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Maybe facility doesnt know how deal with IC,

Posted By: just think it is way to pay low. nm on 2008-02-15
In Reply to: Maybe facilities use to dealing with employees - & lose sight of how to deal with IC.

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Doesnt matter what we think. Facility way is
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Other than the reduction in ASR starting Oct 1 the rest of the deal doesnt start until January 1 so
we all have time to move on if it does not suit us.
It is an okay deal - TR 11 font is small. Not as good a deal as Courier.
Personally, I would have to think really hard and compare reports and line counts, like the other poster below suggested, before I would jump right into it. It is probably 75-80 characters to a line +/- the single character lines you get for initials, and 2 word lines you get with op reports such as Surgeon:
IV Fluids:
Anesthesia:
etc.

It probably is comparable to 9 cpl with a larger font.

Good luck in whatever you decide.


Good Luck!
anyone watch deal or no deal?

I love Deal or No Deal.......nm

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
I think I would look for another job. Doesnt seem right
asdf
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
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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.
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
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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.
No doesnt sound harsh
I agree with you to an extent about threatening with that, and I have informed family members that could be done if he does not get help and endangers them in some way. They of course say they know, I think they are trying to handle it without hurting the kids any further. He has not physically hurt them just scared them which is bad enough! Thanks
High IQ doesnt = good MT.
df
Link doesnt say if this can be done at home.
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Above poster doesnt know how to use antibark

My dogs quickly learned when they had collar on and what that meant. They didn't bark.  Take collar off when you want them to alert you. Believe me, they know the difference between collar on and collar off.  Mine even knew the difference between dead battery and charged battery.  When they would bark with collar on, I knew it was tiime for recharge.


Then hope your boss here doesnt end up
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Consulting dr. doesnt say but says he thinks
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It is not the Dr fault he doesnt understand
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Doesnt matter how many language I know.
x
What happens if company doesnt send
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It doesnt separate. You end up transcribing at
gf
9pin doesnt work for me
There are issues with it stopping and starting. The USB works best in V8. I work in V8 and V6 still so I have both pedals :(
I still use 2. It looks better and doesnt get confused with abbr. periods.
I wouldnt change to 1 unless the AAMT Book of Style rules on it and I dont believe they have. I could be wrong on that. If anyone knows, please let me know.

Another thing I have noticed people doing is not putting a comma before the and in a list. I was always taught to use the comma but some people dont.


advil doesnt touch mine
I used to get this all the time it drove me crazy.  It felt like a constant burning band.  I was hold my arms up by my neck and shoulder.  Is there anyway you can find something to support your arms while you type?  I bought a chair with arms, and i put a 2 x 4 board across the arms and rest my elbows on that and let my fingers do the work, not my neck.  I also have a split keyboard.  When the pain was severe, like yours, I would get up and put a warm wash cloth and sort of massage it into my neck every couple of hours while stretching, and then apply some icy hot so it really penetrated into it.  As a poster stated, xanax works and anything that relaxes the muscles, Soma, or Flexeril, ativan,  buspar (antianxiety), on top of the massage, heat n stretches.  I also cut out the coffee and sugar because i'm an anxious person and I clench constantly.  That should get you through until you find away to rest the arms while working.  I know with this job, one part of our body will suffer, either arms, wrists or hand joints, even neck and shoulder.  I wish they'd invent something to take the strain off of every muscle for us gals who have to sit here day after day!  Anyways, I feel your pain, hang in there.
Is there any spyware you can use that doesnt interfere with all your other programs at all. I have
XP and service pack 2 etc etc just about all the programs you can have and Norton so dont know if they have Spyware in them or not. I have office also.
I wouldnt go get him. Just treat him tonight even if he doesnt have it
That may keep him from getting it. Head lice is a nuisance but not hard to get rid of. I wouldnt sweat it. You should change their sheets, etc...
I disagree...just because you are in a certain profession doesnt mean you cant have time off..sm
My mom has been an RN for over 40 years now and I have several family members in some of the other professions you mentioned above. A certain profession does not mean you have to work certain days/holidays. If you have vacation time you are entitled to use it whenever you wish. I used to work in a physicians office for 10 years and I always put my vacation time in for my two weeks in December in January. Other employees put their time in for summer. So while they are out having fun with their time off in July I am not crying and moaning because they are having fun in the sun while I work to cover them. It is the same thing no matter when your time off is scheduled. It has nothing to do with what field you work in. If you want time off at Christmas be a little more organized and schedule your time off way in advance. And no I dont think I am the only one with a family who would like to be off for the holidays. I just make it a priority to take my vacation at that time. You enjoy your time when you want and I will enjoy my time when I want.
What would be fair line rate if co. doesnt pay
Does it really make a ton of difference in your pay?
XMTSO doesnt care where you are going to work or what they
;
Brand name doesnt matter as much as what is built into
u
person we are paying for a service doesnt
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