I inquired about that as my MD provides care at a nursing facility & assisted living, he said
Posted By: CatNap on 2006-03-11
In Reply to: Does anyone know if Nursing Homes have MTs? Thanks. - nm
that he just hand writes notes it is cheaper, and if patient has to be admitted he dictates a full note at the hospital. But basically he said it was up to the individual facility, so you might want to check into it.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
ONLINE nursing program? Do you not care about the patient's well being?
/
same way in nursing - men in nursing make more on average than women in nursing and quickly
move into management. Just what we needed.
Nursing homes/care facilities aren't all they are cracked up to be (sm)
I have a sibling who just lost their spouse. Every time the spouse was in the nursing home, they became ill to the point of needing hospitalization. Dehydration? They weren't giving the poor thing fluids!!! Kidneys shut down and then they died.
I think I'd rather die before being put into a nursing home and I think I will add that to my advanced directives living will.
Clearly you have no heart. I care about about the living, period.
p
Gack! Is nursing your idea or his? Nursing is highly demanding and long hours.
I'd check with a college counselor/advisor on programs they have for women over 30 to return to academia and enter new careers. Then I'd ask to take some career tests to see what your interests are and what you'd be be suited for. Also, there is scholarship money available for women over 30. Ask about it.
Since I've already raised my kids, I'd also like to state that jr. high and high school are the years our kids need us at home the most. Those are the years they can get into the most trouble if left to themselves. If he's already 9, why not just enter college part-time to finish in about 6 to 7 years? But definitely go talk to a college counselor.
Computer-Assisted Coding
Hate to burst your bubble, but automated coding has entered the marketplace and has been targeted at the same specialties as VR. Actually, I just saw a demonstration done and it really is an awesome product and appears to have much more accuracy than VR because I doesn't have to learn voices. It scans the transcribed document and chooses the words that help to come up with the diagnosis and procedures. It also looks at words that negate choosing a diagnosis or procedure, such as "the patient has no..., no evidence of...." The accuracy rate is really amazing. Basically, the coder acts as an "editor" to fill in any blanks, just as a VR Editor would do. The rate at which CAC is being used seems to have gained much more momentum that VR for transcription. If you want to read up on it, go to the AHIMA website at www.ahima.org.
HTH!!!
inquired
Today, I did write the HR personnel who hired me, explaining my line count situation and if she could please look into it for me but, no hear back from has as of yet. I reminded her of her explaining to me a line consisted of 65 characters with spaces. I explained to her that my MS count with spaces is one amount and without spaces is the amount that is being autopopulated for me through their system, which is what they are paying me for, so I am being short changed anywhere from 7 to 15 lines "per report", which in my case, WOW, adds up to an approximate 250 lines shorted out of per shift. Luckily, I was smart enough not to actually give the "I quit" to my previous supervisor, so they will need to shape up or I shall be shipping out, their loss in the long run!
just yesterday inquired
and i didn't get asked any of those questions. But we've a real small town bank too -- maybe that makes a difference.
That is what I thought. I inquired because
in the job bank for home-based editors. I actually did not realize at first that it does state "Offshore services and their affiliates need not apply for the below given job ad." Only now, after rereading the ad, did I realize that it is "A Hyderabad-based company . . ." Otherwise, I would have assumed that it was discrimination, based on the statement at the end, "Only Indians apply." Here's the full ad: Full ad deleted by Administrator
When I inquired about this, I was told the producers did all the typing (tickers), then I lost inter
m
I am an MT at the facility where the
report came in. This dictator is not our best, but he's not our worst, either. I also transcribe his dictation. MQ does our overflow and has for YEARS! This is not an ESL dictator, and this physician has been at our hospital for years. I know nobody is perfect. All I'm saying is, I would never send a report through with that many blanks without someone checking first. I also know that yesterday one came through from MQ with more than 14 blanks, and it was from one of our easiest dictators! It doesn't matter whether you are management or an MT in the trenches (as am I). You should take pride in your work and care what the finished product looks like. If you have done your absolute best, then okay. If not, then there's a problem. With multiple reports coming through like this every day, it makes us wonder if all whoever types these cares about is getting the lines and doesn't care about the work they do.
Maybe work like this is why things aren't going so well at MQ, at least according to what I read on these boards. And for the record, I worked for MQ for a short period of time as an IC about 6 years ago but chose to go to work in-house for this facility for benefits.
I have been transcribing for 19 years, and I have had my share of difficult dictators, ESL, bathroom talkers, dictating in cars, airplanes, screaming children, fighting spouses, gum chewing, burping, and hearing other bodily functions, along with transcribing while parties, code blues, superbowl games, etc. are going on in the background. I know about crappy dictation and good dictation. I struggle through the bad and rejoice in the good.
The patients deserve the best. Our best! Yes, the ultimate responsibility should be the physicians, but isn't it our job to create the best possible report with what we have to work with? Medical Transcription is not a perfect world. There are no perfect dictators, but I do know a couple that come awfully close! In a perfect world there would be no sickness and we wouldn't be needed!
It's time for us to quit complaining about the dictation and do our absolute best with what we have. We owe the patient that much.
It is up to the facility not the MT (eom)
m
Whatever the facility wants is what you should do.
x
No facility should be given permission (sm)
for any kind of physical discipline. Its not a spare the rod spoil the child issue. When having to discipline someone elses child, the results could be far less or far more than what the parents would have inflicted. The result in some cases, especially in Texas, is the accidental deaths of children. I spank my children, on the behind but as a LAST result. THerefore, I would not allow my children to go to a school or facility, camp, counseling, etc, that would attempt to discipline my child physically. Call me and I will come and take care of it, but don't put yourself in the parents position.
incompetent facility
Your story sounds like something from a small town (or small office). That many radiology reports withheld from being distributed, you know some of them had remarkable findings such as a chest x-ray that needed a follow-up MRI, CT scan, etc. I hope this girl gets terminated soon enough and out of there. Otherwise, the radiologists themselves will be paying the price and hence it would be followed through to the administrative office/CEO office of the medical center/hospital.
This is how we let facility know they need to check
sef
No, I know not every facility/provider is
compliant, but two wrongs don't make a right. I want to keep my nose clean if the facility/provider is ever charged and investigated for a HIPAA violation - if the gov't has done so thus far. You think the gov't will buy 'oh, I was non-compliant because my client signed my checks'?...nope!
It is still up to the facility to make that
determination, not the individual MT. We only do what we are told to do.
Wow, this must be directly for a facility. Sm msg
Very hard to imagine an MTSO paying that type of money, although it is well worth every penny! Good luck! Grab it quick!
Yes, it is for a facility, remotely. sm
My concern is the salaried position and not hourly. The hours are supposed to be 9 to 5 Mon-Fri; however, if the workload is heavy, no overtime is paid, no shift differentials, etc. because it is a salaried position.
I could end up working a 60 hour week for the same amount of money as a 40 hour week.
That is what is holding me back right now.
I guess I could always try it and if for some reason it doesn't work out and they demand more than 8 hours a day without any type of incentive or bonus pay, then decide to leave or not ~ good idea?
Contact the facility...
That's the best thing to do. I don't think they want people posting that type of information here.
Been there-done that, but you can not complain to the facility
If you are working for a service, it is their responsibility. I would not put a report note or anything of that nature with the report to the client as it could cause YOU a lot of trouble. I have had so many bad dictators like that - one even fell asleep while dictating!! I know you have to take the good with the bad but like I have said before, an account has to be profitable to me or I do not want it. Bottom line, I am here for the paycheck just like they are. When I worked in house years ago, the doctors were actually offended and insulted if you brought up discrepancies in their dictation. Then the MT company did not care much when I complained. They just said to make sure you typed accurately exactly what was dictated. Again, accurate garbage is still accurate garbage. It is the provider's responsibility to dictate a professional medical document before you can transcribe one. If he/she cannot do that, there is not really much you can do to help them.
Where I work, the facility wants L used.
x
Usually Dr. dont hire MT, it is thru facility and
x
The facility is a "suit" who has no idea of MT. He
x
If your hospital/facility could take MT back
from the outsourced services, would it be interested in doing so? If you think it's Take Back Time at your hospital, facility, doctor's office, I am ready to offer them a proven solution to take control back into their own hands and create a win/win situation for hospital, MDs and MTs. It's Take Back Time!
How about you? If you could work for a hospital or facility without having a service between you and them, would you be interested? Do you have the proven quality and experience to offer a hospital? (Excluded: new grads, MT wanna be's, and trainees - this question is only meant for those with solid and strong acute care experience)
If the above scenarios appeal to you, contact me and let's talk.
Usually not Dr. who pays, but facility/hosp that
x
Doesnt matter what we think. Facility way is
x
MT works for the company, not the facility
It has been my experience that approaching an issue like this comes across as bullying and I have not had very good results with this method. Its like ha-ha you got one more chance kind of a deal. Rather than putting it off on the facility I would have sent a directive to the MT and asked that it not happen again, stating that the facility expects top notch work from us and anything less would not be acceptable to them. If that fatal second blow were to occur, then let the company deal with any disciplinary action it normally takes and/or perhaps move the MT over to another account. I have worked both sides of the fence, so I know this technique never works, almost always results in more and more errors.
Maybe facility doesnt know how deal with IC,
x
You do have only one crowd to please. The facility. All this other baloney is
x
I used to type for a pediatric psych facility.
At first I used to laugh, thinking maybe I'm not so dysfunctional after all. Some of the cases were just out of control kids and this was the only option, but there were 7-YO or younger who had attempted suicide. I don't do them now and don't know how someone can do them for very long.
I was searching for a Kaiser facility and the article came up (sm)
I don't know if I would call it better, but different sites come up.
It doesn't mention what they plan to do about identity theft and their 3 years is now up. Anybody work for this Kaiser facility?
Yes I have found some facility websites that have pics of all the MDs
and I have to say they may be the most unattractive group of people I've ever seen! I guess if you have nothing else going for you, it's a good idea to become an MD! Sort of ruins that sexy voice visual, huh? LOL
Others are working without spell check, facility
x
Sounds like facility is trying to save money by
I have a job where MTs were to put in billing and coding number. Use # X for emergency admits, except if it is Tuesday and sunny, then use # XX. That sort of thing. I had no idea what I was doing but figured if Dr was going to sign off on this mess, it was all on him.
Only a problem if your MTSO/facility decide
to use it. From what I have heard, not everyone is going to it.
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.
The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.
If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.
States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.
Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
I think is called preferred vendor? Facility gets certain monetary breaks to only use one
:+
Unless a facility name accompanies the phrases you hear/type, you should not capitalize.
xxxx
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.
I would start with hospital websites in the surrounding areas to whatever facility you type for. SM
Hospital websites usually have a pretty good physician directory you can search through by name or by speciality, which is nice.
I also use the AMA website which has a sound alike search feature which is helpful. Here is URL for the AMA doctor finder.
http://webapps.ama-assn.org/doctorfinder/home.html
Also, some states have websites for the medical board licensing or professional licensing where you can look up doctors with licenses in that state. You might do a Google search for whatever state your facility is in.
Another good one that I use is the WebMD physician finder. Here's the URL for that one:
http://doctor.webmd.com/physician_finder/home.aspx?sponsor=core
Hope this helps you.
Hmm..patient information, name of facility, etc. on top of page is a header. Stuff on bottom like ph
,
How would you handle clinic notes coming up missing after you've delivered them to the facility?
I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic. I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics. She in turn distributes them to the clinics.
The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together. There is no way that some are printing and some are not. Plus I ALWAYS verify that each note printed. Today, she called and said there were missing notes from two different days.
Then there is the issue of my work being typed by someone in the hospital. When I deliver work I get a print out of what's on the system as far as clinic notes. It is a worktype specific list that only I am supposed type. There are a couple of doctors who dictate all their notes in one looooong job. There were two very long jobs on my list, but were never pooled to me. When I enter the specific job number, it says they have been transcribed. In one instance, the dictator dictated half on one job and half on another. I typed one job and the other just magically got transcribed. When I've called to ask who's typing these reports, no one seems to know.
These ladies in this particular transcription department are not a friendly bunch. I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type. I think they are wondering why they aren't allowed to work from home. The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.
I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now. I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.
I'm about to cut this account loose, but it's such easy work. It's just that I'm running into brick walls at this place.
Thanks for listening to me whine! 
or maybe nursing? lol. j/k nm
nm
Nursing to MT?
Has anyone gone from being a nurse to being an MT or know someone who has? Someone asked me about it and I am not sure what to tell them.
Thanks.
I'm looking into nursing as well...sm.
Already have the basic A&P, terminology, medications and proper doses and welcome the chance to try a hands on job now. Plus a recent confidence boost gave me the kick I needed to finally make a decision. Good luck in whatever you decide.
Nursing...........
My brother in law has 3 degrees (in medicine), is 51 years old, and is in nursing school..
Niece is 30 and just finished up nursing school, as did her fiance, who is 33.
Never too late if that's why ya wanna do!! Good luck to you!!!
nursing..
How about medical research as an RN? That sounds good to me.
I agree check with your facility. Enlarging the font size can cause problems once a report uploads
I wrote a macro that would take the font size back down to 100% once I was finished and ready to sign off. I think I assigned to something like CNTRL+ALT+F and I got into a habit of doing that before hitting whatever function keys to spell check and sign off. It worked great.
Nursing is your problem
Nursing, well there is your problem. I have interviewed and tested many nurses who wanted to change careers to MT and not one of them could do it. Nursing is way different than MT. Nursing terms and medical terms are different.
Way more notches than I will ever see, LOL..whew..well, guess I better just step back, hun..dont want to mess with a super-super-duper-duper MT.
|
