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Discharge summaries are the pits. Consults and H&Ps might get better, maybe not.

Posted By: Psych might be a good switch, give you confidence on 2006-03-12
In Reply to: I do know that the acute care... - SM




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H&P, Consults, OP reports & Discharge Summaries. nm
x
Discharge Summaries

Hello, can anyone help me?  I have done medical transcription for three years at an acute care clinic.  The doctor I worked for bought me text books and tested me until I had sufficient knowledge in the subject, and I became his medical transcriptionist. 


I am now trying to find a job doing MT work at home, and I am currently taking an online test for a company.  My question is, if a specific format is not indicated, which format do I use as a default, for


discharge summaries, acute care, operative, and radiology.


any help would be appreciated.


amber


 


Discharge Summaries (sm)

Do any of you do all discharge summaries?  If so, can you build up speed if given the appropriate time to learn the account?


Discharge summaries
Not a mental block. Just a REALLY slow work type for me too. Hate them too, but as perverse as MQ is, I get them all day long!!
Ask to start out on discharge summaries. I'm sure you can
NM
Basic 4 = op notes, consults, H&Ps, Disch. Summaries.
Most services want at least 2 years of experience and a high score on a screening test. Consider your options carefully and read the archives regarding pros and cons of working for services. A few are great; most are not.
I do OP notes and discharge summaries and type about 500 lph
x
absolutely love discharge summaries nm
nm
Are acute care discharge summaries (sm)
Considering job for small hospital doing DS.  Rating 1-10, difficult being 10, easy to learn.   What is line count compared to clinic work.
I used to have to type DSs (discharge and death summaries.)
It was tough, especially the young mothers or children.
Hospital work - history and physicals, op notes, discharge summaries,
s
Ouch, that's the pits

I worked for hospitals on Long Island in the early 1980s, and I was getting $8.00 per hour with benefits. And in those days, you didn't have to pay for medical insurance.


I'm angry for you! That's the pits! BTDT!

No way - MQ is the pits, left 6 years ago and never looked back.
There is greener grass, believe me.
This dumb-and-dumber peer pressure is the pits. And kids with higher
great IQ still means we are all human, and frail, and forgetful, etc, etc, etc. stuff like that happens to me. I tell my son it's because I'm pondering quantum physics, just to make him grin!
LOL!!! Consults sm
I got a bang out of your Alzeimer moment there. Today is Monday so I'm having plenty of those myself. Join the club.
Consults. nm
x
Same here, but I mostly do H&P, consults . . sm
on elderly people. So boring. I actually like when I have to look up a word because it breaks the monotony. Of course, I don't get paid for that so it is a catch-22.
Consults.
xx
on my account, they do their H&Ps and Consults
How does one get by with saying they don't do correspondence?
Oh, I thought consults were H&Ps.
Usually on inpatients, they are admitted under a service depending on the problem.  I do not have a whole lot of acute care, so it is interesting to hear the responses. 
death summaries
I've typed several that have left me sobbing, spilling tears on my keyboard quite literally, over the line: The patient passed away peacefully with his entire family at the bedside. After I would dry my tears and wipe off my keyboard, I would wonder why that statement was deemed medically pertinent?
I meant, do you have choice of discharges, consults, H&P's? Just

???


The basic 4 are discharges, op notes, H&Ps and consults. Sometimes
referred to as acute care. 
Lot of 5 to 8-minute reports, preferably ops and consults. nm
nm
Discharge summary TAT?
What is the minimum and maximum TAT for discharge summaries have you had?
Breast discharge
I saw my doctor today for breast discharge, amber colored, from several ducts in the right breast. I am having a mammogram Friday. My doc did not feel any lumps. I am very nervous.

Has anyone had an experience similar to this and have some possibly reassuring words for me?

Thanking you all in advance.
how about 54 discharge meds??
That's got to be a record, at least from my end -- i was thankful when he dictated that reader was referred to chart for most of them -- wow.  how can a body handle all that really??
I have an account where former MTs dictate dishcarge summaries for docs. sm
Believe it or not, they are the WORST dictators!! For people who should know the terminology and pronunciation of medical words and meds, they sound like first-graders trying to sound out every other word. I absolutely hate doing their charts. They are both American, but they're worse than ESLs for even basic medical words.
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s