low...but they're starting me out on about 3 or 4 Rad accounts so I doubt if I will do any acute care for a while....I know there are people who do acute care for them who say they don't run out of work..I'm not worried...just anxious to get trained!!! (which starts tomorrow)! 
Acute care..nm
No more acute care for me
I do not particularly enjoy acute care either. I really want to get back to typing clinic, but all the jobs I see posted lately are for acute care/basic four. Where do you find clinic work these days? I stay away from companies who use Emdat too. Just hate that system.
Acute care
I work there
Sorry, acute care...nm
Is there any way you can get on acute care?
acute care
Two other people that I know had the same problem this year, they had no work available to train on.
The Big 4 Acute Care
Please pardon my ignorance, but what are the big 4?  I do surgeries, H&P's, and ER.  Is inpatient care the 4th?  Thanks for any input!
6.5 cpl is for acute care.
While 6-8 is the average for a new MT, I think 6.5 is extremely low for acute care. This is why I left Spheris. I now make 7 cpl for clinic notes and make a lot more money and have a whole lot less stress.
I do acute care/B4 and some ER at KS
and was looking to do basic 4/acute care with MDI. Do you really have to pay a lot in back in taxes when you are an IC? I have never done this before as I have always been employee status at every other company I have worked for, so I don't even know how much ICs generally have to pay in taxes. Thanks for the advice! I will definitely keep that in mind when deciding which road to take!
Acute care

acute care

Ya know, I started out with no experience in a hospital setting also about 15 years ago. It definitely is a learning curve. I stuck it out and it took me about a year to get up to making $9.00 an hour including ESL docs which you will get everywhere! My advice, unless you want to do clinic or one specialty, stick with it, it's a lot of learning, like a new language, but you will get it and then have a lot of opportunities open up after that.
GOOD LUCK!! Hang in there!
Acute care NM
acute care
I used to work clinic, now acute care. In clinic, sometimes most of my day would be 4 line reports. I had to set up each one. Avg. was 20 lines though. In acute care, avg report is probably 50+. Not so much setup time. In the long run, you want to narrow down your # of doctors if possible. That's who I see making the most money.
Yes I think they are all acute care but sm
Usually after we get the accounts, the radiology departments and such also use our services.
acute care
I prefer acute care. You can make lots of normals for physical exams and OP notes. Acute care reports tend to be longer so I can get a rhythm going, not having to change reports and look for patient info every minute or so.

It has been my experience that I do tend to make more doing OP notes exclusively. Some MTSO will not pay the Transcriptionist for normals that come from the client, though I'm sure they are charging the client when they are used. That is one question I am sure to ask these days. Found that out the hard way.
CA, acute care, 75% ESL nt
No, acute care...nm
Acute care - HP, DS, Con, Op, maybe some sm
specialty worktypes like sleep studies, diagnostic reports (EKGs, EEGs), depending on your hospital. Level 3 MTs are ER, radiology and basic clinic work.
Acute Care
Dumb question: Acute care does not include ER reports, does it? I do not like typing ER and that seems to be all I type. I was hired for acute care.
IC ... acute care hospital
If this is for the acute care position - sm
I wouldn't bother - it's a horrible dictating hospital, the cherry pickers are rampant, and honestly, more often than not there is no work!  I've gotten e-mails from them saying they're expecting a lot of work on such-and-such a date and could I please set aside extra time for them.  They even offer to pay incentives, but then when that date comes and I've blown off all my other work and I'm ready to type, there's NO WORK.  Regarding paychecks, I didn't like the fact that they didn't provide a line count to me.  They have their own line counting software and it never jived with mine.  I think they now have direct deposit, so I guess that would be a plus.  And they had also promised to reimburse me "x" amount a month for long distance, but I had absolutely no way of knowing if I ever received this because I would just receive one big check every month and never saw a line count to go with it, so I'm very suspicious if this was ever included.   I only know about this one account, but it definitely wasn't worth my time and I definitely could not rely on it to be a steady job.
Are you acute care or Radiology?
The difference being that Radiology usually has a faster TAT. I think most companies will be flexible. I know a few give you a 12-hour window to get your time in.
Why can they not bring on acute care MTs?
Cannot get them or do not want them?
Not sure if there are Rad openings. I do acute care...
OPs, DS, HP, and CS.  Been here since September and have never been happier with a job.  Website is www.mditrans.com. 
I think acute care is a great way to go
You will gain a lot of experience, just try your best not to get frustrated and don't give up, it does get easier. As far as ESL's go, I think that just depends on where you work, you may have more in acute care, you may not. I wish you the best!