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The way I learned it is KCl is used for the outpatient dosage while Kay Ciel is used for inpatient s

Posted By: why does it matter? nm on 2005-08-24
In Reply to: Maybe newer MTs know something I don't - probably so...

xx


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I would suggest an inpatient
detox program if you are feeling really badly.  Your pain management physician or your primary care physican would be the best source for information.  Please call their office and let them know how you are feeling, they should be able to help get authorization for you to be admitted for inpatient detox.  Do not feel badly about this - OxyContin is a highly addictive medicaiton which should have been explained to you when it was first prescribed. Good Luck. 
It's mg/dl. As for Kay Ciel vs. KCl, that one always stumped me
due to conflicting QA.  One QA told me KCl, so I'd type it that way, then another QA told me Kay Ciel.  They're both pronounced the same and they mean the same thing, right?  So what's the difference?  Whoever named those drugs is an idiot.
Kay Ciel is IV; KCL is oral.
a
Kay Ciel is also oral, not just IV -
maybe it's just a wee bit of a way to pad the lines.
It will simply move back into the inpatient
setting, from whence it came, and by which millions of dollars have been saved (well, after the law was passed preventing referring physicians from having ownership of said outpatient centers).  I think this is a "sky is falling" type of post.  With Gen-X getting older and having a higher percentage of the population, it is unfathomable that radiology procedures will be reduced, rather they will increase.  It will impact where it is done, not that it will cease to be done.
what is the dosage?
?
No dosage given--thx for your help..nm
nm
KCl is the generic, Kay Ciel name brand
Offsite MTs have no way of knowing if physcian is using name brand or not unless he specifies. In most cases a service will defer to the generic to be as accurate as possible.
Dosage question (sm)
Fosamax is usually given 70 mg per week, this doctor plainly states 70 mg b.i.d., would it be best to question this and leave a blank or send it on as dictated?  TIA 
Fosamax dosage
Never guess, when it is a discrepancy on the doc's part, always blank/flag it.
DH would be outpatient, and then physical therapy.
He has decided not to have surgery, at least not now.   He would be out of work 3 weeks without short-term disability and only 1 week of sick pay, plus he says we can't afford surgery.   While that is true, if you need it, you need it.  I think he's as much scared as anything.  The only surgery he has ever had was a vasectomy under a local and he refuses to take anything stronger than Tylenol.    He isn't hurting now, no swelling, etc. so it isn't like he is in daily pain.  I've tried to talk him into the surgery because we've met our deductibles and while it isn't that much we would have to start over with that, but I can't make him do it. 
Radiology MTs - Major cuts in outpatient

imaging by Congress - called the Deficit Reduction Act of 2005.  Signed by Bush in December.  Over five years will amount to 20 Billion dollars cut from outpatient imaging payments for Medicare and medicaid patients.  This will have a ripple effect.  Private insurers soon will follow suit.  Posted the DRA but it was removed by Administrator.... This will have a detrimental effect on us all, as cuts will begin occurring in every aspect of radiology. 


Here is a comprehensive article.  Please do not remove this post for one day, Administrator.  This will impact MTs in radiology significantly.


imagingBiz.com - The Information Service of the Imaging Center Institute


I worked at a naval hospital outpatient clinic--sm
as a salaried employee $28. In 2002 had the opportunity to work at home as an IC for .12/line. In 2003 I was told had to become an employee and dropped to .11/line as the company woudl have to pay taxes/benefits. In 2004 had a raise to .1133. In 2005 that company merged with another and was dropped to .10/line and have had no raise since then. Am at top of pay level in both line rate and salary rate.

Just told the company is buying a new platform that could possibly doudle our production and in turn may affect our line rates even more by raising the daily line requirement. Will have to wait and see about that.
You can cross-reference generic and brand names and get dosage info at...SM
RXList.  I guess buying a drug book every other year wouldn't be a bad idea.  When I was a newbie, I used to think I had to buy a new drug book every year until I discovered the wealth of info on the internet and I just write new terms in my books.  I know some people like to keep their books pristine, but I make notes in mine all of the time.
Never learned it? Hah! I learned it and still didn't like it.

Depends...do you want to be providing economic outpatient care for the rest of your life? nm
.
Ball park figure for cataract extraction with no insurance (as an outpatient)
nm
I do outpatient ortho, dental, general/internal, gastro, neuro,neuropsych, etc.
so basically a large variety of specialities
I should have specified, hospital inpatient coding and doc office coding are very different.
They follow different coding rules and an entirely different set of codes. I learned both while earning my B.S. in H.I.M., and both are challenging, though inpatient more so simply because there are more codes.
Honestly, you could get a job in a med rec dept without ANY certificate; some computer experience and your experience as an MT would get you in the door. It might just be doing chart assembly/completion, filing, etc., but there are certainly jobs in MR that don't require specific schooling. Then being in the dept you can really learn more about all the functions and pick the one you REALLY want to spend time, money, and effort on for additional schooling.
Learned something

I never thought that many peole would want a transcript of a show especially when it was availabe of DVD or tape.  That is why I did not think it would pay that well.  But I learned something and always glad to do so.   The last seminar that I type did not involve medical at all but was building a chip for a computer and all oriental speakers and so when I think my docs are bad, I remember that.  Lots of blanks needless to say. 


Have a good day and thanks for the compliment but all I know is common sense and practical sense through years of doing this. 


 


I learned that way too, but now
nm
has anyone learned that their QA
person is using an outdated BOS ?  I can hardly believe anyone taking their position seriously would do this.  Am I wrong to be amazed and disappointed?
I know what you mean...you'd think I would have learned

my lesson in season 2.  I would love a Taylor/Elliott finale, but I really don't know what to expect.  You'd think Taylor has a big enough fan base to put him through, but after last week, I feel like anything can happen.


yes that's how I learned

how else to learn specialties?


What I have learned from VR is
that it does take an experienced and alert MT to recognize when a mistake has been made by VR. If the MT is editing too quickly or too careless when a mistake has been made by VR, and the incorrect term does sound close to what the doctor is dictating, the MT may not realize there is a mistake in the report that needs editing. This could be very dangerous if the doctors do not proofreading their reports carefully after they are returned to the system as complete.

Unless the VR technology improves substantially from where it stands now, I believe there will be gross errors not caught, which may lead to poor patient care and possible litigation.

I have been a MT since 1981 and have witnessed a lot of changes in this field. VR may appear to be an asset for medical personnel, but it may prove to be a detriment for patients. Sorry to come across as negative, just my opinion.
what I learned...
one can put 30.000-40.000.

Only if it is dictated 'between' 30.000 to
40.000, then write 'to';

or from 30.000 to 40.000.

Also AAMT BOS 2nd edition
Have learned
Have learned from talking with IRS I can become a Sole Proprietor and get an EIN. Nothing changes as far as filing and paying taxes, same as an IC. Sorry if this posts twice.
I took this course too. Learned how to
build my own computers. Never pursued a career in it but am planning on doing so if MTs goes downhill completely.

Does your course include networking too?
I learned that
disc was for the body and disk is for computers. I go by whatever the account spec says.
41 YO here, learned on the job 22 years ago(sm)
and still love MT.  I do acute care, clinic, whatever they throw at me.  Started out in a hospital in 1983 and went home/nationals in 1996.  Been working at home ever since and have no desire to go back in-house.
I have learned something!! I never knew this was possible!
I've always thought liquids damaged/ruined keyboards, but I guess I was wrong. What a good idea you all have!!
learned (not leared)
sorry
My beagle has learned
not to lay near the foot pedal, but just to the side of it. It's the darn cat that won't stay off my keyboard. He'll even lay on it while I'm typing, and knows I'm going to boot him off! I think he likes the attention when the kids are at school and DH is gone to work.
Does anybody out there sew regularly. I have never learned
how to sew and I want to learn.  I am going to take some classes here at a local craft store, but my question is that I want to buy a nice sewing machine, not top of the line but not a cheapy either.  I can always upgrade later if I need too.  Does anybody have any recommendations on a nice, easy to use sewing machine that doesn't have so much crap on it that I would be totally confused. 
From what I've learned from...
doing psych reports, people rarely have MPD unless they've been abused horribly.  First off, I wouldn't blame this poor child.  Her life has obviously been unstable and erratic, no thanks to her parents.  I type it time and time again.... Kids are brought in and labeled with all sorts of conditions, ADHD, oppositional defiance disorder, OCD, you name it.  And WITHOUT FAIL when the doctor gets down to the social history, the child comes from some sort of broken erratic unstable home.  The parents don't create a nurturing environment for their child, parade boyfriends and girlfriends in and out of their lives, and then the poor child is labeled with a dozen diagnoses.  Sounds to me like this poor child has been abused, which isn't very far fetched if a mother is recycling boyfriends.  I'd contact a local psychiatrist and start from there.   I wouldn't take one person's word that the child wasn't abused.  Even if she is lying, she's doing it for some reason.
I learned it exactly the opposite...
back in 1980 I learned that disc was for the spine and disk was for anything ophthalmological ......
Yep, learned that the hard way, but then when I
told them I was looking things changed and now I'm down from about 95% ESL to about 60% and for the most part they aren't horrible. 
Learned the hard way
I am one of those editors who can't just let a blank go unless I have spent at least 10 minutes trying to research it. Of course, if the dictation is just not clear, then a blank is the way to go. I found at my last job, though, that I was spending too much time on correcting grammar - quite a stickler for that - but the company wanted a much quicker turnaround, even if the report looked like it was typed by a third grader (my opinion) lol.
figured it out and learned something new,....
thanks everyone...this has taken me forever to just get one thing done...thanks.
thanks, learned something today :) (no msg)
.
I learned it in school
I had to take a class on how to use the software for my schooling. I wondered why it would be useful in medical transcription because it is a program in which you speak and it types and does functions for you. I have never used it now that I have started working. Sorry that didn't really answer your question.
But they have learned it to the point of being
x
My education is better because I learned on the job.

I paid too much for a crappy program that did even come close to preparing me for real-world medical transcription. 


What I am saying is this, take a medical terminology course and keep studying after the course is over, take a human anatomy and physiology course, and take an English or have demonstrated skills in language usage and grammar, and then get out there and get a job. 


You will learn more on the job then can ever be taught in ANY classroom!  Quite frankly, you could order a medical terminology text book and A&P text books and study on your own and be just as prepared as you would paying $4000, 2000, 1200 or whatever to a school.


And yes, I have trained and QA'd Andrews and MTEC graduates and they have sucked eggs just as much as the next newbie MT. 


Thank you so much! I learned something new today.
x
I want to add that I learned that it is wiser
to respond to rude comments with irony and sarcasm than with equal rudeness.


I'm 49, confident, learned this 18 years ago on the job, sm
still learning. Looking to get into another profession. Offshoring keeps our wages here low.
I just learned rad after 16 yrs of acute care.
just by having a couple of good reference books and some live body to ask a few questions of has been all that I've needed.  It's different, but like anything else, after a while they're just saying the same things over and over again.  No different than just doing a different specialty in acute care.  I can't imagine needing to go back to school for radiology.  That's overkill.
I learned to spell the European way, too.
cheque, flavour, et cetera I guess JanaRae can spell it any way she wants to, eh? It's not like you're paying her to do it your way, right? Are you her boss? Then leave her alone.
that is awesome! Once again, I learned from this board! Thank you so much!
I printed out the commands!
I learned in a hospital in 1965 (sm)

Believe it or not, there was no spell check back then, no QA - just a supervisor who hired me because I spelled "toxicology" right.  It was the only medical word in the test.  I'm not kidding.  I "learned as I went."  I have been doing this now for 30+ years.  My work very rarely has medical spelling errors in it now.  These newbies nowadays really have it pretty easy, IMO, what with autocorrect and all.  We didn't even have shorthand, or anything like that.  (I'm 59)


she just learned she has breast cancer
did you think about that?