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I've seen the same every place I've done acute care, and

Posted By: Anon on 2006-04-05
In Reply to: Quick Question.. sm - KYMT

pointing out dangerous or repeated errors (often in normals for goodness sakes!) never got the result I expected. When I would press the issue, supervisors said if the dictators didn't complain, then the mistakes must not matter!

It didn't matter if the MT changed what had been a cardiac med in the beginning of the report to an antifungal by the end - I kid you NOT! One poor girl used facial for fascial and fascial for facial!

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I've being doing acute care for

over 19 years.  I just started with radiology late last year.  I thought it would be a good thing to learn so I could add it to my resume, but I really, really hate it.  I think you are probably right that it's tougher for an acute care MT to go to rad in terms of boredom.  The training is pretty simple, but it's just not mind-stimulating work.  About the only good thing I can say about it is that the platform is terrific.  Enter one 6-digit number, press return, and I'm in the document.  Of the 4 radiologists I transcribe, one sounds like his tongue is numb or he is drunk (of course he is the one who does the long detailed special reports), one always has muffled dictation, one takes his sweet time and pauses forever between each section, and the one really good dictator must be an early morning guy because I work 2nds and almost never get him.  I'm really not enjoying this account, but at least it's all going straight to savings since it is job #3. 

BTW Babyfirefly, welcome to MDI.  That's job #2 for me. 


Not scared - I've already been doing acute care
for 7 years and would like to go to clinic.  Personal preference.
I've never seen mixed acute care & clinic at the same time. That's a production killer for sur
I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne

used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and  Lanier platform I think was called Cequence (?). 

Out of all the different platforms I have typed on, I have liked EXText the best.  In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander.  Plus it is very easy to create your own normals which I love.  My fingers literally never leave the keyboard because there are macro keys for everything.  You can use your mouse if you prefer or learn the function macros.  I love it.  I think I'm more productive on EXText than with any other platform.

Only 7 or 8 cpl for clinic and acute unless they've changed recently. nm
I'm out of Monrovia too and the only place I've heard about it is here.

I don't know if this is company wide or local office changes.  Guess we'll all find out when the time comes.  Until then, I'm not going to worry about it. 

When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
Spell as best you can or blank them and keep going. I've passed many tests when I've left blan
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
As you can already see, you've come to the wrong board! By using the word professional, you've
excluded about 99% of the population of "whatever" it is that hangs on these boards. Certainly not professional for sure! But you sure are doing a good thing for someone! Its the thought that counts. Sorry you met the dregs right at the start.
HELP! I've turned my screen sideways, I can't straighten it up. I know I've seen sm
this before, but I can't remember what it is.  Do you realize how hard it is to read sideways?  TIA.
I've lost track of how many people who've asked about it to NOT
I've always verified every line I've typed (I have my ways) -sm
If you're supposed to be paid a certain $/line, that's what you should be getting no matter how they do billing unless of course it's specified in YOUR contract with THEM.

BTW, I've never caught a company cheating me ever.
I've used it. It's the worst piece of crap I've ever seen.
seriously. I wouldn't wish them on my worst enemy, or their Vianeta program. Awful, just awful.
Wait until you've been there six months and if you've improved
quality and quantity, I'd say go ahead and ask.  Otherwise I'd say annually...  good luck
I've used a few expanders, and of those I've used, all must be "coded" to get things lik
One thing I do to get around this, is to create a macro and then link the ShortHand command to the macro. It works for me, but I do the same five clients every day and only have about 20 or 30 macros/Shorthand commands that work like this. This may not work well for you if you have lots of formats and hundreds of docs.
I've been doing this doc for many years, so I've learned how to function with him. sm
I can tell what's a stutter, what's another word, what's just an "uh." Years of experience will get you through a lot.
Wouldn't want to do his charts all day, of course, but a few per day aren't bad. I haven't had to send his to review in a long time, but they do take a little longer to shuffle through.
I've worn contacts for 30 years. I've had both
hard and soft.  My vision is much better with the soft ones than they were with the hard ones.   When I first started trying contacts soft ones were still new and they couldn't get me to 20/20, so I went to hard.  Hard were okay until my eyes started changing shape and then I could no longer wear hard ones.  The soft should give you better vision as they conform more to the shape of your eye. 
I've been a bully; I've been bullied.
I used to sell a lot on eBay. There are some people who buy high-priced items and play games with you. I've had to call them repeatedly, report them to different agencies. It's not fun. You put time and money into the business of selling, and there are people out there who live to manipulate the system and cause trouble.

And, I've been bullied by buyers who made unreasonable demands, insist that they pay by check when you clearly state you don't accept them. It's not fun, and is one of the reasons I don't sell anymore. People!

I've also bought from some sellers who I would not deal with again because of their unprofessional attitude.

But, overall, ebay can be a great place to be.
I've become the man I've always wanted to marry.
I live alone, am 46, never married, no kids, just dogs horses and chickens and just got done building a new house out in the boonies away from the rat race. (Used to live in Manhattan) Couldn't be happier. Selfish maybe, but never out of time, never stressed, and I don't take anything out on others. There's something to be said for being alone but not lonely. I'm not looking for a man to "make me complete." They only sap me of my time, energy and money (how little of it there is with MQ). I consider myself lucky getting to choose my time with friends, and not just stuck with a deadbeat partner. Ladies especially: Be strong and allow yourself to be independent. Any old man will not make you stronger!
1/2 rad and 1/2 acute care
Does anyone have an acount where they do some radiology and some acute care?  Do you get paid differently for rad/acute care on this account?  I get paid the same and have one radiologist that slows me down considerably (I transcribe for 2 radiologist alternating weeks).  I make 1/2 with him than what I would make doing acute care or the other radiologist. 
Acute care

Can someone please explain acute care setting in detail?

Yes, and also known as acute care. (sm)
To me, the next thing would be OPs right after doing radiology, because you have lost most of your drug names by now. But it is hard to break into OPs, especially exclusively. You would also likely do well with (office) orthopedics or gastroenterology. I'm not saying you can't do acute care, but you would want to be in-house with a mentor nearby for the easiest transition. The drug names and all the various mispronounciations will be a thorn in your side.
I do know that the acute care...
would benefit me in the long run because I would have more opportunity to learn more. I currently do not take on the variety of work that you do, hence, the boredom. I only do discharge summaries on a regular basis and just started with consults and H&Ps. I have yet to do any regular workload of OP reports, etc.

I have always been interested in the psych field. Maybe that is why I think that I would be more interested in doing the transcription. Also, yes, I am on the hardest account we have. Thanks for the input though.
Acute care, 0.07 and 0.075....maybe??
I was hired making 0.08 cpl doing acute care for a national right out of school. Personally I think your numbers are a little low compared to what I have seen out there.
Acute Care & QA
I guess that is where my problem lies.  If I send a blank to editing/QA, I do not get the corrected report back so I never know what was filled in for the blank. Obviously, that hinders the learning process quite a bit.  Since I have only worked for 2 companies (the first one I could view my corrected reports, second one not), I am wondering if this is the norm. 
how many lph on ave is everyone doing in acute care? sm
i know there are lots of variables. i am just looking for a general idea of about where most people average, lph. TYIA
Acute care is
all the basic work types found in a hospital, H&Ps, consults, discharges, op notes, cardiac reports, the whole shebang.  The work is so varied and you get to touch on just about all the specialties, especially if it's a larger hospital.  
acute care
Just to clarify, in no way did I mean that as an accusation that she was misrepresenting herself.  I wanted to make sure she knew the difference between acute care and clinic work, as she seemed new to the world of transcription outside her experience with her doctor for the past 3 years.   
Acute care...nm
I would go with acute care, only because
I have a short attention span and doing clinic notes day in and day out would put me to sleep. It is bad enough when I get a bunch of monotone dictators, but it helps when they talk about something other than GERD and immunizations. JMHO.
acute care........

acute care
I started with a company back in June of last year as a newbie.  Due to a terminal illness, the owner sold the company in August.  The company who bought the business kept me on, which I am thankful for.  When I hired in with the original company before they sold out I transcribed clinic reports for a general surgeon who was an awesome dictator.  When the other company bought it out they said they no longer had that account and put me on acute care.  A huge hospital with tons of doctors.  A lot of ESLs.  Doing everything from H&Ps, consults, op notes, discharge sum., cardiac caths, sleep studies, etc.  Needless to say I was lost.  I am so thankful for the opportunity but isn't this a bit much for a someone with not much experience.  Anyway I came to find out later I was lied to and they still had the clinic account but gave it to someone with much more experience than me just because they didnt WANT to do acute care.  Now since I know they still have the account they let me do leftovers and use me for when no one else is available to do the clinic account but otherwise I have to do acute care.  Shouldn't a company give accounts based on the exp. level you have not what another MT wants to transcribe?  I think I should have gradually worked my way up to an account like this acute care account.  It is a very difficult account which slows down productivity a lot.  That and I am only making .065 cpl.  Which I know I have to start somewhere.  But on an account like that it is hard to make any money.  I don't have a lot of experience with companies but have you ever known a newbie to do a difficult acute care account when there was more appropriate accounts available?
Acute Care?
Subject: Acute Care?

I have been applying for jobs but all or most of them say Acute Care experience.  I am not sure what that means?  I have been with a small company for almost 3 years now and type several different docs for them.  What is acute care?  Sorry.  May be a dumb question but this is the only place I have worked since I started transcribing!  thanks.
acute care

I could be wrong but I think acute care means you have experience transcribing the basic 4.

You can try searching "what acute care means" here on these forums.  Just type it in the search box up above.

acute care
It means you have experience typing hospital reports, i.e., discharge summaries, H&Ps, consults, operative notes, and the like. If you type doctor's office notes that is considered clinical, not acute.
Acute Care?
What about in hospital acute care patients? Will all their records also be generated via EMR or is that the plan in the near future also?
Unfortunately, they do not have acute care.
It baffles me that my experience does not seem to even be considered. I am a quick study and I learn and retain well. I really want to expand my horizons and I am open to suggestions. I am a good Transcriptionist with 99.8% accuracy and I am motivated, yet I just keeping running into wall after wall. Would testing on company websites be helpful at all? I don't want to waste my time, but I am almost desperate.
Rad Vs Acute Care
I've done both and, to be honest, I think it depends on your dictators, their use of normals, the length of the reports, etc. I've had rads that will blather on for 12 minutes (yes, 12) on an essentially negative CT abdomen and pelvis. And it's not 12 minutes of dictation. It's 12 minutes of start/stop dictation, with lots of pauses and dead air time, which is a total line killer. I've also had rads that have a normal for this type of report, have it blown in, fill in a few blanks, and wrap it up. I've also had dictations that show up as a 6 or 7 minute total time dictation, only to find the first 3 minutes are actual dictation, the rest of the time is "Transcriptionist, go back up and where I said...", and proceed to spend 3 minutes changing the first 3 minutes of dictation (always a delight). In an 8 hour shift with the right dictators, I can slam out about 1900-2100 lines of straight transcription in Rad; on the other hand, I've had 8 hour shifts where, depending on the dictators, I've been doing good to eek out 1400 lines.
Having done both rad and acute care, I'd say it's a crapshoot as to which one actually pays more. There are a lot of variables with accounts and it's difficult to really differentiate which of the two would pay better. It all comes down to the account...doctors' style of dictating, usage of normals, ESL physicians, etc.; the same things that impact one's line count on an acute care account.
Good luck to you. I really think with the right account, you'd see your line count increase dramatically.
I did rad then acute care...sm
Did Rad work for about 4 years then switched to acute care elsewhere.  I worked in-house for about a year and that helped me a lot.  As GothMT said, it was overwhelming, but now I definitely prefer acute care. 
Do you do acute care and
there are people here who tell you the certificate is not worth much, employers are wanting experience. It would seem if you are working 2 days in the transcription department, what is wrong with working more or do they not have any more than 2 to keep you occupied?
Can you apply for both acute care and rad at MQ?
I just learned rad after 16 yrs of acute care.
just by having a couple of good reference books and some live body to ask a few questions of has been all that I've needed.  It's different, but like anything else, after a while they're just saying the same things over and over again.  No different than just doing a different specialty in acute care.  I can't imagine needing to go back to school for radiology.  That's overkill.
I do acute care ASR every day and if you think it is perfect you had better take a better look
because I spend a tremendous amount of time fixing those reports and many times delete them and type from scratch. What planet are you from.
acute care basic 4

Could someone please explain the major differences between acute care basic 4 and multispecialty clinic transcription?   It seems that the job ads usually specify which one and how much experience is needed with each of these categories, but I am curious to know the differences and why someone with several years of multispecialty clinic experience may not do well with acute care hospital transcription.

TIA for any info provided!

differences in acute care and

Basic 4:  H&P (history and physical), CN (consultation notes by specialists on staff), OP(erative) reports, DS (discharge summaries) - reports dictated while patient, having experienced a(n acute) problem, is admitted and being treated in a hospital. They encompass all disease processes, procedures, specialties, medications, analyses, surgical equipment, tools, anesthesia, etc.

Multispecialty clinics, i.e., specific specialists consulted by outpatients including OB/GYN, opthalmology, neurology, psychology, psychiatry, orthopedics, urology, hematology-oncology, internal medicine, pediatrics, gastroenterology, family practice, etc., etc.     


I have noticed a couple of companies are asking for Rad transcriptionists but they want you to have acute care experience.  Why?

Oh, my. 30 years doing acute care. sm
I started VERY young!!
27 years, all in acute care. NM
30 years, doing it all (acute care now)
Acute care for 5 hospitals. Don't run out, but