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Does anyone know anything about the new EMR system? and how it will affect MT's work? nm

Posted By: Barbara on 2009-03-26
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System Restore does not affect documents, only program files.
xx
System restore does not affect documents, only program files.
You will not lose any documents you've created. Restore does nothing to the normal.dot or other templates.
Leuden affect / luden affect

Hi.  I am doing the H&P portion of a dictation and it states that the "Leuden affect is appropriate".  Has anyone ever heard of this? Leuden or Luden.  Thanks for the help!!


cathy


The state told us that MTs are employees because we they work in our system and do the same work as
maybe you can work for a company in another state.
I work on VR and according to the system you will use
you might not be able to get double or triple the lines. My VR audio only goes so fast and it is entirely out of the question to make any more than I do. I keep the speed turned up as fast as it will go and the speed of VR dictates what you can make, not your speed.
Last day of the pay period. No work on the system.
x
It should work regardless of the programs on your system...sm
I'd try contacting their support team again.
System restore won't work for this.
The icon on the toolbar is controlled by the normal.dot file and system restore does not affect that file. You can take the icon off the toolbar by holding down on the Alt key and dragging the button down to the document window with your mouse. You can also open the customize dialog box on the tools menu and drag it off that way.
Where I work we are on a tiered system,
per pay period.

9 cpl for the first 12,000

then an extra 0.5 cpl every 2000 lines.
When you work in an office, you can see when others are manipulating the system.
so don't judge her for knowing
Keystrokes - Lanier system - anyone work on it?
nm
I'd work in Word and cut and paste into their system. SM
Ask them if you can type it in Microsoft Word and then cut and paste (copy the Word document and paste it into their system).

It is not feasible to work without a spell checker. Word has a pretty good spell and grammar checker and there is no reason to do without it.

See if their "tech" department can come up with a macro to copy the text of the Word document and paste it into their program. Or, you could create a Word macro and paste it into their system. Either way. There is an excellent Macro recording program called Macro ToolWorks which is free for 30 days and then $40.00 that can duplicate key strokes and mouse movements, and could copy the document, go to their program and paste it in. They you'd just hit one button, like the Ctrl button plus a number. Their tech department should only take one or two days to come up with some solution.

Good luck. I just would not work without Word spell checker and also Steadman Medical Spell Checker. Essentials to any production typing job. Good luck !
A regular Infinity USB pedal should work with their system. Why not ask them for sure? nm
s
I love the night shift! No interruptions and more work on the system.
I agree with poster below - Power NAPs! I am a napper, need my nap about 30 minutes to 1 hour, before my shift and a pot of coffee sometimes 2 gets me through!
work out an indexing system that works for you and copy (almost) every report into it.

while Ops offer lot of challenges -- that's a good thing, imho, REALLY ...


I keep my op stored in WORD sorted by


(1) client


(2) specialty (general surgeon, ortho, plastic, podiatrics, ENT, GYN, GI , urology, neurosurgery etc) .... and then in word folders


(3) within speciality, within client I name individual reports like this:


470 hernia vental simple


470 hernia umbilical


470 small bowel resection 


=========================================================


470 would be that doctor's id number -- the file holding 470's reports would be named with doctor's last name 


=========================================================


works for me, although I do usually do big time "indexing" until I've gota bunch of copied reports.


=========================================================


It's really important to NOT consider these NORMALS until you are more familiar with the dictator ... however... this is worthwhile ANYWAY because the joy of OPs is that most doctors say pretty much the same thing in 80% of their reports ... sometimes more. Gastroenterology and GYN  are excellent "easy money" most of the time but you MUST pay attention and change every difference ...


 


All these saved reports need to be updated when you review your QA ... those phrases that doctor mumbled yesterday are probably mumbled 24/7/365 ... follow up and record this information.


=========================================================


I use Emedicine for my go-to for a lot of things... while they don't have op reports they are stellar at terminology and spelling, hyphens, and capitalization as far as I can tell.


One of the fabulous things about op reports is usually NO MEDICATION LOOKUPS!!!! (although you will spend time finding out the latest heart stents, hip replacemetn component marketing  names, etc. ) Most medical device manufacturers have "pretty good" web sites -- use them, rather than relative Google popularity wrt spelling, caps, etc.


Good luck -- there is a learning curve but imho it is more than worth it -- Surgeons understand that their dictation is in essence their "BILL" when it comes to Medicare and insurance -- they have a vested interest in it being intelligible and complete ... they may talk really fast but most of the time, if you have samples, you will find they are saying variations of the "same thing" using the same words/terminology. 


Oh, and OP pay better.


Sincerely, good luck.!


Meditech is an operating system and Fusion is voice for a dictation system
nm
What I SAID was, "...there is NO WAY that can't have any affect...," and I ...

stand by that.  Sure, an MT under the influence may get it right, but I certainly would never want to take a chance on that. 


It's all about resposibility and realizing the critical nature of medical transcription.  As an MTSO, I would not want an MT drinking while working.  Period. 


If I hired someone and found out they drank while working, they would be out the door. 


 


it would be affect as in...
Rheumatic fever can affect the heart.

Your sentence would be:
Further bleeding, Per Dr. ___, will affect a hyerectomy.
affect v. effect
Effect is noun in the instance noted. Affect is a verb most of the time. Anything else?
Affect/effect
Affect can be a noun in psych - patient having a "flat affect" - no expression. Effect usually is used as an action word and in this case it is effecting a response or a cause.
effect or affect?

Here is a rule of thumb my boss taught me: 


Affect - (a verb) "to change or alter".


Effect - ( a noun) "a result".


You will very rarely use "affect" in the context of a sentence, but it will come into play every once in a while.


what makes you think it will affect us?

affect/effect

Affect can also be a noun, as in "patient's affect", effect can also be a verb as in "to effect a result".


 



your affect has an effect.
Does this person think that English usage doesn't matter in MT work?  Some of the worst medical errors got that way by misuse of plain English words.
Affect/Effect
Effect is not always a noun, and affect is not always a verb. When you "effect" a change, effect becomes a verb. When someone has a flat "affect," affect becomes a noun.
Affect vs. effect

Hopefully this will help, although I guess everything is subject to interpretation: 


AFFECT is a verb meaning "to influence" or "to pretend or imitate".  EFFECT can be a noun OR a verb.  As a noun, it means "result".  As a verb it means "to produce a result". 


In your particular sentence, it is being used as a verb...so which one to pick?


Without knowing the rest of the record, I would have to go with "effect" because I'm guessing (again..limited knowledge) that the doctor is indicating that if the bleeding doesn't stop, he has to do a hysterectomy.  If the hysterectomy has already been done, or it is planned, than surely, further bleeding could "affect" the planned surgery or something that happened during the hysterectomy.


Without more information, it's a crap shoot!... I'm sure that was as clear as mud. 


 


affect/effect. nm
x
affect/effect
To clarify affect/effect, here is what a friend said:(emphasizing the first syllable and pronouncing it with a "long E"):

"I affect the Effect"

This really helped me.
Mood and affect are normal

Further bleeding per Dr. **** will affect a hysterectomy.

EXACTLY - it'll never affect me mentality.
I signed, sent to everyone I know and asked them to send it to everyone they knew.  Start believing we can make a difference. 
I believe the goings on in the industry affect us as MTs?
x
It will not affect MT's. I think the limit is 250GB and
the tech people with my company says an MT uses around 2GB/month.  Even if that is a conservative figure, still leaves you a lot of GB. 
Affect is a verb, Effect is a noun, DUH
:P
Affect is a verb and Effect is a noun, DUH nm
:P
Definately affect/effect! Hate those!
/
Get mouse in chair to see how drugs affect brain!
http://learn.genetics.utah.edu/units/addiction/drugs/mouse.cfm
again, making medical record digital does not affect us.
nm
Affect is an Action (or psych state)..Effect is a rEaction
nm
Ticked: Explain why you think making records electronic will affect us.
nm
Be aware that as you age and lose skin cells, that will affect appearance of tatoo.
:+
I've worked for svl places that said to change it back to 100% before sending, so it must affect
s
It's the way our system is set up..
We can search to see what work is out there, and we can also search by author and see what work each author has, and even look at completed reports, which is nice when you're stuck. I love my platform.
everyone on DQS (DEP) system
not all accounts are on it yet, but most are
Can you say what system it was? nm
xx
I think it is what system you are using,
that is why I asked you to tell me more. I use eScription and 1 can believe or not but I am amazed at how the ESLs are picked up better than the English. You are using Dictaphone- I have read other posts who are on different VR system and they are not satisfied. I have loads of ESLs on my account but am happy VR is picking up instead of my having to listen to them all and trying to muddle through.
Your system allows this?
The system I work on does not allow me to 'pick' my work. I have a pool of work and it loads into my computer 3 records at a time. I have to take what I get and do what I get. Your system allows you to choose what dictations you want to do? In my opinion, that is not fair to anyone. It should be what pops up gets done by whoever reaches it first.

I would say one last thing to my boss about it, if I were you. I would just tell her that you can sit there and watch what is happening, that this one person is taking the gravy jobs, and for your boss to sit and observe it herself and do something about it. I don't see why any person feels they are better than another, to get an easy income while others struggle. I sure hope it is resolved soon for you.
For every system set up, there is a way around it..
our system recently changed to allow only ONE job to be seen and worked on at a time, which they thought would stop the cherry picking, but it has not. There is a web site where we can still view what is coming next and down the line. The cherry pickers just wait, PERHAPs doing a little job here and there, and then as soon as a very large one comes up, snap. it is gone! I hate this way of things. I certainly wish that all accounts were "assigned" accounts. Much more fair to all transcriptionists. but that is just my opinion!!!
EMR System
I just got back from a meeting at my employer's office. They've been implementing EMR and expect most of it to be up and running by March. They haven't come right out and told us (the other transcriptionis), but we may be without a job, although they haven't really said too much. Supposedly they may still need us because there are some doctors that are set in their ways and won't use it.
What system do you use? NM
b
The problem is with our system.
As a Caucasion I do feel shame for what my ancestors have done to people of other races, especially to Native Americans.  However, I cannot go back in time and fix that.  The problem now is not that people want to come here, the problem is the gravy train our government allows outsiders that do come here.  This is in no way good for the citizens of this country, no matter their original nationality.  If I wanted to become a citizen of another country, the first thing I would expect to have to do is to learn the language.  The powers that be have had a global economy as part of the agenda, and now we have it.  This did not start with the current administration.  I do not know if there is anything that can be done to help the situation at this point.  The powers that be have what they want.  If you are big business, then you can trade with anyone in any country who has the money.  If this is what they wanted, at least they could level the playing field so that we could financially compete with those who are being given a free ride.