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Good workload, bad dictators! nm

Posted By: RadGuy on 2006-01-09
In Reply to: How's your work load going Monday, January 9? - Good, bad or UGLY?




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Is the dictation quality good, are the dictators good, are you
a newbie and you still have to look up lots of words ....   The very first day I typed, with absolutely no education way back when, when you didn't have to have a degree/certificate or previous experience, I typed 665 lines.  This was without an expander and I was not a fast typist.   I can do 1000 lines in about 4 hours now on average. 
Good dictators only on that account . . .
I get plenty of the stinkers, just like we all do. The accounts I don't share, and sometimes dread, are often short reports filled with lots of dead air in the sound file. They are also 90% ESLs. So don't think I skim off the cream. I don't.

I'm just saying it is impossible to cherry pick an account of all good dictators.

I work my butt off to make it. I'm not sitting here taking only the "good stuff" and leaving the crud for other MTs.
Ever come to like a specialty you used to hate, just because the dictators are so good?
In my case, it's cardiology. Used to CRINGE when I saw a cardiology report come up. But on my account, almost ALL the cardiology docs are great to transcribe. Now I actually enjoy these reports and have learned a lot about a specialty I used to hate!

Now, physical therapy will always and forever be my most detested specialty. I get really bored with all the stupid exercises and the patient saying his/her back hurts. Whose back DOESN'T hurt? The fact that PT on this account has some of the worst dictators certainly doesn't help any.
I find myself willing to research more for good dictators...SM
if I get a lazy, mushmouth speedtalker, I don't bother much. I mean, I definitely strive for accuracy with what I *can* hear, but if there are unintelligible parts, I leave a blank rather than playing it over and over and over and trying to get it. If they obviously don't give a rip, why should I?

Maybe a bad attitude, but why should I gyp myself out of $$ because some a$$ can't be bothered to E-NUN-CI-ATE!!
Have all the good dictators left the building?
I am so ticked. I work on VR and everything is nothing but a bunch of words that fit nothing, dictators cannot speak properly and VR throws in whatever. I am sick, I tell you, of dictators who don’t care. I am on my soapbox because I am so angry with having to listen to all this ______ (put in your own words here).
All I ask is for clearly speaking dictators and good sound quality and I would be a
nm
Even with multiple GOOD dictators, I still find it hard - sm
to do '8 hours' worth of transcription in less than 11-12 hours, mainly due to the lack of ability to make templates, as each doc does his H&P entirely differently. Also they want extraordinary accuracy, grammar clean-up, and proofreading done on each report. So a longish H&P can sometimes take an hour.
I agree. It's an impossibility for me even with years of experience AND good dictators. nm
m
The way I see it. Competing with national rates. If stable acct, good dictators. Bid low, get job
dd
For this account, I charge 0.12 cpl. It is very easy clinic stuff with good dictators, but ...

I also do tapes which are horrible so I'm considering upping my line rate especially if all this aggravation keeps up.  When I first took the work, I thought I was being fair because the work was so easy, but then they asked me to do tapes and then work specific hours, print and deliver work three times a week.  I wish I would have addressed more than TAT and line rate in the original contract.  I do charge them a $5 per delivery fee because of gas prices, but still I think I'm getting the shaft.


Oh well, live and learn.  I am negotiating for a local doctor's office here in my hometown, small one doctor office, and I'm here to tell you I will be negotiated every little detail right down to paper and toner charges!


Workload
Haven't had a very good work load for 3 weeks or so now. I used to like this company, but not any more. Can't pay the bills on this paycheck.
Workload?
I work for a company now but am debating switching to another company because I only get about 4 hours worth of work a day now. That doesn't pay the bills. Do you know what the workload is like for this company? Any other info would be helpful as I received an e-mail from them and they want me to test out. Thanks a bunch.
Low workload
A bunch of my docs took early vacations starting this week, but I do clinic work.

This time of year is a great time to pick up overflow work. With 21 years of experience, I would start calling local clinics or hospitals and asking if they need some help over the holidays. You can keep the other gig for a couple more weeks and fill in with the overflow.

If 7 cpl is the top of the scale there, start looking elsewhere. That's way too low for 21 years.
Low Workload....
We're being told it's the time of year but it's my third summer with this employer, and we were never slow like this during the other two summers.
I think it's the overall state of the country's economy and will turnaround (hopefully) soon.
In the meantime, I've taken a couple of other part-time positions "just in case".
Hope everything works out okay for you!!!
A TL is for workload management ONLY SM

If you are going to her to ask questions about software, blanks, format, etc., you are going to the wrong person.  Software issues for the help desk and blanks, format issues for QA.


Team leaders SHOULD just be routing work, seeing that there is adequate staff to do the work, etc.


QA workload/feedback
As a former QA I can tell you that it was different before they gave us a quota to produce a certain number of edits per shift. It used to be quality was the important issue and then it got to be quantity and at the same time they cut back on the staff in QA and, to me, this just spells greed. We no longer had the time to provide proper feedback on each report and still achieve the quantity they wanted. It is sad. The situation only seems to get worse over time. Greed is the root of all evil and will be the cause of demise in this industry.
Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
If it's an accurate representation of their workload, well,
who wants their lousy job anyway? I'm not doing ESL garbage all day long and making peanuts at this job. I work on my terms or not at all. Send them the three tests and tell them you can't do the fourth. Otherwise, keep applying elsewhere. There are better jobs to be had without all the testing and without the lousy dictation.
Unfair Workload Assignment
When looking at the workload assignment especially on weekends, I find it very unfair that people with exclusive privileges and trainees get to take all the good work when I have to do all the difficult dictations and ESLs before getting to do any good stuff. Work is always supposed to be taken according to date order (which is clearly not the case). I am so mad right now, I am literally screaming!
?? Bad dictators are bad dictators regardless of their mother language.

wonder when people will just get over it and do what they can and move on. 


how are they going to get used to all the dictators

if your source says they cherry pick and only do American dictators?   Sounds like never.  But you knew that. 


 


PS:  Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?  


Dictators who keep....

I'm having a bad day with dictators and got this in my

email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.



http://www.thesmokinggun.com/archive/0916051disk1.html


I have had dictators like that!

when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime
Bad dictators
Chewing gum very loudly, blowing bubbles while dictating, drinking something and then chewing on the ice....all in the average day lately.  Don't these people stop to think that someone has to listen to this?  That they are chomping incessantly into someone's ears.  No common sense.  Maybe once, someone in authority should remind them that these are legal documents and need to be transcribed as accurately as possible, so no chewing, drinking, talking while yawning, etc.
Bad dictators
I have got to one-up y'all... there is a woman doctor in our group who actually takes her dictaphone INTO THE BATHROOM with her and, yes, that's right, uses the potty right while she's dictating...
ESL dictators
Maybe the ESL docs, knowing that the Transcriptionist must be having a difficult time with the language barrier, should hire an English speaking person to do their dictations. It would free up their time for being a doctor and seeing patient's, give a more accurate transcription, and a better quality report. Wha'cha think???
ESL dictators
Seems many MTs have this complaint. We should be told the correct percentage of ESL dictators BEFORE accepting a job. Imagine all the money a company would save by going over details with each new applicant honestly and thoroughly in the beginning instead of making the job sound good and then have a disappointed new employee, who will quit and the company will have to advertise and hire again. Advertising and training on a computer system is costly, including the time involved etc. The more a company can do to retain its employees, the more money it will save in the long run. Also, pay based on production, not quality of work, is counter productive. Imagine if each Transcriptionist was paid a salary and did quality work and no QA people were needed, except to pull random reports of new employees during the first 30-60 days or so. I feel there is too much QA and not enough emphasis put on quality reports from the beginning. Many transcriptionists feel, the QA people will fill in my blanks, yet they may be able to find the word/words themselves if production was not such a huge factor. But too many employees are trying to meet a line count. With a salary, you can establish a budget and know what to expect in your paycheck. I've transcribed for 25 years. I love my work. Since outsourcing and pay by production have been instituted, I feel pride in transcribing has suffered. Give an employee a job they can feel great about, benefits, and treat them with honesty, fairness, and respect and they will be glad to work for that kind of company. Hopefully, there are companies out there like this It's up to us to find the good companies.

Of note, 10 years ago transcriptionists were being paid around 10-11 cpl and $3.50-$4.00 a page. What happened, outsourcing!! We used to get a higher salary than coders, but not now. We need to keep our work in the USA.
Bad Dictators
I had my share of bad dictators this afternoon too!  Is it full moon?  I am sure I had your doctor's wife.  LOL  Can we band together and chart a bus to deliver them to the firing squad??  LOL  At least maybe would could let the air out of the tires on their golf carts!   Do these people listen to how bad they are???????
Dictators
OH PULEEEEZE spare me the whispering, breathy female docs who sound like they could talk all night on a phone sex line. I don't care what you sound like on the phone. Just TALK lady - spit it out. Am I mad or what? Gads I'm sick of these bimbos.
bad dictators

You ever wonder that when the powers that be become aware that you are making lines on low volume work days, they somehow sneak all the worse dictators your way?  I have had bad dictators, none of them in sequential order, and am no where close to my lph this morning.  


Dictators
I could send you a lighter!  Seriously, I have considered sending a voice copy to them to play after the fact, a day or two later, so they could see what they could understand of what they said! 
BAD Dictators
Oh, you're not alone. They all must have spring fever or something. I have had more dead air than dictation on reports lately. If this keeps up the pay should not be by the line, but by the minutes listened to.
To all the dictators out there

SLOW DOWN!  This is not a race.  I cannot stand it when these dictators talk so fast that you cannot understand them.  You know who you are, especially the cardiac dictators!!!! 


 


Thanks for letting me vent.  I get frustrated when my production goes in the toilet! 


bad dictators
My huge pet peeve when it comes to dictators is them stopping to flip through the chart and not pushing the pause button.  I mean I am just sitting there listening to dead air, wasting money while they find what they are looking for before they start talking again.  How RUDE.  I think all doctors should take Dictation 101 as part of their medical training before they get licensed.  Speak clearly in complete sentences, speak at a fairly fast pace, and for heaven's sake.......hit the pause button if you have to stop dictating.
Bad dictators
IMHO, these are all due to the HIM department folks not training the docs properly.  I worked at one hospital long enough to find out that the HIM department heads have total control over what type of dictation behavior is accepted, including the reports that are outsourced.  It seems that, if the HIM departments for the various hospitals that outsource to us, or the office managers for the various doctors, would just care about what type of dictation we are getting, they would go out of their way to do something about it.  I know they have plenty of time, cause these are the very ones who have no problem picking apart reports and complaining about missing commas!!
Bad dictators

Now my  pet peeve.......dictators who say "go back and change" or "forget that last paragraph". You are essentially typing 2 reports and being compensated for only 1. Had 1 report today where CRNP did that 16 times.


Any suggestions welcome!



dictators

If MTs did the kind of job some dictators do they would be fired.


When dictators take a long time shuffling papers I just hold down my foot pedal down while awaiting the next words and check my email or read a paragraph in a book or do some upper body stretching exercises.


Recently I had a doc dictating over the barking of a dog. I wonder where he was? Or where the dog was?


 


What is it with these dictators..sm
They'll  ...um and ...uh and  ...er  all through the patient history..wasting more and more of the MT's time than necessary .. with the occasional 30-45 second pause between each item to paper-shuffle (on OUR time).  But when it comes to the MEDS and LABS, which are the mainstay of an H&P or consult, as other doctors will base patient care on the meds the patient is already taking or present lab results, they'll race through them at 78 rpm so as not to be understood or able to be transcribed without rewinding 4 or 5 times.  Just because they can race-read medications or labs doesn't mean we can type them just as fast... I guess accuracy in these areas takes back seat. (Who cares where the patient moved here from or went to school?)
bad dictators
I think the shoe should be on the other foot. The doctors have absolutely no respect for what we do - we should be the ones giving THEM feedback - They will be the first ones to speak up if there is an error on the report when in fact, it is entirely their fault. We are intelligent, professional MTs, not magicians !!!!
The dictators that....
Have a pager sitting right beside the microphone and it continuously goes off, a shrill BEEP, BEEP, BEEP, BEEP right in my ear and they don't bother silencing it, turning it off, merely MOVING it away from the mic so that my ears are still intact, they just let it beep and keep on talking away.
What are your favorite dictators?
I like the ones who right when they begin dictating, turn around and speak directly into their armpit.  Or how about the ones who carry on a complete conversation in English to the nurse next to them, then when they start dictating they sound like one of those auction guys who have had a few drinks?
Favorite dictators

I have one guy, who really seems nice, thank's you each time at the end of the report, apologises if he has to correct something he said, long reports, BUT, he usually dictates at home, while cooking,bathing the kids and NOW, we must have a new dog because we are deciding to train it while dictating .


It's a verbat account so I really should have put in all the "sits, stays, good dog..would  have made a fortune.


BUT (again), if it were'nt for the fact that the ER he works in is over 140 miles away, I'd have been in the ER, requesting him, to treat me for my ruptured ear drum, when he must have forgot the doggie treats and this dog started barking, loud, blew my eardrums out, had to crank the volume wayyyyyyyyy down, could NOT hear him, except for the good dog's and sit, I'll play later


SS dictators and LINES.
I HAD a problem with Softscript period.  Heard their sever is down again.  Look out, line count will be changing again.  Horrible communication.  Horrible dictators.  Never pain on time, NEVER.  Dictators from hexx.
dictators on the phone

I agree--I have mentioned this endless times to my supervisor about dictators being on the cell phone, the worse that I have had was a dr at a baseball game, doing dictation on his cell phone, you could hear the other parents in the background cheering--sounded like a little league game and yes I did tell my supervisor and yes it is MQ and of yes, nothing was done


 


I love the ones that are on their cell phones and then drive thru a tunnel or put the top down


Fast dictators

When are these ******** doctors going to figure out that by dictating 100 miles per hour they are NOT going to get an accurate accounting of their patient encounter????  I feel like I'm being set up to fail.  I don't care how much experience we transcriptionists have, if you're going to dictate a three page report if 1.5 minutes, SOMETHING is going to get missed or screwed up.  I hope that extra three minutes they saved themselves throughout their busy day is worth it when the patient's chart gets the wrong data and somewhere down the line a big mistake is made.  I've had a terrible morning, struggling with Mr. All-Important who dictates vital signs as one long rambling of numbers, never in the same order (one time it will be weight first, then pulse, blood pressure, respirations and the next time it will be blood pressure first, then weight, then respirations, then pulse) -- I've had it!!!!!  I've got so many blanks in this batch of reports that I'm embarrased to turn them in. 


Thanks for letting me vent.  I'm not a bad transcriptionist.


 


I am so sick of ESL dictators!

What a lousy day!  I am sick to death of getting 100 different doctors a day and maybe one of them speak English.  Makes for a very long frustrating day.


If we all would refuse to do bad dictators - what can they do about it?

Let them do them themselves or have their fair-haired Indians do them. 


Let the mush-mouthed doctors get back mush-typed dictation.  It would be fair.


Tonight I had so many questionable lab values it made me sick.  I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.


I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks.  Just mess with me suckers!  I'm ready.  I'm premenstrual and I'm ready.