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Serving Over 20,000 US Medical Transcriptionists

Operative report question...curious...

Posted By: MTallover on 2007-11-30
In Reply to:

What is the most popular or should I say proper way of setting up a heading for an operative report, order, spaces, tabs etc?  I know the doctor's way is always right but some doctors do not give enough information and some give too much.  Just wondering if you tab over diagnosis and align or place list under headings.  And spaces after each heading.


DATE OF PROCEDURE:


 


PREOPERATIVE DIAGNOSIS:


 


POSTOPERATIVE DIAGNOSIS:


 


PROCEDURE PERFORMED:


 


SURGEON:


 


ASSISTANT:


 


COMPLICATIONS:


ESTIMATED BLOOD LOSS:


 


FINDINGS:


 


PROCEDURE IN DETAIL: 


 


 




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operative report vs procedure
I used to think I understood the difference between these two types of reports (operative versus procedure). Somehwere along that way, amidst dozens and dozens of account profile specifications, technology advances and MDs who always key in the OP code regardless of report type, I am not so sure anymore. I would like to try to elicit a consensus on how transcriptionists distinguish between these two report types and what criteria they are using to do this?
Softext MT CD of Operative Report Samples

Has anyone heard anything about this CD?  I found it on ebay.  It has over 1000 multispecialty operative sample reports.  It's called: Softext Medical Transcription CD of Report Samples.   eBay Listing: 180302333955. 


Sounds like it could be a really good reference.  Just wondering.


MT


Pay attention: Facelift was not done but he dictated an operative report for it.
dd
Just curious how you "import" a report

into another program as it won't allow me to cut/paste (at least not if I right click).  How do you do it?  I'd love to try it out and compare line counts for myself.


Thank you! 


Great platform, but curious about being paid by line vs. report as well, which is best?

For CURIOUS: You are not curious, you are paranoid and a sociopath
Are you referring to the sentence

'And HOW to you put a marker?'

where I typed a 't' instead of a 'd'?

It was just a TYPO!

I am an American MT!

It is so pitiful how PARANOID SOME American MTs have become, ESPECIALLY THE OLD ONES, fearing for their jobs and being afraid of getting the boot.

Trying to be 'expert linguists,' sniffing out various dialects, detecting some Indian hints, whereas they most probably live in rural areas or in cities with a population of 1,000 inhabitants.

So sad, so sad, what has become of the MTing profession?

Now, CURIOUS, start nitpicking my post.





Operative Notes
Does anyone receive higher pay for doing only operative notes? I am just wondering because my account paid last because it was ER reports but now I am doing almost all operative reports. Thanks for the info!
Can any of you MTs who type operative reports tell me
what are some good websites to look for spellings of surgical terminology, instruments, equipment, etc.?  Much appreciated!!!
All and any Operative Reports! Love em!. sm
Including Cardiothoracic and cardiac caths.
Operative Note websites

Hi everyone, I was wondering if anyone knew of any good websites for medical equipment and/or websites to help with Op notes.  Much appreciated!! 


Operative word here is "should"

We all know they should, but my point was most won't. But then again, I do remember instances where it was addressed with some of the worst ones, and they improved for a while and back to the same thing.  One radiologist everybody hated typing had a very thick Latin accent, and I ran into him on the elevator and he asked me if I type his dictation, to which I replied in the affirmative, and he said, "Good luck to you, brave lady"!!!!!  Then he would have the audacity to complain to our supervisor that we left too many blanks, that he says the same thing every time, why do we leave blanks!  The nerve!  She did tell him that he was difficult to understand, but do you think he changed?  No.  One of the reasons we could not understand a lot is because he would turn the x-ray films as he was dictating, which would be very noisy, and then he would have the machine on speaker and turn his head from side to side as he'd dictate.  Nice!  But did he stop after being told this?  No.  Nuf said, really.  Just one tiny example. 


"Wife" is the operative word sm
They have no clue what we go through and they are cheaper than their husbands. IMHO they should stay home!
Mastectomy operative reports
Does anybody out there have mastectomy operative reports that I can use as samples? Or can anyone direct me to a surgery site that would have this type of report?
Sample operative reports
This is a good one. MT Daily has sample reports. Another one is mt-stuff.com. These are just two good ones. I have done Ops for 30 years and if you need help, let me know. Hope this helps.
Someone left out the operative reports
those are certainly considered in the 4, not ERs.
Same here, I like operative notes, but rarely get them, by the end of the day (see inside)
I am fuming. I make more money on operative notes and am motivated. Discharge summaries are hard to make money on for me, as they are all different.

I am actively looking for another job. I am not one to job hop. I just cant see feeling like this all day long. Good luck.
I totally agree. Operative notes are more complicated and should be
paid at a higher rate. I know it takes me longer to do them because so many different surgical pieces of equipment can be used etc.  Anatomy has never been a problem but mainly the different surgical equipment items. I would love to find a job that offered me more. I just dont know where they are.  
You do not need the 1099. You just need to report the income. Report the company/person ...sm
to the IRS for not sending out the 1099. 
Why do so many people LOVE operative notes? I see posts about it all the time...
how they make good money on them, they could do them all day, feel cheated when they don't get them? I have been doing this for years and years and still kind of groan when I see them come up on my screen. Fill me on the secrets and maybe I won't whine so much when I do them. Thanks gal!
I charge the same amount for a "normal" report as for any other report.
You still have to listen to the dictation and change anything that's different.  I had one woman try to pull this on me.  She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other."  Then she'd only want to pay me what equated to $.03 per line.  She wanted 1:1 on her dictation to transcription ratios.  I told her to take her cheap account down the road because I'm worth more than that.
Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I

had better get that sucker typed before it gets out of ONE MINUTE TAT.


If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.

curious MT

Trust me you should hope that VR does not catch on too quickly!  It is very intense work, and you get paid squat for doing it!  And you still have to type either when the voice is not recognized, ie, as in when the dictators are residents and just coming in, and you get paid the measy sum to edit reports that require more transcription than editing, so far there is yet a formual to distinguish between this!  So count your blessings that VR is not making its wave across Amercia with the MT's until everyone catches on to the fact that it is not "easy money" and we need to be paid exactly the same amount of money whether we transcribe or whether we do VR.   Or the companpy uses some formula you need to be a rocket scientist to figure out!   Whether for personal use or for business use VR still needs to go back in the closet from whence it came!  Or the Nationals need to pay us a living wage to do the editing if the clients want VR.  Then I'll be more than happy to offer my 20+ years experience up to do as much VR as they want.  At the moment those of us that do VR are being grossly taken for granted and our knowledge and experience used without proper compensation, because we were not totally informed about the trials and tribulations of VR and just HOW much work it truly is.


 


 


 


 


Just curious
Did you contact the MT and try to find out what the problem might be?  With a Q.A. score that low (unless you're a comma freak) :) there is no hope.  Personally I hate doing Q.A. but I've done it.  I recall one MT that had a really low Q.A. I talked to  and asked how I might help.  Turns out she was a clinic MT (BIG difference) hired to do acute care on, of course, a production basis.  She was about to lose everything she owned trying to make it.  She ended up moving back in with her parents for a time and today so far as I know, she's a great MT.  She had potential, just lacked knowledge.  I think Q.A. has to realize that less than qualified MTs are hired routinely and this is not their fault.
Just curious, but

...how would you know what your company has to pay? In my experience, turnaround penalties were known by the account managers and senior management. It's a contractual detail, not public knowledge or something to be shared with transcriptionists. Then again, maybe you are in contracts, or account management, or maybe you are the CFO or COO. However, if all of your accounts truly incur no penalties, you should be buying lotto tickets, and please share the numbers with all of your friends here on MT Stars.


And yes, I've been in account management and senior management. It's not a pretty place.


Just curious
ditto your thoughts!
Just curious, but how old are you?
I barely remember Beatles.
Just Curious
What is it that makes the job so difficult for someone with as much experience as you have as an MT? I have thought about making the switch myself, and was just wondering.

just curious
Why is that there are 3-5 pages of whining about MQ and having no work and only 5-6 hits to tips on how to improve skills.  Why waste time writing these "open letters" and add to your Expanders or buy an Expander or ask for tips.  No one, not even MQ, owes anyone anything.  You have to make a way for yourself.  1200 lines per day is level I work.  My goodness, get a grip.  I think they are trying to tell you all something............They need production to stay AFLOAT.....May be the work is going to MTs who are grateful to have a job.
I'm curious too.
I've been with MQ for 2 months now but we have had them begging us for overtime, offering lots of incentives and stuff. We haven't even come close to running out.

I'll be waiting to see answers though!
Just curious
so, are you going to stop the fat and ugly stuff or not?
I would be curious to see if many SE's
opt for FT (or PT) employee status because of better benefits.

Benefits were not an issue for me, so it wouldn't be enticing to me but I would be curious as to how many would convert their status if a good enough benefit program was offered. (And what the "good enough" would be defined as for everyone.)

Just curious. Break's over.

Just curious

Where is this crazy Amherst office people are always complaining about?


 


Now Im curious

What is the condensed version of why people are quitting MQ?  You guys could have your own board there is so much conversation!  The rest of us seem mute. LOL


 


Curious.
Does anyone know if having a consistently low body temperature can affect/cause things like:  mood, memory, depression, appetite, abdominal pain, fatigue, irritability?  Body temp of 96.5-98.1, mostly stays in the 97.5 range at different times of the day.  Using a digital therm. in mouth to get readings.  Have read about Wilson's syndrome, but have heard that it is not real.   Thanks in advance.
I am curious about that, too!
nm
just curious

Has anyone sent a resume to alex-med, inc. and heard back from them yet?  Thanks


Just curious; are you actually a TH MT or
nm
curious
what about Spheris did you like the most.  I am looking for employee status, benefits, equipment furnished, easy platform, available work, etc.
I'm curious...

Why do some companies demand that their MTs know inside and out the rules of the AAMT yet count off if you don't type EXACTLY what the doc says, including such errors as incomplete sentences or "Upper extremities are intact x4" or dictated commas where there isn't supposed to be a comma?


Why does it matter at all if you know the AAMT by heart if you aren't allowed to put the rules to use?


Why why WHY???  


AAAAAGGGGGGHHHHHH!!!!!!


curious too
How about the easiest too?
Just curious, is you second job as an MT? nm
x
Just curious...
Are they certain it is the flu? There is a test they can do now to determine if that is in fact what he has. I was just curious because it seems that he should be starting to feel better after 5 days if it's the flu. I had a flu test last week for similar symptoms, but that wasn't it so even though my strep test was also negative they treated me for strep anyway and I'm all better now.
Just curious...what do YOU think would
Maybe this person is thinking something similar about you...that they have employed you for all these years and now you are leaving. I am a small MTSO and have had a couple of people resign. One of them did not give a reason. I did not ask why. I figured if she wanted me to know why she would have told me.
just curious
Just curious if any of you who post about being shocked or disappointed even vote? I used to until Mandisa went and now I don't really care. As far as Kellie, I think the only reason she is getting through is because she is promoted on votefortheworst.com, according to the web site is a major fake.
Just curious
Have any of y'all done the court reporting course?  I'm thinking about doing that since I think it *should* make me speedier as an MT as well, but not sure how it would work.
Just curious
What business are you thinking about getting into, can only see myself in transcription for a few more years myself, please share.
Curious, who are you with...nm
x
huh? what's OFL ?? *curious*...nm...LOL

curious about this

Has anyone ever had a REAL psychic-type experience, i.e. a dream that came true or something along those lines?