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Resident dictates at end of report...

Posted By: enjoying my job today! on 2005-09-13
In Reply to:

"Note to transcriptionist...thank you for your time, thank you for your service, and have a great day."


 


WOW, that doesn't happen often, and when it does, it sure feels nice to know we are considered colleagues and not just a typewriter on the other end of the telephone line!




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..or when the doc dictates "prior report LOST by XXX Transcription Service...AGAIN." sm
I work for a national MT company, we do hospitals all over the country, I work from home. I have NO control over where the chart goes once I send it in, I'd bet the original chart was never dictated and hence never 'lost' by us....but in the case that it may have been, THEY HAVE THE PHONE NUMBER of the company to call them, they have specific contacts at the company for issues such as this...I CAN'T HELP YOU WITH THIS, especially when all they're doing is bitching at me on a voice file. Funny, it's always the same couple of docs complaining of lost dictations. Curious that it's JUST THEM. ;-)
Resident....
I have worked in/around hospitals for over 40 years and your situation is different. Most places consider any MS of any year a student - that is why they are called Medical Student. They are in school, have not received a degree. Most go for 4 years. In the 3rd year, they start doing internships to get them ready for Residency, but they are still called MS3 and MS4.

After they get their MD, then most go on to Residencies and then they are called doctor.
I had a resident the other day who kept saying

P-tosis.  He didn't sound much older than my 20 YO DS. 


I agree with the cadiac docs though.  I think they are some of the worst. 


Student vs Resident
I think you guys are confusing a 4th year medical student with a 4th year resident - only the resident is a doctor.
Former Myrtle Resident
Myrtle Beach and the surrounding areas have to be the most wonderful areas to live ever...unfortunately two years ago I had to leave the area due to my hubby's company transferring us. When you get to go to Myrtle savor every minute of my "home" for me. Its wonderful...take in the fresh salt air and know you are in a little part of heaven.
Okay, so I've got this resident

on the line dictating and I'm actually thinking to myself - wow if he's this bad now, what's he going to be like when he's the doc and has no one telling him how to do it. 


He's trying to dictate in that choppy style   (cutting out the words that help to make things understandable).  I'm guessing he thinks it's saving someone money. 


He wouldn't be half-bad to understand, if he would just open his mouth a little bit wider when he speaks.  It's like he's purposely trying to see if he can "throw his voice".  Maybe he secretly wants to be a ventriloquist. 


Seriously, I think the part of the resident's rotation should be in the transcription department.  If they spent even 1 day doing nothing but transcribing, maybe they'd try to be a little bit clearer when they're dictating. 


Okay - done complaining - back to work! 


I have a resident this morning
who is literally spelling everything under the sun.  All medications, the word "supple", etc.  He is driving me absolutely mad.
I have a resident who keeps saying, "Acephalic, normotraumatic" and ... sm
...lemme tell ya, after hearing that a couple of dozen times it is SO tempting to just give it to her (perhaps in quotes, but give it just the same), but so far I have resisted temptation.
Resident of Louisiana and all of the United States

PRAY! PRAY! PRAY!


As a resident of Louisiana, I ask that you all pray not only for those poor souls in New Orleans but for the whole state and surrounding areas.  The aftermath effect is going to be widespread. PRAY!   We are already experiencing food supply shortages.  Woman fighting over a loaf of bread in a Wal-Mart. PRAY!  Our kids may not be able to start school because there is no diesel or gas for the buses.  PRAY!  For this I urge all you have enormous SUVs just to ride around in to get rid of them.  The worst is yet to come.  PRAY!  There are reports of the centers having out breaks of riots not only in New Orleans but in the other areas housing the displaced people.  PRAY!  Also, help any way you can.  If you can not afford monetary donations, please give your time at one of the shelters. 


All our lives have and/or will change from this tragedy no matter where you live.


I agree. Can't believe that no one else isn't looking up addresses, resident's names, new m
s
You honestly think an MT has an education equivalent to a RESIDENT?!?
Oh PUULLEEEEZZZ.

Get over yourself!

LOL!


Had a resident who practically giggled through his entire dictation....
because his psych patient kept asking him if he wanted to see her underwear (she was in her 70s). I didn't find the woman's comment so funny, but this doc had the weirdest laugh...it was like Ernie from Bert & Ernie on Sesame Street. Weird.
"Listen" to the resident authority editor? That really says a lot about the pompous attitude
Can it.
No - fourth year resident, still in medical school - no MD degree yet. nm
x
I actually have 1 MD (pvt) who dictates...sm
and I hear him going #1 and flushing the toilet!!!  I hate that and I hate them dictating in their offices with the music on!!!  This same MD will dictate an op report (3-4 pages long) performed in the office, but dictated while he is walking to his vehicle, driving HOME!  I hear all the traffic.....that's got to be THE WORST (along with the music in the offices).
HELP Dr dictates.....
"This patient with a history of AIDS status post Pneumocystis carinii pneumonia,"  Please help with punctuation before and after status post.  My mind is blank.
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. 
Client dictates which way, but I have
NEVER in 20 years seen it with the first letter of each word capped, so Low back pain would be correct, unless otherwise dictated by client/BOS. 
If a doc dictates CHF, do you type s/m

CHF or expand into congestive heart failure; and for any other shortened word, do you expand.  The guidelines for my company state type what is dictated and only expand things in the diagnosis section.  Well, someone I know who works for the company said that they just always expand regardless.  That doesn't seem right to me.  I was just curious as to what anyone else does.


Thanks!


can't think of one female who dictates well, IMHO.

Or making $36 ph on acct that only dictates 1/2
fsa
Yup, same as Diana ... if the work dictates (sm)
I work until it's done even if it's weekends. Technically I don't "have" to since my contracts state M-F but I don't mind the weekends if I don't have huge plans and there's a lot of work to be done.
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.
My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
Question: doc dictates "pt is generally p***ed off."

I'm half tempted to type it just that way....Would you?


RE: Question: doc dictates "pt is generally p***ed off."
Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?
ESL doing rectal exam dictates "I did a rectalization"

I have a doc who dictates the entire address, but not the zip code. SM
or the referring physician (throughout a three state area), and says, "Dr. Smith" and then gives the address. I still have to go online to find the doctors first name. Very annoying.
You are supposed to transcribe exactly as the doctor dictates. sm
However, every "verbatim" account I have done, we are allowed to correct the doctor's spelling mistakes, especially with something like a drug. However, you must be sure of your drug. If there are two that are close, it is safer to use the doctor's spelling and use quotes or whatever the account allows.

Many of them will also allow you to correct a glaring grammar mistake, such as using "is" for "are," etc. If you're not sure, ask the account manager.
Female Elmer Fudd dictates! (sm)

"She has a known history of uterine leio, leiomy, ly, leio, leiom, la...ugh...uterine, um, fibroids."



If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
My company dictates 2/10 to 3/10. Note no dash.nm
x
for GU exam on a female, if doc dictates Normal BUS what does this stand for?


PA dictates patient drinks "a gallon" of liquor a day.
I hear people drinking a pint or 1/5 a day, but a GALLON.  The guy is only 45. 
Wouldn't it depend how fast/slow dr dictates,
x
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that."  Then you have to delete everything you already typed and retype the new dictation.  Some of these newer doctors do that to nearly every sentence.  By the time you finish the report, you've typed and erased half the report.  Do we get paid for that?  NO.  I don't get it.  We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time.  We should get paid by them for typing what they said, erasing it and retyping what they meant to say.  They're getting our wallets coming and going.
Formatting of the document dictates the line count, not a different computer.
xx
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.


My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
I currently type for a doctor who dictates with a digital handheld and sends the files via e-mail fo
and wanted to be able to call me with his dictations.  What would be the best and cheapest way for me to go so that he can do his dictations without the handheld unit??  I don't want to invest in a lot because he does not forget very often.  This is the first time in three months.  Thanks for any suggestions you may have. 
common sense dictates you read the writing on the wall. technology has made you obsolete.
and the government has seen to it that american workers are no longer necessary and allows business to outsource many middle income jobs. 
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.

Yes...Every Report
I have to admit, I proofread EVERY SINGLE REPORT. But I always have gone for overkill, and I am new. My one and only QA score was 98%. While I am proofreading (long reports), I sometimes stand up and stretch, or run and grab a snack or lunch so I don't feel like it is so much a waste of time. I suppose I will have to get to the point where I don't proofread every report, or I will never make any money! I may have to rethink my strategy if and when MQ increases their line quota for part time employees. Rumor has it at 8,000 lines per pay period, and I am only managing 6,000 and working long hours just to do that. Got to figure SOME way to speed up!
report
I get paid per report, $1.30, includes all accessions/requisitions -
for instance in one report if doc says this is an MRI of the Head, neck and 3d multiplanar I get 1.3 for each. I use Shorthand and I have eight years experience. I do anywhere from 80-120 reports a day.
There was a report in AL, I think, that there was

a live alligator swimming around the flood waters there in one area. The newscaster kept saying it was live and nobody would come out and was avoiding that area until it disappeared. It's probably waiting somewhere quietly for its next dinner to walk by.


Two of my accounts are in New Orleans and I have typed hundreds of patients with abscesses that tested positive for MRSA over the last few months. The way the city is now cannot be helping this at all. A few of the docs I do are automatically  treating for MRSA now w/o getting the culture report just because they've seen so many cases.


right! Fox would report a


That would be real news there.


No, the woman bought a LOUIS VUITTON with the money she got


(debit card).


 


ONE report probably
so they will need to add more MT's...LOL! I feel for all of you.
Per Report
The highest I have heard of anyone paying per report is $2 with most paying less than that. Hope that helps.
Pay by report?

Hi, all:  I've been getting my own small clients here and there, and I've had a request for a proposal to radiology reports for a small radiology group.  Their current vendor is charging them by report, not line.  Anyone have any idea what to charge by report?  I've done some calculating with regard to average lines per report, and I'm thinking of offering to do it for $3 per report.  Any idea if this is too high or too low???  Any input is appreciated........


 


Per report

Working as an IC you should be charging $2 per report, that is what I charge my clients.  Good Luck!!!


I saw a report that said . . .
Heart rate 80 permanent. Do ya think he said per minute?