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I think I could handle it, I worked in the public

Posted By: wannie on 2006-02-13
In Reply to: Take it from someone who worked these jobs - See message

for 25+ years and it didn't scar me. I also worked as a nurse in a nursing home. If that doesn't scar you nothing will. I enjoy working at home, I just don't enjoy the fact that a lot of the dictators are inconsiderate and rude. If they had to listen to themselves, I think it would embarass them to hear how riduculous they sound.


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OMG - now THAT is something the public - nm
.
Public
does not know.

I mentioned to my personal physician that transcription was being sent to India. He was surprised and concerned that this was happening.

Maybe we just need to educate the docs who mostly just dictate and don't know where it goes.

Public TV is getting to be just as bad as cable.
Good old evening family sitcoms are just smut and garbage.  We have a Netflix membership, so I fill up the queue with kids or family movies that I've researched and approved.  The kids have been watching those all summer when they feel the need to watch TV at all.
MQ is a public company
under plenty of scrutiny right now. Are you saying they would tell a select group of employees before making the info available to shareholders? That is a violation of SEC rules. Your story is not credible. Unless your source is on the BOD, they know nothing.
No, public school in the U.S.
They had a MENSA group at the school, and we even got to CLEP college coursework.
Yes, but those pay more than public schoolteachers.
Our local college easily pays adjunct faculty twice ($30 hour) what public schoolteachers make.
When you are working with the public (sm)

there are always people who are sarcastic.  Yes, sarcastic will be among us, just like the poor.


By the way, what is your point besides needing to lash out at someone today?


I think in most USA public schools....nm
x
Maybe in public VIEW! lol
Article I read said it was Barbara who decided to suggest firing Star because Rosie had said the only way she would join the View was if there was no Star! That and she was annoyed by her antics over the past year. So, yeah, real class that Babs! Maybe she's been hanging out with white-trash-with-money-Rosie a little too much? Maybe next they'll ask Britney Spears to join the show. LOL!
informing the public

That's why I want my friend mentioned in my above post to go to the TV stations about this and expose it if it is not resolved -- NOT the particular MT in question, but the working conditions that make this kind of mistake possible.  This hospital is HUGE, one of the most well-known in the country.  I want TV there. 


 


You mean you would actually do MT-ing in a public place?
If your at-home cable goes down.....dear Lord, I pray you never type my medical records in a public place. Geez Louise, how could you not know this is wrong???
Public record
http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829906.htm

http://www.fbodaily.com/archive/2009/05-May/30-May-2009/FBO-01829905.htm

These 2 companies were just awarded all of VISN 7. Not sure exactly where the split is. Look on VA website for hospitals make up VISN 7.
How do you handle
Your first year as an IC regarding taxes? Should I go ahead and set up some type of payment plan like that?
What? That's what you can't do - handle someone else having a
Take your own advice, please.

here's how i handle it N/A
when enrolling my son in high school they wanted all sorts of information like that about family history...i left all blank with N/A....

They also wanted his social security number....N/A There is no reason in the world they should need his social security number and I asked about this.. They said it was for when he signed up for college loans etc. I told them he's not in college yet and I would not be furnishing that information to anyone.

In a post below someone said something about ppl being over paranoid these days....I had my identity stolen a few years back. It nearly destroyed my credit, wiped out my bank accounts, and took me literally years to clean up. In this day and age you can never be too careful with privacy. You just cannot be sure what anyone is doing with your private information. Better safe than sorry.

How do you handle if you are an IC??

The way people appear in public anymore--
Reminds me of a T shirt I saw that read-- Too many freaks, not enough circuses. I think slippers are the least of your worry. I think people should at least be covered up and not letting everything hang out for public display. If they want to look like that at home, but not in public.
I don't really think a public website is the place
to be asking such a personal question...and if I were the people in question I don't believe I would want my last name on a public website either but that is just me...a little tact might have been nice...
Not enough money for me to sing in public!!
But, my 3 sons all do this all the time. The youngest sounds like Johnny Cash, and actually is requested to sing his songs a lot (even in the yuppie bars). My nieces (did I spell that right?? That word always evades me) all sing karaoke too.

I've heard some great singers in karaoke, and some bad ones. Frankly, I admire their nerve to stand up and perform. I have horrid stage fright (and yes, I can carry a tune).
I think she should meet him in public place..nm
.
I am using public and private schools
My two youngest are in the local public elementary school, and I've had no problems with it. In fact, it's a terrific school, but I have a feeling it's probably much better than the average public school.

My eldest, who's in high school, goes to a private creative arts boarding school because I feel the local public high school doesn't give the kids enough one-on-one attention and doesn't offer as many educational opportunities as my son's school. Also, he is big into music and drama, and our local school has a weak creative arts department.
at home - harder job than public
True, I make more money, but the anxiety is killer. I work harder now than I ever did in a public position. Yes, I am here for my children when they get home from school, but I could not imagine trying to do my job with a baby. Also, as others will probably agree, the money in this field is not what it used to be. Good luck.
I saw a great show on public TV the other day with (sm)
Suze Orman about women & their money. One thing she couldn't emphasize enough (and which I totally agree, even if I don't always agree with her), is, "Ladies, you are NOT ON SALE." Selling ourselves short is the biggest mistake most of us (women) make in our lives. Anyone who accepts less pay tomorrow for work done just as competently as yesterday is putting themselves and their services ON SALE. Don't accept this back-stabbing offer. Find something else - this company obviously has only its own profits at heart, and could care less about its workers, the quality of its product, or the future of MT in general.
This is one of the things public assistance is for. nm
!
But it wasn't in public, Barry (sm)
it was in private, between two consenting adults. And as far as religion becoming an integral part of every aspect of life, actually it is just the opposite - it is less a part of everday life than it ever has been. And then two people prayin privacy and you have an issue with it. Who is infringing on whose rights??
Yes, you can Transcribe Privately in public
1) Use your own USB wireless access card, NOT the public WiFi. They cost between $40 and $60 per month and are available from Cricket, Verizon, AT&T, T-Mobile, USCellular, Alltel, etc. If you can get a cell phone signal, you can transcribe. I've transcribed in my car parked at a Pilot station before. When the battery ran low, I plugged it in to my cigarette lighter adapter and kept typing. (I did have to turn the car on while recharging).

2) Invest in GOOD headphones that keep your dictation IN and external noises OUT.

3) Buy a 3M privacy screen for your laptop screen. Once installed (it's a cling-on thing) NOBODY can see your screen EXCEPT YOU.

People work on laptops in public ALL the time, and nobody cares. If you have a privacy filter on your laptop screen, nobody needs to know that you're working on confidential information but you!
To all wondering about working in public
http://www.cms.hhs.gov/SecurityStandard/Downloads/SecurityGuidanceforRemoteUseFinal122806.pdf
re: ...working in public, pdf link
okay so I read the document. there are plenty of places that have security measures like this. i just left a university that had this sort of regulation in place with student's information.

No big deal as far as I can see, I would rather work for a company that had some accountable software for protecting the patient's stuff on my computer. Keeps me out of trouble.
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
You need to know how to handle these people. sm

They will try to get you to work like a dog, your fingers to the bone.  You just tell him no.  I will work x number of hours a day and that is it.  That is what I did and it worked out fine.   They will try to push you to work 24 x 7 if they can.  That is the way they are (men from India).  Just hold firm and they will accept it.   You need to be "thick-skinned" I think to be able to work with them. 


 


My DBF can't even handle the 2 hours
that he watches them every evening. They drive him nuts. He doesn't help with the cleaning, cooking, laundry, and like I said-those 2 hours from 8pm to 10pm, I don't really get much done cause they are in the next room screaming-him included. It's not fun. He does his best with them....when he takes them places in the evening, but of course, this can't happen every night. (I'm ready to bail in the relationship anyway) Just be so thankful to those of you who have "adult" spouses, he's like a big kid, leaves clothes all over, etc, doesn't know where the garbage can is. He is still in the dark ages I'm afraid when it comes to "women in the house, barefoot and pregnant" attitude. He's only 39. Blames it on the way he was raised. K. It's 2005, get with the program. It's a lost cause.
easy to handle

Merely sent an email. In the subject line put MTSTARS (company name) so when you get a response you have the details.


 


Merely say, I have a couple of question prior to sending in a resume or testing taking.  This saves time on both sides. 


 


May I ask, what is the lowest to the highest rate of pay. What pay rate formula is used, for example, by the line, by the minute, by the word, by the gross word.  Are spaces paid, ALL spaces.


some in their ads say "we pay for ALL spaces"  so I guess some companies pay a percentage. 


For instance Medquist does not pay for the demographic screen, the CC notation or the headings. and prob more that is not known. .


You need to know how to convert this to an hourly rate so you know how much you actually are making.


Below is a quote from a company in Texas TSI and I sat down with the calculator and figured some of the hourly rates.  For the most part, way too many lines for most MTs


Below is the quote in email from TSI.  The calculated figures are mine.

.____________________________________________________

Less than 1000 lines per day average = 6 cents (these we consider to be part-time positions and we really prefer to work with full-time employees.)

 

1000-1100 average lines per day = 7 cents

 

(this is $70 for 8 hours ($8.75 hr)

 

1200-1399 average lines per day = 7.5 cents

 

This is $90. for 8 hours $11.25 hr and 150 lines an hour about almost 4.5 pages/hr.  This is a lot of pages/hr.

 

1400-1599 average lines per day = 8 cents

 

This is 1400 X 8 = $112 per 8 hr.

8 divide into  $112=$14/hr

1400 lines divide 8= 175 lines/hr

Figure 34 lines/page+ 5.41 pages an hour.

 

No way I could do this. I would not work for 6,7,8,9- no less than 10 and this is not really great.  You cannot predict what you will end up with. You could be on target and lose it all, wham. .

 

1600-1799 average lines per day = 8.5 cents

 

1800 or greater average lines per day = 9 cents  So then this would be:

 

225 lines per hour, about 6.61 pages

 

112 lines 30 minutes, 3 1/2 pages

 

56.2 lines 15 minutes 1.65 pages

 

greater than 14,625 Keystrokes per hour

 

nearly 4 lines per minute

 

Well over one million keystrokes/8hr

 .

Here's how I'd handle the situation...

First off I'd tell my mom that he's a pig and what he has done. 


Secondly I'd never be around him without a recording device turned on in my pocket so that way you can record his comments, and if he touches you or flirts then get a recording of your asking him to not touch or look at you that way and his response.  Then play the recording for your mom and other relatives.


While it may be true your mother may go into denial you need to stand up for yourself.   My mom was a fool and protected my father when she was told about his untoward advances towards women for years.... and then something happened that made her realize that she had been a fool for years and that he was the one with the problem. 


Here is an even nicer way to handle it!
I totally agree with having her over in YOUR space and being nice to her. Tell her you can hear everything through the walls and celings (blaming them was a good idea) Tell her other things BESIDES her that you can hear. Tell her what you do for a living and what times you work, and how those "other" noises are so distracting. You don't have to tell her she is too loud; she will surely get the picture if she has any sense at all. If that doesn't fix the problem, then I would go to the manager and ask if there have ever been other complaints about her first. He/She may already know this is a problem. You never know how people will react if you tell them you would appreciate it if they would be quiet, no matter how nice you say it. I would have her over for snacks and a "chat" real soon though or you will go insane!
And another one who can't handle reality.

/


The reference I handle THE MOST - sm
is my Medical Phrase Index - I happen to use the 4th edition and I mean I use it often. It really comes in handy for mush-mouthed docs and ESL docs.
How do you handle no work?

I have not had work for most of July.  I am an IC and have been doing this for years.  This is the slowest I have ever been and I'm stressed out.  Luckily, hubby pays the majority of the bills so I am not starving!  I have applied several other places with no luck.  Is this just a summer slow period or what?  How can I keep from going a bit crazy?  I am getting rather depressed.  TIA


How would you handle this situation?

I picked up some extra IC work back in May, and since that time have covered for the owner by editing for her while she was on vacation for a week, and then taken extra work as the MT with whom I share dictation from this doc was on vacation for a week, then sick for a week just after return, the next Friday had a family emergency, etc.  This was supposed to be part-time work, and has turned out to be more than I would expect for part-time . . . to the point where when this doc was going on vacation, I was trying to hold out and not say anything about it being too much, thinking that I'd be caught up and fine to take on the work when he returned, but wound up "breaking" with one day left to go, and told the woman it was too much, and she asked if I could just hang in there with her as she was testing another MT, and would reduce the amount she gave me if this girl worked out. 


Well, the doc returned from vacation and I did not get any of his work for about a week, and then the next week (this past week), I was given slightly more work than in the weeks prior to his vacation, although I had already told her it was too much, and it was still the same girl working the account with me.  At the end of the week it seemed that she had hired another girl, but did not reduce my work, just switched from girl 1 to girl 2. 


Sorry so long, but here's the BIGGER problem . . . in the early part of the week, the owner e-mailed with an attached voice file, requesting that I download the voice file and listen to a blank she was trying to fill-in.  I listened (over and over) could not find her sentence, so responded with what I was hearing in and around that area.  She then gave me another location and said that she had two counters on her program and did not know which one my program used, could I listen at xxxx location, so I did, gave her the fill-in, but was a little bewildered as to why she would request my assistance in that way as SHE IS NOT PAYING ME FOR THIS KIND OF HELP. 


Here we go again, yesterday she sends an e-mail with some voice files attached and some sentences with blanks, and she is requesting the same thing, that I listen and fill-in the blanks.  I am just not sure what to do here.  Early on, a couple of weeks after she returned from her vacation, she asked me if I could "proofread" the other girls files for that day as an appointment she had was "screwing her up".  I e-mailed back that, due to my heavy workload, I would not be able to EDIT work for her.  (The girl's work requires editing, not proofreading, which I quickly found out while covering the owner's vacation.)  I thought that I had let her know then that I do not work for free, in a nice way.


I would like to keep the work, but only what I am being paid for, so . . . How would you handle this situation? 


How do you handle burnout as MT? Any
suggestions would be greatly appreciated. I've only been doing this for 7-1/2 years and I've about had it with all the junk.
How do you/your company handle this--sm

Once a report is typed and checked in by you and someone else accesses the report be it QA or another Transcriptionist adding a line or making a change per the dictator, is that second/third person required to indicate in some way that your report has been altered?  Thanks


Need advice on how to handle this --sm
I am an IC and have several accts -- One of my accts has not pd for services since early Nov 2006.  I have given notice that will no longer be providing services as of 02/09/07 -- Should I continue to provide services, knowing that I may not be paid -- or can I just give notice saying that since I have not been pd -- i can no longer continue.  I have no written contract with physician.. pls advise Want to do right thing as this is small area but also want to be pd for work performed. ...
Question ... How would you handle this?

I have 44 clients for my business.  I charge 18 cpl.  I pay 7 and 8 cpl for my MTs (ICs).  With the 10-11 cpl left over, I have to pay all my overhead.  Sometimes, I have no money left over to even pay myself, and have even put in my personal savings to make sure the MTs get paid.  Now, I have a company that has offered me to do work for 5 cpl but it is offshore.  I have to say, tho, that the extra 3 cpl would allow me to sometimes even pay myself something.  My contractors are complaining about wanting more money but I will go under and close down if I do that.  Also, this company will do the work overnight and return it in the mornings when I have to constantly juggle with my current contractors because they only want to work days.  I don't want to cut my contractors but I don't see any other way around it.  What should I do? 


See the dilemma?  It's not as easy as you think.


 


how to handle -- be sure and dot your I's and cross your t's
First you need to be able to substantiate what you are saying.
you need to know who is signing off the report? Is she??? or is the physician???? or is she signing the report off by another physician???? If she is how is she doing it.

You need to get all your ducks in a row so that you dont go to administration and look like a troublemaker making things up.

Personally I would gather all my proof and turn a copy of it in to adminstration anonymously (make sure that cannot trace it back to you because when the fire starts you dont want to get burned in the aftermath).

If doesnt take care of it take that same info, write a letter explaining what you have witnessed and that you reported to administration but it continues and anonymously submit all of this info to JCAHO.
Complaint Hotline
800-994-6610 complaint@jointcommission.org
How do you handle your mistakes?

I am an IC and for the past 5 years have worked for the same doc.  He still uses tapes so I deliver on a daily basis.  I already load the work on his PC and make sure the pages line up etc. and do not get paid extra.  I also convert some reports from WP to Word and e-mail to him at no extra charge.  Now he starts calling me after I leave the clinic and expect me to either turn-around and come fix the mistakes/changes (15 minutes later) or I must wait in his office until he is finished with a patient consult, can go through the work to check for mistakes/changes for me.  The mistakes range from doctor's names misspelled (workmen's comp with lots of different doc names, impossible to search and find as no clue where the doc is located) or template changes etc. and sometimes silly mistakes which is totally my mistake.  Am I fair in stating that I do not mind doing the corrections when I return the next day but that I cannot wait around in his office for him as he does not pay me for that and I will also not turn around after I have left the office to go back when they call me? How do all of you handle this type of situation? 


 


if you get a handle on the situation - let us know, k? NM
x
How to companies handle?
I understand that completely, (this is not the case, but something I just thought about), BUT let's say that a relative or your friend decided to bring about a malpractice case.....how would it look that you typed your own note, your family's note or your friend's note.  I know when I worked for a hospital, we were not allowed to do that and I am just trying to set a standard for my independent contractors.  I was just wondering how other companies handle it.
I do op reports and I have more than I can really handle.
My work has increased at least 25% in the last two months.
How can you handle so many hours?
I can barely stand having an 8-hour shift and have thought of trying to add a day and cut down on hours.

Don't you get exhausted?

I have been at this a couple years and find it very mentally draining (so many things to learn, keep track of, and difficult dictators). If you have any good tips on how to not let it exhaust me, I would be so grateful!
What is there to handle? You provided
It's not your problem if they discovered afterwards they handed you already completed work.  I can't believe you'd even ask the question.
How to handle evaluation

I'm working as an inhouse hospital transcriptionist, been there nearly 6 months. I've done this work full- and part-time for about 10 years, but this recent job has really been a challenge -- both the work and the people. I went home to work for a few weeks, but with slow-down problems and disconnects from the hospital system, decided it would be easier to work inhouse again, even though the work environment is very stressful -- close quarters, talkers and gossipers, interruptions, etc.  I just don't "click" with these women.  I was very happy in my previous job in another town, but moved here because I wanted to come back to my hometown. 


My question is:  what do I say at my next evaluation when my supervisor asks "How's it going?"  I'm making satisfactory progress in learning, but it's quite a struggle -- I'm hardly leading the line count.  I've just given up trying to talk and fit in and socialize -- just concentrating on learning the dictators and work types.  The supervisor is a touchy-feely type of lady and wants everyone to be happy, happy all the time.  And she has noticed and commented on the fact I'm not exactly a social butterfly.  The last talk I had with her she asked on a scale of 1 to 10, how likely was I to stick with this job.  I said a "6" and she looked surprised and a little put out. Yikes, what do I say now??  Tell the truth or what?  I'm honestly putting in for other jobs, but chances of finding those are slim to none right now!  Thanks in advance--


Depends on how they want to handle it.
I work for a national, but I also still have one local client, for whom I am an IC. I am paid by the word, actually, because when I started there, I was using WordPerfect for DOS (yes, I've been there for a LONG time!) and it had only a word count, not a character count. I ran some numbers, and I COULD switch over and bill by the line... but why bother? They're used to paying for words, not lines, and it's a wash. I do pick up and deliver--but I have figured that into my rate, and I actually enjoy going down there and harassing the doctor, when I can catch him. And it's only a mile away.

It might be difficult to find local work, though. Speaking strictly from my own experience, any local jobs that are left, that haven't gone the way of EMR or (gasp) offshore, tend to be held by old-timers (like me) who have been on the job for decades, and have dug in our heels and can't be dislodged, short of their having to carry us out feet-first.

But it's possible, if you know the people in the community. I got my current local gig because a doc I had worked for before got in an associate to share office space, and the office manager knew me and my work, and TOLD the new guy who his Transcriptionist was going to be. So if you know any local office managers, be sure and let them know you are available and interested. I also once made up a bunch of flyers and took a walk up and down "Pill Hill" and spoke to every office manager I could find. No luck at the time; although much, much later, when I had no room to take on any more work, I did get a couple of nibbles which I had to turn down.