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And it's rough work dangit. First job, large hospital,

Posted By: TM on 2006-10-30
In Reply to: If it was a clinic, it might have been urgent care, but it was NOT acute care. sm - jj

drives me nuts sometimes. Sorry, just felt like throwing that out there! ;)


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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. 


275-310 lph - one account-large teaching hospital
xx
Philadelphia - $25 per hour at a large teaching hospital. nm
x
I'm there with ya! I worked for a hospital that outsourced overflow to a very large, VERY SM

well-known service.  The quality of the work was shockingly bad.  There's no way to describe it except to say it was painfully obvious that the MTs on our account had no business being MTs.  They didn't even have the very basic skills for the job, let alone the medical terminology.


I had the opportunity to read through the contract, and there was a paragraph in the contract that clearly stated that not only did the service promise to adhere to a specific TAT, but also promised high quality, proofread reports.  Basically saying that they employed a highly qualified QA staff that insured nearly error free reports.  That's the OUT clause as far as I'm concerned.  I started a file of every report with errors from the service, every ridiculous error.


A new supervisor for our department was hired and her first order of business was to cut the flab out of department.  She told us that the service doing our overflow was being paid something like $60,000 a MONTH!  The hospital was paying the service 45 cpl.  Now do the math!  The service gets 45 cpl and pays you and me 7 to 8 cpl to transcribe for them or even worse pays 2 cpl for an India-based MT and 3 cpl for an American QA person to edit and correct it, so that's only 5 cpl they end up paying.  That's quite a profit.  I vowed the day I found all this out to NEVER work for a national service again and especially not THAT service.


The new supervisor was against outsourcing which was good news.  She set out to renegotiate the contract or drop the service all together.  I threatened her with breach of contract and that's where my little file came in handy.  Needless to say, the service backed off and we not outsource overflow to a service local to our area and a much more reasonable rate.


My advice to you is start your file and keep track of everything.  Tell your boss to reread the contract, especially those paragraphs that speak to what the service promises to provide for the inflated line rate!


Good Luck!


Depends upon size of hospital. If it's a large teaching
nm
No joke. I made 12 cpl as an employee at a large teaching hospital. I should mention the ended up
work to an outside service and that is why I'm not with them today, but good paying, employee status jobs are out there, though they are few and far between.  You just have to be patient and be good at what you do. 
I work for a service, a rather large one sm
They probably, or possibly, keep the records for awhile, in Echart.  But as an IC, I would think that legally, you would be limited to the amount of time you are allowed to keep patients medical records, and I would bet it would be around 30 days, not more. 
My work space is in the MBR- it is plenty large -sm
but the room is a bit cluttered. It is a large room though, 12' x 27', 1 corner is a small walk-in closet though (5 x 9), I am against that 5' wall of the closet for my "space". If I could lose the radio (old 1940s) and the corner shelf unit it would look a lot nicer even with my desk and TV cart I use for my printer and misc. papers. The one "spare" room we have is the dining room which is the kids play room but I am getting rid of that this Fall, however it will basically turn into storage on one side for my DHs antique TVs and the other I might make a reading nook, for the rare spare time I get to have a haven to go to outside of the bedroom. I have the recliner, just need a place to put it!
I work for a large company beginning with an "M" and make
10.5 for text and 7 cpl for speech recognition. I work 10 hours a week and make 800 a month. I'm old and slow too.
Oh, bull. I'm with a large national and those clients whose work is offshored
That one statement is bunk.

Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


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.
It's rough out here sometimes. But just because you sm
left a lot of blanks in one report doesn't mean you don't have a chance at a job.  The company may have tiers they are testing for, or may be checking to see if you would guess.  Keep plugging, and something will turn up.  Experienced workers are always needed.  You'll find your place.  Best of luck to you.  (PS:  Treat yourself to something inexpensive but nice; you deserve it and it will keep your spirits up.)
I hate to say it, but it's rough. sm

My niece graduated from MT school early, top of her class, high honors. She thought she was all set, but couldn't find anything.  No one would hire her without experience.  She's still looking and I think she found a small account somewhere with an outrageous pay rate of around 5 cents a line.


It's unfortunate that these schools make it look like it's so easy.


I'm not saying don't go for it if that's what you want to do, but it sometimes takes years before you start making any money.


Good luck


Rough estimate.
I work approximately 5-6 hours a day five days a week and then at least 2 hours on Sundays. I can expect to bring in anywhere from 600-800 dollars every two weeks. There are so many variables to take in to this though. How fast you type, how much you make per line (7.40 for me). Good luck! This is not an easy job to get into, so just make sure it is really what you want to do...If you have any questions please feel free to email me.
It's rough. I have a niece who's having trouble. sm

The sad part about being a newbie is all the hype the MT schools throw at you about "You can work at home!  You can make $40,000 a year!, blah, blah, blah!"


I have a niece going through the same thing.  She paid for school, graduated with top honors and couldn't find a thing for months.


What a lot of the MT schools don't tell you is about the real world. The big companies are looking for turnaround time and making money. "Newbies" (and by the way I hate that word) are a risk. 


I just started working at home after 15 years in the medical field, but had to start  as a receptionist after spending 8 years as a legal secretary/paralegal. It didn't take long for the docs to realize that I could spell and I could type and I offered to try and type their reports. With a lot of help from the docs I found I loved doing MT. I took on a part-time MT at home job at nights 1 1/2 years ago for a local person, took a medical terminology class and then took the "plunge."


So anyway, (sorry to go on so long), my advice to you is to try to find something locally, if you can, even just signing patients in at a local hospital part time and offer your MT knowledge and typing ability to human resources.  Once you have even 6 months of experience, I'm sure you will be taken more seriously.


My niece did eventually find part time work and is working at home, but she's getting paid 5 cents a line.


Best of luck to you.


 


Oh my ... you have it rough. I don't think I even know how to cook without onions! sm
For my meatloaf, I use salsa too, plus hamburger, hot Jimmy Dean sausage, breadcrumbs, & egg.  Heck, this is making me hungry for meatloaf now!  :-)
Thanks, it has been a rough 2005 for many reasons - sm
but Jen is doing well now. Her hair grew back quick (3 different colors currently, quite interesting), looks like a little elf now and everyone thinks she is so cute (those that don't think she is a boy, get that a lot now since her hair is so short). Almost 10 months cancer-free so far and things look very good for her. She looks so different and healthy now that she is done chemo. Her 6th birthday present will probably be being told her Port-A-Cath is coming out--Dr. appt. day before her birthday, due to come out a year or so after the initial surgery. But I am so thrilled that she was eligible for a wish. She got exactly what she wanted and it was a trip of a lifetime I don't think any of us will ever forget. I am very grateful to everyone who contributes to Make-A-Wish, it is really amazing what they do for sick kids and their families. I hope everyone here had a good 2006!
Did you watch the CMT thing on her..she really had it rough and made it
d
Yeah, it would be rough cancelling your cable
this time of year. Just think, then you would be stuck with only the networks to watch if you put in some rabbit ears. Not fun. I did that once last year. It gave me a good excuse to read more, but eventually I got sick of having nothing to watch and got satellite.
I work for a hospital and can do in less (sm)
than 8 hours (65-char line).  Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".

Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.

So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.
Well then don't come work for my hospital because...
if you type something for one of your co-workers, you have violated the confidentiality agreement signed when you were hired.  I've typed celebrity reports too when I worked for a national, that's different.  If it were the other way around would you like a casual acquaintance to know all your business?  I wouldn't.  I have the same respect that I would want.  There's 23 other MTs in my hospital.  I don't NEED to type a medical report on my children's elementary school principal (happened a few months ago).  So, get off your attitude.
I work in a hospital and sometimes we have had - (s/m)
"blanket" messages on our blackboard - or in memos - meant for one or two, even those of us who work our tails off have to read it and feel chastised. It's very demoralizing. Next time I get one of those nasty memos or emails, I intend to tell the boss that if he thinks I'm so lazy, then he can just pry his fat arse out of his genuine leather easy-chair, turn off the computer games he plays all day long, and type the #*%<)!@% work himself.
I work in a hospital
in a city with a population of like 4000 people, it is only a 23-bed hospital and I started working here a year and 1/2 ago. I make a little over $12/hr. For this area, this is great pay for any kind of job if you don't have a bachelor's degree. My mom is an LPN/office manager in a clinic owned by the hopstial and she is only making like $4/hr more than I am.
The hospital I work for will
Well some people can get away with it, others get dropped.  Why I am looking elsewhere. 
I did work for a hospital that used one of those.

They called it a 'CryptoCard' and it was about the size of a credit card.  You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time.  It always changed....security precautions.  I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.



the hospital I work for does that too.
They call it a Biometric Screening. When you enroll you have all the lab work done that you need.Glucose, lipids, TSH, triglycerides, etc. You also get a reduction in your health insurance premiums per pay period. Depending on what you participate in, you can also get up to $300 back at the end of the program.They have smoking cessation incentives, exercise incentives, etc. It runs from September to September. Pays usually in January, or midway through. You also get discounts on different classes that are offered, ie pilates, yoga, circuit, etc. For a reduction in my health insurance, I think it is well worth it. And I haven't heard of anybody being popped for drugs of abuse or anything like that.
When I used to work for the hospital, the ones of
us with equipment at home contracted with the hospital and worked our "second job" for the hospital to do the work when we were behind. You might ask them about that.
Hospital work
From someone who worked in a hospital first and then worked at home, sometimes in a hospital you end up doing other duties like correcting someone's else's reports because they are not there that day, or are working another shift, re-printing reports, sometimes the nursing floors or even physician calls with problems with the report (usually they are irate and blame any and every problem on transcription).   You have meetings which interfere with your ability to transcribe.  You have to be on alert for Department of Health visits.   I could go on and on.  Your line count sufferes.  Unless you get paid by the hour and get paid well, it is more trouble than it is worth.
hospital work
I got most of my first work experience at a hospital when i had no idea what i was doing. They never gave me any feedback or nothing and was there 2 and a half years. And I got paid for not knowing what i was doing. I had only had a few courses of medical terminology and they hired me in. It was a stepping stone to bigger and better things. Hospitals today though are more competitive, (my experience was over 25 years ago). So you might learn more stepping stones by working at the hospital. (i drove over 55 miles to that hospital job just to get experience in the field).
going to the hospital won't work sm
thought because we as MTs sign contracts etc etc when we work for these companies. If we go behind the company back and approach the hospitals/facilities, we can be in all kinds of legal troubles with the company itself. The rest I agree with but people have got to stick together.

Kind of goes back to 30 years ago and the big unions huh? People stuck together they got things done and working conditions improved. People busted the unions and you see what has happened over the years.

Coming from a HUGE union state (Michigan---that ought to get a few riled), I have seen what has happened when the unions are "busted." I also now live in a southern state and see what goes on here when there are no unions and folks don't stick together.

There has got to be a solution for this and I for one am willing to sign on to whatever it takes to get the job done.
As in hospital work,
discharge summaries, operative reports, consultations and history and physical.
I work for a hospital 6 states away. SM

I have a physician list and I have a website to look for other doctors. But how can they expect me to know how to spell patients' names? They can't. I have a disclaimer at the top of my log sheet that says common or phonetic spellings will be used where patient name spellings are not provided.


That was the thing that held me up when I worked "live" from home for a hospital. All that diddling around finding out whether it was "Kathy" or "Cathy"  -- I don't do that any longer and you're right, it makes a HUGE difference.


i work in-house for a hospital and they
did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus.  they cant keep emps now except the ones that are too close to retirement.
I work for a local hospital,
not a company. I know to stay away from Transcend.
local hospital work
i moved from a large city to a small town and i'm thinking about doing what you did. try to go to work for the local hospital. would have to probably work a set schedule, but the town is small so it's not like i'd be driving a long distance and i could go home for lunch. i don't have benefits right now and that's scary, so i'm leaning that way.
Not! They are why I went back to work for a hospital
to work
hospital work at home
May I ask if it was easy for you to get the at-home job working for the hospital? I have a hospital very near my home and have been contemplating going there to see if they have at-home transcription jobs available, but haven't done so just yet. I would love to be paid hourly. I'm so tired of having to type my fingers to the bone to make good money. Hourly should would be nice, even if only temporarily. Thanks for any advice.
Other than that do you like Winscribe? The hospital I work for is considering going with them for a
x
I work directly for a hospital in the NE,
the list is provided to me by the hospital.
Sounds like the hospital I work for

I would think you applied there.  Anyway, we get paid by production in-house at 9 cpl.  Only time hourly pays is when we take time-off, equipment malfunction and of course meetings.  The only thing I don't like is that the hourly people (coders, clerks) dont' understand that and want to visit and get offended when we tell the we have to work. 


That's pathetic that a hospital would pay for such work.
The hospital should be ashamed of themselves for hiring an offshore company.
I also work for a local hospital which is
growing in volume of work minute by minute. We have 52 remote transcriptions and still we need to send out work to two venders.
I work for a hospital but am home. nm
nm
Yeah, and if you work for a hospital and say
x
I work at home for a hospital
differential, average around $18 to $22 an hour. I am not paid hourly, but totally CPL. I don't use any benefits because I am on my husband's.
anyone still work for hospital or clinic?
x
I'm an MTSO with MTs who work on a hospital

system just like you do.  The hospital also tried to do that with me - told me they'd email me the production stats at the end of the week for each of my MTs.  I told them no, we wanted to figure our lines independently, and they said okay.  Don't know what I would have done if they didn't.  We work on a Dictaphone system but not doing SR. You say Powerscribe so I assume you are doing SR on a Dictaphone system.  With transcribed reports you can choose the Sessions Statistics tab and get a line count (of course, it is based on what they have calculated as a line but I have checked it independently and it seems pretty accurate).  I have also charged by the minute of dictation in the past.


The hospital we do work for, I don't think they would cheat us; I think they would give us the same production calculations they do for their employees.  But we are NOT employees and we need to be able to determine our lines independently, not have the hospital tell us what our lines were.