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Discrepencies in reports.

Posted By: Don't want to be a PITA. on 2008-01-04
In Reply to:

Working for acute care it is not often that you'll get the same patient by different docs but when work is slow, it does happen.  I got one today where the first note stated the patient had vomiting blood, coffee ground emesis and severe tarry stools with hemoglobin 15.4.  I thought very odd, but this is clearly what physician dictated.  The second note I got was his admit H&P and a different doc, same patient with hemoglobin 5.4.  It is just by chance I got both notes from the same patient. 


I felt like such a pain calling this out to my team leader but I thought this was something that should be marked for followup by the physicians.  This is just one of those times that working at home for people that you never meet can really make you feel uncomfortable.  Did I do the right thing calling the doctors discrepencies out or should I have kept my mouth shut?  It was just a fluke I got the patients ED note and H&P. 




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The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
Your English teacher does not do medical reports. This is for medical reports.
.
rad reports
I've never heard of such a thing and I wouldn't want to do it. Just curious. what company is it?
I do OP Reports also, about 500 lph. nm
x
X-ray reports

One of my accounts are beginning to do simple x-ray reports, chest, foot, hand, etc.   Anyone have samples as to headings, etc.  I have not done them for so long, cannot remember headings  such as  Exam, Indications, Findings,  Diagnosis, etc.    They just told me to take what they say and make it "look professional, nice and neat."   "As you always do with our reports" they say.



Thanks for your help.


 


 


ER Reports

I am going on a job interview and I have to type some ER reports for the skills part of the pre-employment exam. I was wondering if anyone knows where I can find some examples of them. I have been out of school for a while, and right now I just do surgeries and clinic notes. Any help would be greatly appreciated. I need this new job so bad, it has great benefits.


ER Reports

If you follow this link you will find something that might help.  You will do fine. 


http://www.mtdaily.com/mt1/ersample.html


Every 3 reports
Now that you mention it, I usually feel the need to break after about 3 reports or so depending on the length, but that sounds about right. I noticed that one day, but I never thought of it again until you mentioned it. I keep a written log myself aside from what the computer keeps, I always have, it is a habit. Anyway, I usually keep my reports documented in groups of 3 or 5.
ER Reports

I just got a new job at a company that services emergency room docs, so I will only be doing ER Reports. I have not had much experience doing them. Are they pretty hard? How should I prepare myself I start Monday?


ER reports
My secondary account is an ER account, and I love it. They are short and sweet.
ER reports
Just smile - you're on easy street! Hopefully you will have good software that lets you make your own normals with stop codes. You just jump from spot to spot with lightening speed most of the time.
It's reports like these
that help me realize that I don't have it so bad afterall.  I guess we all take things for granted from time to time.  I appreciate eye-openers like this and try to be more thankful, even when times are tough. 
Op reports
I have been doing surgeries for 10 years and just love it. I do radiology all day so at night, surgeries are a nice change.
ER reports
Was there a posting on the boards recently about doing mostly ER reports?  What was the name of the company?  I cannot find it now.  Thanks.
Can someone tell me about how many reports 250

minutes of dictation is? This is for a radiology account.


My company tells us the backlog in minutes and when I ask them about how many reports that is, they can't tell me either.


Just curious and to help me decide how many hours to work also.


those of you who do op reports

I checked archives but didn't find much info - I don't do many op notes, and therefore don't have many reference books.  Do you use Google or could you recommend a really good book for me to get?  Thank you in advance.


lab reports
If there is ever on thing worse than a speed demon ESL, it is a speed demon ESL doing labs.  Anybody know where to get a good full sample of a completed lab report? 
same as any other reports...
around here it is about 11-12 cpl for a 65 char long line. No reason to charge extra because it is a sleep study.
ER reports
I dont know about you, but I think you need a cast iron constitution. Some of the ED reports I have typed have almost made me sick. But for variety, you can't beat them. Be prepared for a lot of ESL's and docs that dictate all in one breath.
Different pay for certain reports

Does anyone else's employer pay more for some reports and less for others?


Our employer pays 92% of the standard line rate for ER reports and yet pays 105% of standard rate for operations.  I have a real problem with this.  My skills don't vary based on what type of work I do so why should the pay scale.


Fax reports
And don't forget to count the time you spend on the faxing, even though you can hardly charge by the hour, your time is valuable and should be included. 
Reports

How many lines does 25 reports yield, approximately, anywhere in the range between 3 to 7 minutes long?


 


What I like about OP reports...
I find OP reports easier than even consults or discharge summaries. I think it is because they are almost the same every time, i.e. there is a standard way to take out a gallbladder. You just have to learn the doctor's style of dictation.

The hardest part for me was learning the names of different types of instruments. I invested in a Stedman's Surgical Equipment Word book and I use Google and get most of the terms that way.
and their OP reports
are horribly long....
But we don't cap it in reports. It's just
Tisseel.


Help with OP reports

I am looking for a new job, lost accout not long ago, outsourcing,VR. I don't have experience in OP reports and everyone wants that. Help!!! Where can I get some samples?


op reports
I have been honest, my problem is that I am trying to take the tests for this companies and they all have OP reports on them. I am going totally nuts with a DCIS.
Rad reports
I have always been paid per report. $2/report.  It all evens out short reports vs long reports.
5 reports a day....sm
 My friend/MT "penpal" also tried this company (10+ years exp).  Told her after 2-3 days (all are IC) okay, you're off QA - "You already know how to transcribe".  All of a sudden, they told her there was something wrong with her formatting, the formatting "wasn't coming out right."  (Whose fault is that supposed to be?).  Put her on QA for that reason, same thing, 5 reports a day (one of the submanagers doubles as QA person)...supposedly to save wear & tear on her. There was lots of unpaid demographic crap, research, though involved before any line count comes into play with this company.  When she questioned this, they terminated her contract.  What I would like to know, though, AT 5 REPORTS A DAY.... OR UNTIL THE "REAL WORK" COMES IN...WHO PAYS YOUR BILLS?  WHEN IS YOUR FIRST "REAL" PAYCHECK??? 
Now I know I do too many Op reports - sm
I was typing a Mental Health intake, and where the dictator said, "she was clinging to her mother," I, of course, typed "KIinging."  I guess they were bandaged together! LOL  : )
Don't do it. The reports are probably SM
full of blanks and you could spend 15 mins in a report, multiply that by 4 and you have a per-hour rate of less than $8.
Now I know where all the bad reports come from
I guess by your "training" the newbies they have so many errors left that when it finally gets to me to complete it is such a tossed salad. Thanks for clearing this up.
I'm a QA, and yes, we get VR reports
edited by newbies all the time. And yes, I have worked as a VR Editor as well in the past. I definitely agree that VR is awful, but it's a completely different ballgame than QAing.

Regarding the other post, MTs do not QA newbies' work - QAs QA all newbie work. You're just getting crappy VR reports.
I QA'd reports for a school once sm

Keep in mind these were ladies just starting out, but it amazed me that almost all of them typed the patient's temp as * 200.2*   


Seems common sense would tell a person that a temp cannot get to 200.2 and the person be alive. 


Sample reports............sm

YES....  www.mtbot.com


Just type surgical reports (or whatever you're looking for) in the search engine.  There are tons of reports in there. 


sample reports
THANKS SOOOOOOOOO MUCH! That's exactly what I needed!


? about radiology reports
Can anyone give me some comments? I just signed up to work part time with a radiology account and I love the dictators but you have to type in all the header information which is a lot.  The information is picked up by going to a separate efax web site for each clinic and looking for the patient's name for that particular report.  Some are hospital stamped and others are all handwritten and you have to keep jumping in and out of 3 different screens to type this all in; this is ridiculously tedious and very time consuming and it is very hard to get your line count up.  Is this a normal thing to have to type all this information like that? It's the only thing that is not good with this account.  The pay is 8 cents per line. Thank you for your comments.
? about radiology reports
So, to answer your question about it being normal, it all depends who you are typing for. If you are typing for an outside facility yes but if you are typing for a hospital no because most have a platform that MTs type the reports in. With this, you only have to type in the patients MR# or accession# provided, look to make sure the patient name match with what the dictator is saying, you then will get the header(s) for the report, select the appropriate header for that study and then you get a document to transcribe the report on that is formatted with the patient information. After typing the report, you then update it in their system and move on to the next, itís that simple and easy. When typing for an outside facility, they have their MTs typing reports in a word processor program like Word for example using their template which you have to enter in all that header info.
It would be easier if you could print out the lists since it is time consuming having to go in and out of screens, that is ridiculous. As a radiology MT, you type many x-rays reports that are short and you really canít make a line count when having to go in and out of screens. When I had worked for a company similar to who you are working for, I found myself having to really type hard to make my lines. I no longer work for that company and now work for a different company that I enjoy and I do not have to type in the header info, doing hospital radiology transcription. I make a little more per line and I make twice as more per pay period versus the other company because I have nothing to slow me down. I think MTs should be paid more than 8 cents per line or per report to compensate for their time when having to enter in header info and having to move between screens.

Rad Reports/headers, etc
As an IC, i have a great radiology account, and because my company did such a good job, turnaround, accuracy, etc. I was offered a neurophysiology account....something I had never done before.........However, having such a good medical terminology background, I was willing to give it a try (and they were desperate)...(ha ha),,,,Anyways, the reports are done in word,,,,and are not all that difficult as it turns out. The TIME CONSUMING part - was doing the headers - which we retrieve from the text files attached to the wav files,,,,,,,and each identifying piece of information has to be looked up and typed on a single line (15 lines total -before you get to the report),,,,,,,well I hired somone just to do the headers,,,,,,as it turned out.....I met with the company and proposed a 1.00/per header charge for these cases - which turned out to be an excellent idea. The girl that does the headers for me - is guaranteed x amount of money now,,,not just lines and I can sit right down and type the reports.....perhaps you could approach them with an idea like this? 
I think I've seen some of your reports...
  Just kidding you.  I don't see a problem with a glass.  Now a bottle would be another story. 
Naps doing ER reports
I was literally falling asleep at my computer with my hands on the keyboard when I did ER reports. Once I woke up and saw that I had typed the words "have fun." really strange since I am not normally a napper.

ER reports are interesting and are sm
very repetitious.  You will be able to create a lot in your expander.  You might want to brush up on some of the drugs the paramedics regularly use.  You'll be typing these a lot.  I think you'll enjoy doing ER work.  Its fun, it's interesting, and occasionally really funny.  Maybe the best thing to do to prepare yourself would be to type up a list of the most common IV drugs used in the ER and their doses.... example... Toradol, Zofran, etc.  You will get the same drugs over and over again.  Best to put them in an Expander right off the bat with their usual dictated dose (Toradol 30 mg IV for example).  Good luck and let us know how you like it.
what to charge for reports

Hi,


 I started out on my own and went with $.10 a line, 65 character.  They seemed fine with that.  The next doc i went to I charged $.12 and am still getting that today.  If your doc balks, you could charge per page, kind of figure out how many lines there would be and figure what would be fair.....When i charge per page, i charge $5.00.  I think it is fair, i do good and timely work and that is what a doc wants.  you really have to kind of feel out the doc, but i have found in most cases, they are new to it and are willing to pay since they don't usually know what the going rate is!  Once you are established with her, she'll start referring docs to you.  It is an ideal situation.


The other option is to charge low for the first 30 days and raise it after that.  Tell them you are giving them this deal so they can see how you work.  Hope it works out for you.


Cindi


Does anyone do PT Clinic Reports?

I have never transcribed these type of reports and may have an opportunity to in the near future. I have over 12 years of multispeciality experience as an IC and am just wondering what the pros/cons might be of the these types of reports.


TIA.


Best if you are doing long reports...sm
where you are not messing around a lot on the patient demographic screens. If you can just get into the body of the report and do some work, it's o.k. Also if you don't have a lot of formatting changes, i.e. bold, italic, etc. And it doesn't have a word Expander so you have to use Shorthand for sure. The nice thing about our Meditech account is the line count does count gross lines and blank lines - but I don't know if that is just the way our hospital is set up or not. Meditech is picked for its billing and accounting capabilities. By the time any one asks the transcriptionists about it, it is already a done deal.
To not have to type ER reports any more. Want
more of anything except ER notes. Yuk!
How do you break into op reports?
Is there one specialty or type of report that's easier or faster or generates more lines?  Is it the platform?  Which platform is the best?  I really would like to have a half-decent MT income in 2006.  I have the SUM program ops tapes but no keys.  Thanks.
late reports
All of those reports should be dispersed, filed, etc. within a day's time. To consider that as low priority is ridiculous. I guess I'm surprised some of that hasn't been outsourced. They could hire a temporary service employee/clerical worker to clean that up immediately! No excuse for the negligence on the part of the worker with reports 30 days old.
reading reports
Yes, some of the dictating physicians may not read their own reports, but OTHER physicians may read them. I'm speaking particularly with regard to progress notes, X-rays, cardiac reports, and especially consults. One account I worked on very recently, the doctors ALWAYS read their own reports, and referring and consulting physicians all read each other's reports before seeing the patient. See how that karma quickly comes around? I proof and read. I agree with Albert: If you don't have time to proof/read, when will you have time to do it over? Places like Spheris don't tolerate lack of attention to detail.
Depressing reports
Anyone ever get depressed after typing certain reports? I sometimes find that abuse reports on kids will bring me down and I have to get up and do something else for a little while. Does anyone else have this problem sometimes?