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Serving Over 20,000 US Medical Transcriptionists

Hospital Unit Coordinator/Clerk

Posted By: Old Broad on 2009-04-14
In Reply to:

Anyone know what this kind of job would be like? One of the local hospitals has a few of these positions open in various departments. I'm wondering if it's a high pressure/low pay kind of thing, if only because they seem to be hiring from the outside. When I worked for a bank many years ago, they hired "outsiders" only for the crap jobs. I'm tired of MT and want to explore my options.


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Unit Coordinator
That was my first job in a hospital, although I had worked as an insurance examiner for an ins. company and had medical terminology.  It was actually a job I loved.  I answered the phone at the unit desk, called for missing reports needed for the patient to go to surgery.  When I did it I transferred all the doctors orders onto a cardex and filled out the necessary lab/x-ray/PT, etc. requistion slips.  I filed the lab slips and x-ray reports on the chart when they came to the floor.  When a patient coded I had to respond and take notes of when CPR was started, all meds given, who responded, time ended.  If the nurses were all busy I often answered call lights and relayed the patient's needs to the nurse caring for that patient.  I loved it because at the time my boys were little and I worked part-time 3-11.  I only needed a baby sitter for two hours till DH got home and I got full benefits for my entire family at no cost.  So besides the small check I was bringing in I was furnishing my family's medical coverage.  Every job now wants you to be certified in ACLS (Advanced Cardia Life Support)  they want you to often times be able to monitor patients if they are in CCU or ICU (that is be able to tell when something out of the norm is showing up on the monitor).  I wore scrubs, so no work clothes expense.  If the pay works for you go for it...it is totally different from MT and often times there are opportunities for advancement to other positions once you get your foot in the door.  I loved it, it was a great job.  Just be aware it is a 7-day a week position, so not every weekend off and you will work holidays, Christmas was always the worst but at least it was 3-11 so I had Christmas morning and early dinner with my family.
Applied at a hospital for a clerk

20 years later, I'm an MT with three of my own accounts and IC for a company on-line.


I applied at the hospital and told them I had done transcription in high school for my medical secretary certificate, and the recruiter asked me if I'd like to work in Radiology as an MT.  I said I wasn't very good at it and she said it pays $2.00 more an hour, and I said "Well then, let me give it a whirl!"  I passed the typing test and have never looked back.  I built up my knowledge by working for 17 years in a hospital in different departments.  I went from Radiology to the Cath Lab to a diagnostics area. 


I loved the challenge.  The medical terms and stories interested me so much that I even wanted to be on the procedures so I could learn more.  So, yes I wore lead and went in as an observer.  If you ever want to gain experience, that is the best way!  Be right there for the show!  LOL


Whether or not to leave IC MT job for unit secretary job at hospital???

HELP, PLEASE!!! I am currently an IC, which I have been for eight years, and I recently applied for a nursing unit secretary position at the local hospital.  I interviewed and who would have guessed it, they offered me the job.  The position is third shift, 7pm to 7am three nights a week.  I do have little kids to think of when considering this.  My ultimate goal is to go to nursing school and I am thinking that  working in the hospital will be good experience.  I don't know if it will be easier to go to nursing school while working as an MT or as a unit secretary.   I am having a hard time deciding what to do.  I don't know if I would be better off staying put even though I have no motivation to sit down and type or should I take this chance to do something new.  Like with any new job I am afraid that I won't like it but I don't particularly care for this current job.   What do you think would be the better move?  I know you can't make my decision for me but some input on what you would do in my situation would be helpful.  Any advice is truly appreciated. 


Thanks!!


When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
Take at home transcription job or unit secretary job at hospital?
I've been an MT for 12 years and have worked at home doing MT for 10 years. Recently got replaced by EMR so had to find work elsewhere. I took a job at a local hospital as a unit secretary working 3-11 now I have been offered a job with a national transcription company. I'm not sure if I should go back to transcribing since the line count/money making potential has me worried. I've been assured that I will never run out of work but I'm worried that I will actually be working longer than the 8 hour shift in order to make the amount of money I need. I would love to be back home with my kids typing again as I miss not seeing them as much as I used to and they want me to be home. I am just not sure if I should stay in a job at the hospital which has a guaranteed amount of money per pay period since I'm being paid by the hour and not by the line where my paycheck can vary. Any thoughts/suggestions/opinions, recommendations out there? Any and all would be greatly appreciated!!

Thanks!!
My recruiter, hiring coordinator, and production spvsr said it was
the new plan.

After reading all the complaints about not knowing what it was, I thought I would share it but apparently it was a big mistake. I won't ever do that again.

Some of the complaints I read sound pretty credible but most sound like the same thing over and over again without anything more than just general statements.

I guess complainers usually do make more noise though.

AnyWHO, I'm through with this. Try to help and share information and people who are supposed to be professional and supportive turn into some kind of attack sharks.
Local clinic does it. There is a coordinator who distributes work to us
and deals with the blanks in reports, etc. I am not sure what she is paid but it seems she is content. This clinic had in-house MTs ten years ago and then sent everyone home to type. Now, they are over the internet. Radiology group in town does this too. They just hired someone from Georgia (we are in Calif) to type for them over the internet. I think they use PC AnyWhere. Clinic uses Citrix.
Oooooo, good idea! We actually have a wellness coordinator here...

who specializes in keep employees feeling healthy and happy.


THANKS!


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. 


Transcription clerk.....
We don't have a "lead transcriptionist" at the hospital I type for.  There is transcription clerk who handles the reports coming in, getting them filed and such, but our pools are set up either by our supervisor or whatever particular work type needs to be worked on.  As an example, I get Preop H&P's, then H&P's, consults, discharges, ER notes and ops in that order.  Basically, if that pool is empty, it will bring up next report in your next assigned pool.  As I said earlier, you can interrupt a report ( on my C-phone it is 08) and you will get the next report, but then the one you interrupted will come up next.  The person in charge of the dictation would have to assign it out to someone else to keep you from getting it.  With a C-phone and the pools having been set up prior, you won't get a report that you should have to skip over.
way underpaid...you might as well be a clerk at 711...sm
Sorry to say and no offense to you personally, but any experienced MT accepting these wages is severely impacting this profession. If you owned a business, wouldn't you rather pay someone $8.50 an hour? This is disgraceful and an insult to any experienced MT. I have seen MTs work for this wage, but unfortunately 99% of them produce garbage, and then require someone paid at top wage to edit the report. EXPERIENCED MTs need to refuse these jobs, and let the companies hire someone who feels $8.50 an hour is a fair wage, and watch their clients drop like flies, or have an Editor fix everything. I've always said, there is no replacement for a multi-specialty experienced MT who works for a company and requires very little editing. You either know your stuff or you don't. If you know your stuff, you will make a profit for the company you work for. It's as simple as that. The companies who think that hiring ILPs and new MTs and paying them slave wages, will certainly be one of those companies that will not be in existent a few years down the road. Let's get real people!
A girl who worked as a clerk in our

local hospital heard that I worked at home doing transcription.  She called and asked me a bunch of questions of how I got into this.  Of course, I answered all of her questions and added that if she was interested in doing transcription that she would need to go to our local community college and take some courses.  She said she didn't need to go to school because "all you do is type what the doctors say, right?"  To which I replied, "Yeah, that's all I do, just type what the doctor says," as a wave of disgust swept over me.  She came over to the house and sat down to type.  After about five words, with the deer in the headlights look on her face, she was astonished that "just type what the doctor says" is not all that easy!  It was worth all the time trying to explain what transcription really entails. 


Update: I did not get that file clerk job
at the hospital.  They just called and said they choose another applicant.  They said they would like to keep my name on file in case they have another opening though.  Oh well, guess it wasn't meant to be.   It probably would not have paid much anyway. 
desk clerk at a low-budget hotel -
I called in sick with the flu, and that night the place was robbed at gunpoint.  I had never been so happy to be sick!
Try a search on Clerk of Courts website.
You might try searching on your Clerk of Courts website (if they have one). If he has been sued, it should be on there. If called as a witness probably not. Seems like if you are sued, though, or served to be a witness, they actually have a deputy come out and serve you in person. Could even be something like a parking ticket he didn't know he got. Let us know (if not real personal). Got me curious.
Often it is the clerk who types up and sends emails. nm
x
Was nurses aid, then aide in ICU, then ward clerk, then
MORE medical terms cuz halo the docs were professors, and they let me play PA under their supervision, then w/comp supervisor, then pregnant, then had to find a PMs job and landed in transcription dept as trainee. If I could meet their requirements, I stuck. If not, I was fired. I stuck.
The clerk in the clearing area keyed the amount
and they can correct the mistake.  Banks use large clearing houses.  A clerk looks at the check and keys in the amount (it shows on the far right lower side on your check). They are human and they do make mistakes.  I had one key in a check for $40 as $400 years ago.  Bank was very apologetic and corrected and refunded everything.
I decided I did not want to be a file clerk for the rest of my life.....
I was hired in a 5 doc urology practice as a file clerk. And we all know that the file room is a toxic waste dump from people who have no idea what to do with whatever piece of paper they have. After working in the file room, the docs asked me if I would help out the other transcriptionist. (She was the only one at the time). Since I KNEW I wasn't cut out to be a file clerk, I said sure. So I filed part time, helped with transcription overload. We got a new peds urologist fresh from a Fellowship at Mayo Clinic so he was a really wordy type.

Long story short, he was so busy I was out of the file room for good, typing just for him as he saw lots of kids, and loving every minute of it. He moved to Arizona in the early 2000's, called me in 2006, and the rest, as they say, is history. He is still a peds urologist and I am still working for him. Everything is done over the Internet. No paper anywhere except what his office prints out.

He is one of the reasons I LOVE MY JOB.
In 1990, when I started as a MR clerk, SMOKING was allowed in Med Records...
can you imagine, and with all the charts laying around...it is so comical now to think of it...

That lasted until about 1992 I think...

That is not all that long ago really, to go from electric typewriters to smoking being practically outlawed...

they say MT will change more in the next few years, than it has in the last 100>>>>!
IC MT to Unit Secretary - sm
Do you like to answer the phone? Do you like to file? Do you like to have people order you around? Are you neat and organized? Can you do three or four things at once? If yes, then go for it. The hours 7 pm to 7 am may not be as busy as when I worked during the day, but your hospital may well be busier, depending on what type of unit you're on. I learned a tremendous amount working as a unit secretary, one thing being I didn't want to be around people anymore, the pubic being the most obnoxious of them all. An doctors in person can be very arrogant too; a lot different than on the other end of the line. Don't know how you will do those hours with small children, but good luck to you.
IC to unit secretary

You brought up some excellent points!  Since you have done both US and MT, you definitely would say that you prefer the MT over the unit secretary? 


 


Thanks for your input!!


Need transcriber unit
You need a transcribing unit that has a pedal that comes with it.  Your digital pedal will not work.  Depends on size of tape -- micro, mini or standard. 
TENS UNIT
I have used in the past all day.
Could also be life support unit. nm

I agree with Former Unit Secretary sm
Great job, learned a hell of lot, meds,diseases, etc., but I worked days and weekends, notoriously busy,busy,busy, and saw a lot that I just didn't like. Staff personalities are really much worse behind the nursing station than they are on the floor, believe me.  Got tired of getting reamed by doctors who thought I was the nurse just because I answered the phone. I never had as much problem with IBS as I did then. If anything went wrong, a med order, lab order, whatnot, it fell on my shoulders. You need a tough skin to work days, nights might be easier, who knows. My skin thinned out faster with that job than 13 years of prednisone usage did. Good luck
Anyone work with a Lanier VTI unit?
Just started today for a new service.  I have plugged in the  Lanier VTI unit and have checked the connections; they all seem to be correct.  I can dial in to the hospital system and access a report, but the foot pedal won't work.  My MTSO is calling in a technician but I hope it's not something silly I'm overlooking.  Any suggestions?
Lanier is a digital unit
There is a screen on the front of the unit letting you know the job information, number of minutes, dictator, etc.  The unit itself utilizes a phone line.  The dictators call the server and record their dictation.  You access their dictation through the Lanier. 
Your still have to have software with the handheld unit

that allows upload to FTP.  Without that, FTPVoyager is useless.  Make sure you buy handheld units that have the software capability to upload to FTP otherwise you'll be stuck.


If you find that handheld units with the upload software is out of your price range, consider the EZ-Voice solution.


Good luck!


Long-term skilled unit?
ss
MT goes unit secretary ... check out my story!
Ive been an MT for 13 years. I was an IC for 10 years, and a FTE for a local hospital for the last 3 years. I came back from vacation in June to discover my lovely boss was interviewing companies to outsource the MT department. He lied to us - told us not to worry - and then a month later our union received the '60 day notice' letter and we were out on our assess. I took a job as a unit secretary - and a $5 an HOUR paycut along with it, working 3-11 and alternate weekends. Am I crazy to do this. Well yes and no. I'm keeping my awesome union benefits, building toward being vested in 2 more years, and just landed an IC MT job doing guess what: MY OLD JOB. The company that outsourced us hired me. I plan to rake in the bucks in the AM and do the b.s. job at night. 3-11 is half the work as a day job - plus you get the shift differential. Wish me luck ! Joanne
Probably medical records or unit secretary
In my area the pay is about 50 cents less an hour than MT seems like a gravy job compared to this.
There is a small microphone on the front of the unit
If you look on the front panel beneath the volume slider, below the button labeled 21, you will see a very tiny hole. It is a microphone hole. I have used the stick from a Q-tip to fill it in and it lessened the hum quite a bit. I left the swab tip hanging out as an extra buffer. Looky weird but it worked!
Try this and see if it works, but unplug and replug the unit first
Programming Dictaphone unit:

1. Press the "Program Key" key (far left button under the display screen) and you will see the word "Keys".
2. Press the "Keys" key (same far left button under the display screen).
3. Press the first button on the left vertical row of black buttons (remember this marked button as it has been programmed for the display), and put in the following: # * 1 8 (to program the display).
4. Then press the "select" key (look on the right hand side of the phone keyboard itself and press "x" where it says "Dictate" aka the multiplication sign), and the display window should clear.
5. Lift receiver to get original display back and hang the receiver back down. You are done programming.

To get a job, dial the hospital phone number, enter your ID#, and press 6. You will hear the prompt say "at start". To get the demographics, press the "programmed key" (or the button you programmed on the vertical row) twice. You should hear four rapid tones and it will start giving you the demographics. If you miss any part of the demographics, you can press the "programmed key" again twice, and it will start the demographics again. Every time, you sign off a job and get a new job, you will have to press the "programmed key" twice again for the demographics.

The code to program the display button on the Dictaphone is # * 1 8. If for some reason, your Dictaphone will not give you a dial tone or seems locked, trying reprogramming the Dictaphone as above.

What model is the unit? I used one a long time ago..sm
However, the doctors called into it to dictate. There was a hard drive with it that was connected to phone line. I would log in on the machine and pick up the jobs to transcribe. Is it similar to that? Or is this something else? There is also a Philips call-in station that hooks to phone line, but that's only for the docs to call and dictate.

How are you using the Philips to get work from your friend, that's what I don't understand? Does the friend have the same system? Just trying to figure out the setup and how to be more helpful. I know I once tried to use the Philips call-in to re-record dictation from a microcassette and it wouldn't recognize it and just timed out. It would only accept an actual voice, and that was using landline phone, so I think they do have certain parameters set up. It might be that the Vonage isn't compatible. Maybe you could call a Philips tech support person and ask. There's a tech number in the manual and on their website.
Handheld unit software question. sm
Is there a software for the Olympus WS-100 and other units with USB ports that copy from the unit to FTP or designated site for file transfer, store a copy onto computer, and then delete from unit?

If so, please advise. Thanks.


TENS unit inquiry minds want to know:

Just wondering if anyone has a personal experience using a TENS unit they could share.  How long do you use yours for, if you find relief that you forgot you could have, etc.  As a chronic low back pain sufferer, I’m looking forward to getting mine on Tuesday! 


Thanks


P.S. The temperamental Sony unit was a bargain at $100! Ouch!
Anybody want to sell me a bridge?
Maybe you local Cancer Society unit would have suggestions? nm
s
Which hand-held unit is simplest for doctors? sm
Need a handheld unit, but need to know of simplest one for doctors to use. Also, is there a program that uploads the dictation as soon as you connect the unit that sends it automatically? Thanks.
Also plan on getting a cooling unit to park laptop on
they run anywhere from $30 to $100 depending on features. Worth it definitely to run a laptop for 6 hours or more to keep the unit cool.
I am lucky for the most part, my only hard ones are in the Trauma ER unit, where it's crazy but t
just love to dictate while on the spot there, talk about noise.  But the name spellers are the worst, as suggested below that will spell "Smith" but not "Teona" (1 I had earlier). I do several divisions that are supposed to supply patient lists (but tend not too), but I guess they get their jollys seeing how bad I can butcher the names.
This happened to me once. I had bought a Lanier transcribe unit from someone advertising over on SM

MT Daily.  I sent her a money order for $500.  She sent me one email after she received the money order saying she had sent the Lanier and of course I never received it and she didn't answer my emails for a week.  Then she finally emailed again saying she had asked her daughter to send, but she hadn't and that she was going to ship the next day.  Still I didn't receive it.  At that point, she stopped answering my emails and eventually blocked me from being able to send me emails.  I had her mailing address and phone number.  Of course, she screened her calls and never answered the phone. 


One thing people should know about MT's, we do our homework.  I immediately researched what my legal options were and here is what I did:


1.  I contacted the adminstrator of the website on which the original classified add appeared.  They attempted to contact her to no avail.


2.  I contacted the police departments in both her city and mine and filed a fraud report.


3.  I then contacted the Attorney General's off in both her state and mine and immediately filed a report with each office.  I was told that the claim would be investigated, but more than likely nothing would not come of one complaint, BUT if they received more than one complaint regarding fraudulent practices by the same business or individual, then they could file charges. 


In the end, she made the mistake of forwarding one of those chain emails to everyone in her address book and mistakenly sent it to me.  So, I had the email addresses of her business associates, co-workers, employers, friends, family.  I promptly sent an email to everyone of them telling them exactly what she did to me and that they should be very careful in dealing with her.


I got several angry emails for people asking me not to include them in my email war.  I apologized to those people and took them of the mailing list.  However, three of the email contacts emailed me back and said they had bought stuff from her and never received the equipment.  And finally, I received a very angry email from the perpetrator's other daughter.  Apparently, her mother was freaked out about the fact that I had reported her to the police and the attorney general's office and I also let her know that I had made three other contacts ready to file with the attorney general's office which would probably get my case more notice.  The daughter Western Unioned me my money within 24 hours.


Casey, I say break out the big guns and start shooting.  That's what I did and it worked for me.  You probably have the person's mailing address, so you know where he/she lives or at least what city and state he/she lives in.  I wonder if we dealt with the same person?  Is this person from Texas?


a phone/transcription unit with foot pedal and earphone...
dials to hospital dictation system for reports to transcribe.

If Google it - might find a picture of one.
Unit secretary will help somewhat with terms, meds, and learning the flow of the shift, but it won&#
s
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
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.
hospital MT
Call the hospital.  You can offer a better deal to them.  Most MTSOs charge the hospitals a lot more than what they pay out for the actual work done.  I work for a hospital.  I asked for a raise after 10 years, they baulked, started looking at outsourcing.  They changed their mind really quick when they found out how much they would charge them.  (four times what they paid me).
Hey, if you don't want that hospital job can I
have it? Just kidding (only because it's probably not where I live in central Florida). Started working at home for the kids over 10 years ago, but they are all grown now and I realize I don't know anyone because I hardly ever leave the house!!
hospital job
My situation too. Son out of the house now. Still know all the people at the hospital as I worked there for 10+ years and still do side typing for one of the units there that were not taken over when they outsourced!   So seriously considering it....Sorry, its in PA!