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Serving Over 20,000 US Medical Transcriptionists

The docs and nurses enter from keyboard themselves. sm

Posted By: Pattii on 2009-04-15
In Reply to: EMR - T

It is VERY irritating. They spend all their time looking at the keyboard and screen and not at you, the patient. Worse yet, when you go back the next time, you find they entered wrong information.


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  • EMR - T
    • The docs and nurses enter from keyboard themselves. sm - Pattii

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Scarry!!! Docs and nurses entering drugs and dosages into online charts. (sm)

Most of my docs cannot spell medical terms.  They can't pronounce or spell drugs.  The nurses are for the most part useless - no ARNP I ever asked could help me with a medical term.


I just spoke to my HMO.  They are now offering personal Online-charts showing


visits, tests, immunizations, etc. of what you personally had done.


I asked EXACTLY HOW DOES THIS INFO GET INTO THE SYSTEM, at what point?


The woman said:  It is input by the doc and the nurses.


I shuttered!


There goes the end of quality health care as we used to know it!


 


That's almost as bad as having nurses do it!
n
MT Bashing by nurses

I found this on a nurse's blog - they were talking about MT mistakes they found in charts...


Nurse #1:
I tried to get a job as a medical Transcriptionist for extra money, and no one would hire me because my 15 years experience of direct patient care does not qualify me to be a transcriptionist. Oh really? Or, I guess I mean, Owe Reilly?


Nurse #2:


I have no idea why they wouldn't let you work as a transcriptionist - what sort of special training would you need that you wouldn't already have?! It might be a good way to make ends meet if there came a point where a nurse couldn't stand up for so long anymore. It doesn't seem like it would take much in the way of critical thinking skills...


We don't use critical thinking skills?  Darn, then maybe I should look into the career opportunities at Burger King...


 


The nurses do all that, except maybe the scalpels.
x
Thank God for some nurses who DO dictate...
for the docs who are horrible dictators. I do progress notes for an ICN nursery almost nightly. Thank GOD for those nurses. There are 2 docs right from the old country who can't string a sentence together in English though good docs they may be. We're talking 7-8 page very detailed reports on some of these babies. The other night, one of these gals dictated the first part, God love her, and actually handed the phone to the doc to give his 2 cents worth, awful dictator. Hey, the best thing some of these docs can do is let their PAC's do the dictating!!!
And Why?? Because nurses are presented
x
any previous nurses MTing now?

Hi there, I have been an MT for 4 1/2 years now, and I enjoy it for the most part, but I've really been thinking of finishing my BSN degree.  I had started college as a nursing major back in 1988, but dropped out after two years of completion of the prerequisite classes.  I have always had an interest in the medical field so MT'ing has been interesting, but I've really been wanting to finish up my nursing degree though, I have always regretted not finishing it.  Especially when I do the operative eports I really would like to be in the operating room working.  So, anyway, I have put my application in for the BSN program again and waiting to see if I get readmitted.  Are there are any former nurses out there who are MT'ing on this board, or perhaps any nurses doing MT'ing too who have any opinions?  Or are there any other fellow MT's going to nursing school on here and have any input about it?  If you are a previous nurse who is now a MT how come, and vice versa, if there are any MT's who are presently in nursing school please let me know how it is going for you. 


The very WORST MTs I have ever done QA for were nurses for 20 plus years!
Mind you, this was after they graduated from one of the *Big 3* schools to boot. I know most MTs can type circles around them. They were asleep at the wheel most of the time!
And just how many MTs transcribe NURSES' notes?
Nurses document about 2 sentences, so their work is amenable to point-and-click.

Physicians who typically scribble very short notes don't dictate anyway, so you're not losing anything by them using point-and-click.

The ones who dictate do so because their notes are too long to write. It's just about as annoying to point-and-click them in an EMR as it is to type them out by hand, so most physicians who value their time do not wish to waste it fooling with computers. At our facility, they continue to dictate.

Hospital dictation is not usually suitable for point-and-click. It's too long and some physicians are able to dictate at the speed of light, so they would lose too much time writing it themselves.

I'll share one reason some doctors do want to do it themselves: the quality of the transcribed reports they get back is so bad they can't stand it. They figure if it looks terrible and is crammed full of nonsense, they might as well do it themselves. At least, it'll make sense.


There are no dictators, physicians, nurses, PAs or the like
who don’t dictate on the VR I use, wish I did not have the crap dictators as you call them but they are not left out on my end. I really, really hate it now when I do get a straight report to type I am so happy with the VR I do. I think before long most big places will go that route, little ones not so much as I think VR costs quite a bit.
Then again you could end up w/one that nurses q2h like mine did! Lucky to get a shower in even. nm
s
Was nurses aid, then aide in ICU, then ward clerk, then
MORE medical terms cuz halo the docs were professors, and they let me play PA under their supervision, then w/comp supervisor, then pregnant, then had to find a PMs job and landed in transcription dept as trainee. If I could meet their requirements, I stuck. If not, I was fired. I stuck.
nursing shortage includes nurses for instructors...sm
you can't teach nursing classes without nurses to teach the classes - that's part of the shortage and part of the reason why the shortage continues. Also more nurses are going for the bachelor's degree (4 years vs. 2 years) and that is extending the time before they are out in the work force.
remember when nurses wore the little hats...hahaha
nm
Do you think nurses and front office professionals look sloppy?
I don't like to go around looking "sloppy all day" either, but is it really practical to work comfortably in nylons and suit jackets when I am sitting and typing all day? No thanks -- I can't work well that way!

I refuse to wear sweats or jammies because I want my work to reflect my professionalism and I think the way I feel about myself reflects that -- hence, scrubs, which medical professionals wear. I am a medical professional and I don't think there is anything sloppy about wearing tasteful, professional, and comfortable scrubs.

Do you think that front office people, nurses, and doctors look "sloppy all day" by wearing scrubs?
I use a MSFT Natural keyboard at home and the laptop keyboard on the road. nm

favorite keyboard over the holidays is called "no keyboard"
nm
If you use a standard keyboard you can buy an old IBM model M keyboard on ebay or clickykeyboards.co

That key printing never wear down because the letters are part of the key itself.  They just don't make them that way anymore because it is too expensive to make.  Some of the mechanical keyboards like Cherry have what they double shot key imprinting and the letters are part of the key itself and don't wear off. That IBM keyboard is very noisy from the type of keyswitch it has so you may not like that.  Logitech and Belkin make some membrane switch keyboards that are supposed to have longer lasting key imprints.  I have a logitech that has the longer lasting key imprints and it is pretty good.  You have to look on the specs to find out if has the longer lasting key printing.


I have experimented so much with keyboards and have done a lot of research.  Way too much info.  


 


I use a laptop with a full-size keyboard (no separate keyboard)
I'm using a lap desk but previously was using a pillow with a book on it under the laptop. No additional keyboard though, I bought one with a full-sized board with regular size keys (an HP) which I LOVE and it took no time at all to get used to it. I also love that when the weather improves, I can take my computer outside and get some fresh air! What a great job... :)
Keyboard and mouse. Is there such a thing as a keyboard that has a mouse on the actual keyboard?
nm

AND - QA could not enter! Gee, thanks MQ.
x
How do you enter to win?
And where do we see the prizes?  Thanks
i enter the first 4 letters...sm
Every time I come to a drug I enter the first four letters of the drug in Autocorrect, capping it if needed.  I think this is quicker than sitting down and entering a bunch at once. 
You can only enter one time
for each giveaway, but if you have already won a prize you cannot enter anymore. That is what that means. You can absolutely enter for each prize, but in order for others to have a chance to win, you shouldn't enter if you have already won.
had to manually enter the big
anything that you save as a (I think it's called) SmartBlock (saves directly into a Word document), you have to move manually.  I only had about 20-30 of those, so I just did a cut and paste from the Word document directly into Shorthand.  I had to change some of the commands (like how to bold or indent).  You actually have to set those commands manually in Shorthand.  It's a bit confusing on those issues at first, but once you catch on to it, you can do, say, 5 a day, and it won't take too long.
That is what I was thinking, enter those
into autocorrect and you will never do it wrong again. I have a lot of words in there that are mistakes I usually make and it just corrects it for me. Good luck!
anyone know how to enter an entry for
-year-old where I don't have to backspace the expansion?
You don't have to hit the enter key for ths to happen.
It sounds like you highlighted the phrase and you also captured the end of paragraph mark (that was probably hidden), which will make the entry go down a line. Do it again and make sure you are only highlighting the words.
Ctrl+Enter

enter conjunctivomullerectomy in google and only one-sm
pops up, did not read it all but did mention ptosis. Hopes this helps.
Does anyone how to enter a new word into shorthand sm

without using the mouse?  I clicked on


add new entry  (still trying to figure out what the 'key' is that opens this so I don't have to use the mouse)


keyword/text to type/ and then there is an okay butten.  I am use to doing this same operation in autocorrect but without using the mouse (where i use the tab and enter key once I program it.) .  The O on the okay button is underlined but I can't seem to use the alt/o to have the program OKAY my new entry.  I am trying to read this help guide and I am really struggling.  I wish someone could write instructions that weren't in computer languange.  sigh.  Thanks once again


Youtube.com...then enter contestant's name...
dd
Well ok then!! ENTER NOW!!!! HUGE PRIZE!!!

MTSTARS MT WEEK GIFT GIVEAWAY!


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(Pulling numbers 307)
Click on the Reply by Email blue link or email to freebie@mtstars.com to enter
One entry per person, only one email address allowed.
Please give your name, city, and state for when we post congratulations.
You must enter each giveaway to be eligible to win.
All entries are put in a hopper and the number shown above will be pulled.


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ooh I didn't realize you only enter x1...sm

I'm sorry because I didn't realize until this thread that we can only enter ONE time.  I entered a couple of contests over a couple of days.  Sorry.  Will up my reading comprehension for next year's MT Week.


Thanks again, MTStars, for making it a very special week for all of us!!!



It says you must enter each giveaway to be qualified
I think that means each different one you need to enter separately. that is the way the posts sounded to me anyway.
ENTER NOW! LadyBug MT Mousepad!

MTSTARS MT WEEK GIFT GIVEAWAY!


ENTER NOW TO WIN!
(Pulling number 71)
Click on the Reply by Email link or email to freebie@mtstars.com to enter
One entry per person, only one email allowed.
You must enter each giveaway to be eligible to win.


MT MOUSEPAD!!
Click
HERE to see image


GIVEN COURTESY OF:


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GOOD LUCK!!!


WHOA! STILL MORE PRIZES?? YES!!! ENTER NOW!

MTSTARS MT WEEK GIFT GIVEAWAY!


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(Pulling number 121)
Click on the Reply by Email blue link or email to freebie@mtstars.com to enter
One entry per person, only one email address allowed.
Please give your name, city, and state for when we post congratulations.
You must enter each giveaway to be eligible to win.
All entries are put in a hopper and the number shown above will be pulled.


$50.00 American Express Gift Certificate!!
 
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GOOD LUCK!!!


For those that use Vianeta, do you have to manually enter
all that info or is it imported?   Don't know how you'd make any money if you had to enter it all manually.  Reminds me of the antiquated YOG cottage program. 
For those who own hot tubs/jacuzzis.....please enter :)

Does anyone own a hot tub that they are crazy about and that didn't cost them an arm and a leg?  Any leads, ideas, references would be most appreciated :)


Thanks in advance!


My main reasons for looking to enter any job are:
First the ability to care for my family, which would mean money. Second, the ability to schedule around my children’s' needs.

But...I do like caring for people. I actually thrive in environments that are stressful and that I have to be on my toes. The drawback to nursing for me is the idea that someone's life is in my hands and that I could make a potentially fatal mistake.

I'm not sure I understand what you are saying by not hitting enter twice...Ty for your help! nm
x
Autocorrect can't do that -- you'd have to enter it both ways.
xx
I think that is what she is saying enter it into autocorrect uncapped..sm
and capped in the change to box. Then autocorrect will change it in a document.
Meditech - Enter key will not work. Help!! sm
My enter key will not work with Meditech.  I have changed out keyboards, tried wireless, wired, et cetera.  I have had someone log in with my password and it works for them.  I have logged in with other passwords and it will not work.  Any help will be GREATLY appreciated.
Trojan Horse - tried to enter my computer while I was on here

This is what Norton said it was


 


Norton Internet Worm Protection has detected and blocked an intrusion attempt.


Security - Default Block Gatecrasher Trojan Horse.


FYI


trying to re-enter society and failing miserably
After 11 years at home minding my own business, having a fairly peaceful life, seeing people when I wanted to, not because I had to, i've become quite spoiled.  I find that when i'm around new people, (trying to go to school) i'm easily annoyed and have no sense of humor like I used to.  I've completely changed.  I feel like a stick in the mud judgemental person, but people laughing annoys me and makes me tighten up rather than join in like I used to.  I can't stay in my MT hole forever, but I feel like cousin IT amongst society now.  Will this get better???  I miss my old self!  I used to be FUN!
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(Pulling number 38)
Click on the Reply by Email blue link or email to freebie@mtstars.com to enter
One entry per person, only one email address allowed.
Please give your name, city, and state for when we post congratulations.
You must enter each giveaway to be eligible to win.
All entries are put in a hopper and the number shown above will be pulled.



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One entry per person, only one email address allowed.
Please give your name, city, and state for when we post congratulations.
You must enter each giveaway to be eligible to win.
All entries are put in a hopper and the number shown above will be pulled.


COMPUTER SHAPED STRESS BALL
PINK PEDOMETER
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One entry per person, only one email address allowed.
Please give your name, city, and state for when we post congratulations.
You must enter each giveaway to be eligible to win.
All entries are put in a hopper and the number shown above will be pulled.


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One entry per person, only one email address allowed.
Please give your name, city, and state for when we post congratulations.
You must enter each giveaway to be eligible to win.
All entries are put in a hopper and the number shown above will be pulled.


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