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Unproductive work types continually, for me, DS with ESLs and residents. nm

Posted By: iheartjackbauer on 2006-02-22
In Reply to: What are the things that keep MTs - from making high line count?

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Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
i used to work for a company that divided the work types up and i loved it. sm
there were only 4 of us working a major teaching hospital. someone was assigned surgery, different assigned discharges, different admits, etc. we all had the backup work type in case the original assignee wasn't available and were cross trained. it made us much more efficient, ability to get used to dictators, set macros, and in the long run we were all much happier.
Work types
Has anyone ever quit a position because you get work types you were assured you would not have to do?  I absolutely despise discharge summaries and was told upon hire that I would not have to do them, there were plenty of other reports I could do, now I get big chunks of DS throughout the day, I never have liked them, I lose about 75-100 lines/hour doing them.  Does anyone else have this problem?  I am not a newbie, I just do not like discharges and get a real mental block, I think mainly because I get so tired of sitting while the dictator is trying to figure out what to say.
Work types
Yes, they all have to get done but I used to work for a company that you were given a certain work type all day long, and it either rotated or if there was one person who liked ds or op, they were routed to them - the work got done, the MT had more production, thus the company benefitted also, why take an MT who can do 300+ lines on everything but DS and put them on DS when you have people who do 150 on everything, including DS
work types
Most won't allow that.. Especially the ones that pay well. The one I work for requires you to be skilled in all ares, even radiology.. It is a great job.. Have them for 20 years and 10 years in the MT department working from home. Hospitals are the way to go.
Realistically with all work types
and various dictators, I average about 17.5 minutes per hour at the end of the day.  But the first few hours I'm still working with my coffee buzz, so it is a little more, maye 22-25.  I get a lot of 10-15 minute reports with a lot of dead air time, then will get a 2-minute report that is two pages long.  I could never go by minutes unless it is the same thing over and over again.
Well, I have 25 years experience also in all work types
and only do acute care with a line rate of 10.5 cpl M-F and 11 cpl on the weekends.

You can negotiate it a little harder, and you will get it depending on their needs, I guess.

It is MDI-Maryland.
Not having standards hurts. Some work types just (sm)
don't add up line wise as quick as others. For me Ops are the best line count, consults and discharge summaries are killers.
I've done all work types also and always find myself making more
doing radiology than any other work type.

I think it's mainly because it's more repetitive than the other work types.

With your three years experience, you should do fine jumping back into it.

Good luck.
all work types - 3000 lines a day @ 12 cpl 65 characters
18 cpl transcribed line - private hospital account. These are the only specifics I am willing to give.

Do not e-mail me and ask where or who - I will not reply!

I understand companies are paying 4 & 8 cpl edit/transcribed. I do not work for a company. I caught a hospital account using the platform at the right time and signed on quickly as an IC.

Hope this helps.
Poll: hardest and easiest work types. I enjoy...
orthopedics and psychiatry.  Do not like cardiology, oncology. 
Do U keep playing with the ports and the types of foot pedals? An odd pedal might not work, like a
n
I work an account where ESLs are better than the American dictators ever hoped to be. sm
There is bad dictation all over - you need to learn to cope with what is out there. Don't be afraid of the ESLs - you can only do what you can do, and for even American dictators, there is just no hope for the report coming out flawless if it is a bad dictator. I have 25 years experience, and there is just the fact of the matter that if junk goes in, junk is going to come out, and experiences helps with figuring out the words, but some words are so badly mispronounced, there is no hope of figuring them out. Blanks are inevitable, but that is why we have QA - they are the next level after the MTs get the rough draft out there. It pays to have a second set or third set of ears, and it is part of the plan - it is not all on just you to get it right on the problem dictations.

i would definitely ask. If they are continually
praising your work then you deserve it after 2-1/2 years.
What do I do about continually late

I started with a company a few months ago and with the exception of one paycheck coming on the actual due date every check has been late.  One was two weeks late with all other ones being a little over a week late.


I like the accounts but this is putting me in a bad financial situation when it comes to paying my bills.  Is it worth staying with a company because of good accounts and good pay if this is happening?


I have emailed several times about this but it keeps on happening.  I have recently let them know that I would have to find employment elsewhere if this issue was not resolved. 


I do not want to start over again though.  Any comments/ways to resolve this would be great.  TIA.


Stuck.


you continually say completely normal....sm

normal does not exist today on any level, cultural, socioeconomical, et al.....


You must be one of those who has preconceived ideas on sanity.......LOLOL


Oh yeah, D.C. is real normal these years.....Washington DC that is...ROFL


as long as the govt continually refuses to

Our kids will be at risk.  I am one who pushed for public schools, thinking if a kid can get through public schools they end up being able to deal with all types/cultures of people.  The govt puts *security guards* in most public schools and the incidents have escalated in the past 20 years!!!  Until the govt cares about our kids, IN ALL AREAS, we are not safe.  I just read today that the US is not checking prisoner mail all across this country regarding terrorists....it's like it's a HALF-ARSED job is being done....they are only going to START checking all the cargo on airplanes, did you know that?  Yep, the cargo underneath where we all sit on a plane is JUST NOW going to commence getting screened/checked.


It's, unfortunately, been evident to me for way too long a time in this country that they don't TRULY CARE about our children, and our children ARE THE FUTURE.  Really galls me and my child is now 25.  *tsk tsk on all of them.......


1500-1600 doing acute, multiple, multiple work types. NM
/
Regarding new residents...sm
This post peaked my interested, how would you obtain a new residents list? I am a five year MT working at home. Thank you for any information. Dobin
Residents
Just have to scream for a minute...Arrrrrrrrrrg...Ok a little better.  Have been working on a simple H&H being dictated by an American resident, 2 year, that is almost at 800+ simply because she cannot dictate, does not know how to pronounce meds, has trouble with medical terms, ad nauseum......I've worked in med schools and around residents nearly all my working life, but this crop we have now are at least to me the dumbest I've ever run across.  We have a good split of ELS and Americans.  Don't know which is worse.  Oh well, more fun to come when a new group comes in around the first of July.  Can't wait.  Just had to get that off my chest.  Would love to hear others comments.
Need help from Cleveland residents
I'm planning an overnight trip to the Cleveland Zoo with my 6-year-old daughter.  We'll go to the zoo on Tuesday because I'm told Monday is way too crowded, but what can we do Monday and where should we stay?  Someone from the zoo suggested the Lake Erie Science Center, the Natural history museum, the Science Center (different from the Lake Erie Science Center???), or the Botanical Gardens.  A fun hotel would be nice too.  Thanks a bunch.
Change of residents
They always change in July, so you get a "new batch".  They start off being long-winded because they want to look like they are doing a good job and covering everything.  However, as the year progresses, they get tired of doing it, so their reports get shorter and shorter.  I just wish they were English-speaking but unfortunately the majority of them are Indians, Arabs, etc., who "no habla Ingles".  I think our job title needs to be changed to "medical translator". 
Same thing goes for residents of
Florida, Mississippi, Alabama, Carolinas, etc., who get hurricanes. They should get nothing because they chose to live where they are.
Everyone enjoying their new residents?
I LOVE mine - they are sooo polite and articulate. One even said "Transcriptionist I am so sorry to impose on you but I need to make a correction." Boy will that change once they get over being "new" and then they will join the rest of the foul mumblers and slurrers, but at the moment I'm LOVIN' it!
Have you ever noticed that residents/NP etc.
do not know the definition of the word "briefly."  Some of the longest reports I do start the first paragraph with "Briefly, the patient is ..........." and then they ramble on for 10 or so minutes. 
I do a lot of psych and I have residents that
go on and on.  Many different headings, nonrepetitive, very hard to make lines.  I have one ESL doc who does long dictations, but 90% of it is spent flipping pages, so very few lines for the dictation.  I use an Expander and based on 65 characters and I'd be hard pressed to do 1500 lines a day. 
Teaching hospitals & residents...
I work for a very large university hospital account and hate how long-winded some of these residents can be! Argh! Especially 1st year - just a plain chest xray turns into a thesis! And the attendings aren't much better - they love to "teach" on my time! What is your preference - teaching hospitals (which admittedly are great teaching grounds for MT's) or regular, plain old boring regular hospitals? These residents make me want to........
RE: Teaching hospitals & residents...
Teaching hospitals.
MA passed law stating all residents MUST
or they will be fined $1,000 per year.  Poverty level up to 4 times poverty level (for family of four) you will receive free or subsidized care.  All other residents must either have health insurance through their employer or individual policy.  My question is, what if you just cannot afford it????  There are many reasons some above poverty level cannot afford coverage, such as family history.  This law stinks.  I'm sure there was heavy insurance company lobbying on this one.  Once again the little guy gets .
On my account the residents and students are better than

Line Rates for Michigan residents
For all of you who live in Michigan what is the line rate you are paid?  I want to get an average of the industry here is Michigan.
TransTech does this group, too. Awful foreign residents! nm
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I'm 45 and have done all types (sm)
of transcription. I did formal training for MT in 1998, after my training I was doing pretty well. Now that I am getting nothing but leftover, terrible dictators doing medical transcription, I make more money doing general transcription.
NOT planning on taking on anymore medical dictation since the offshoring got going. It has been a nightmare to find decent accounts, companies and decent dictators in the last year or so.
How come whenever someone types a lot of

lines in a day it is considered cherrypicking? I just finished my shift for the day and had 3897 lines. Did I cherrypick? No! I can't see what work I'm getting until it shows up on my screen. I worked a total of 11 hours with my 3 breaks figured in. Yes, I did work 2 hours OT but they asked for OT so I sat and worked. I can work steadily for 3-4 hours and then get up and stretch. I had no normals except the ones that I put in myself for the doctors. I've been doing the same accounts for about 8 years and have tons of "normals" for a lot of the doctors. Once in a while they will change their wording to throw you off course. The only doctors that slow me down nowadays are the new residents who must talk for no less than 30 minutes for each patient. Out of the 132 charts I transcribed, I had about 65% ESLs. Just because some people type a lot of lines in a day does not mean that they are a cherrypicker.


That's one of the things I hate about some nationals. You should NOT be allowed to see the other line counts of your fellow workers because all these accusations happens. If you see someone with a constantly high line count, you automatically assume they are getting all the "good" doctors when it is not the case with a lot of people. It may be true in some cases but you're lumping everyone with a high line count into one group.


There are these types in QA and in MT, too.
NM
so who types it? they only way around that would be to outsource
and that seems ridiculous.
Report types.

Easiest-family practice.  Hardest-OB/GYN.


skin types
It does depend on the skin type and the type of laser machine they used. Many of them do not do darker skin. They all do tend to work better on lighter skins. I have dark hair due to a hormone imbalance my whole life since childhood. Dark hair on my arms, etc. Some laser brands of machine are better than others. Let me know if you decide you want information on the one I work for or I can give you the name of the top selling laser brand out there that I would recommend from what I know.
you can ask these types of questions
such as laborlawtalk.com

There are different types of USB pedals

There is Olympus, VEC, Infinity, many, many.  Look at the bottom of your pedal to get the code.  If it is an Infinity, you will see something like IN-USB1, or IN9B (for 9 pin) or IN-DVIUSB.  All the Infinity foot pedals work with ExpressScribe EXCEPT the DVI because it is a higher technology than is compatable with ES.  Run the foot control wizard on ExpressScribe to help it locate the foot pedal and recognize it so you can use it.  You may have to try all the COM ports on the wizard before you hit the right COM port and the foot pedal is recognized.  My Infinity foot pedal USB1 is recognized in ES as the _VEC_ if that helps you.


I have had to do the hand control thing and it is very frustrating and can make the test take 4 times longer than with a foot pedal.


There is a whole list of these types
of things I got through my MT training classes. To make the ' over the e in debride, you would do Alt + 233 on your number pad. Let me know if it works. good luck.
Others have other types of jobs?

Hi everyone,


Do any of you have other types of jobs besides MT, QA, Editing, etc. like me?? I just started another type of job for evenings to help out financially, and I like doing so.  I still do my main MT thing, but the other one is actually fun for me, and not just slaving away all day at a computer!! 


other types of transcription

I have been doing medical transcription for about 5 years now and I am very interested in getting into other areas such as auto insurance claims, police reports, interviews, etc.


 


I was wondering if anyone has ventured into this area  -I would like to try something new but do not even know where to start.


Thanks for any advice!


I have had many different types of jobs s/m

from the lowliest to corporate level, and I take pride in all work that I do.  I do not find this profession in any way boring -- there is always something new to be learned and every case (usually) is different and fascinating to me.  Sometimes they make me laugh, sometimes they make me cry, but it is never boring!!.  I just get so frustrated with the regard that everyone else looks at this profession -- that because I work from home, it is not a "real" job, or that what we do is not important or significant.  This job requires a myriad of language and technical skills that I believe an "average" person could simply not do. I have done brain-numbing data entry, and this work is far, far more involved than simply transferring numbers or names into a format. 


Anyone who types enough lines
to survive on these days cannot be called a 'slacker'. No way.
What types of reports were they?

Did you leave a lot of blanks or guess?  Were you familiar with those work types?  Were the accents difficult?  Did you follow the BOS (BS)?


Of the 10 years' exp you have, is it well-rounded (including acute care and clinic).  Have you ever worked in house (in a hospital or clinic)?


Just some things to consider.  I wouldn't throw in the towel just because some national didn't like your test.  Consider a local service with specialties you are familiar with and ask the owner/QA person to help you with learning new ones.


types of keyboards
I just recently purchased a Logitech wave computer, switched from the ergonomic ones I have used for years.  This one was easy to adjust to, my spend is just as fast and yet the rest of the family can use it, they were so confused by the ergonomic ones.  I just want to know who makes a keyboard that the letters do not wear off, have had this one only a month or two and the L is just about gone along with the S, E and N almost unrecognizible.
Do you get choice of which report types are sent to you?
>>
There are all types of cherry picking

Sometimes it's like the game of Monopoly - I'll trade you St Charles Place for Marvin Gardens. You take a couple of choice dictatators in exchange for doing a couple that other people have trouble doing.

Another example is giving a "good show." By that I mean ... there are 20 reports on the system - Two of them are 10 minutes each and the rest are 2 minutes each. You've got two hours to get the work done, so, you do all the small reports. Changes are it'll be the same amount of lines either way, but it's psychological for the client. They think they're getting more work back.

I remember years ago when I worked in a hospital. There was one doctor who sent me screaming from the room (he sounded like a deranged chipmunk). They hired a new gal who had no trouble doing him (she also had a lot more experience than me). She knew I hated him and said, "I'll go him if you let me down so-and-so." You betcha!! We were happy as clams. I got rid of the worst one, and she got to do her favorite one.

The truth of the matter is, I would speak with those in charge and explain the situation. Tell them how you feel (very frustrated). See what they can do/say. If they won't ... personally ... I update my resume and look elsewhere.

Then again, maybe I just have a lower tolerance level than others. 


The transcription manager types it.
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Is my post about different types of glossaries
nm