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We are not involved in "patient care". The dictator is responsible for that.

Posted By: LOL on 2005-07-17
In Reply to: And all this time I thought the bottom line was patient care. nm - silly me!

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    If Joint Commission audits and finds "patient care" errors it can result in very...
    ...serious fines and repercussions. 
    where did you get the idea we were involved in patient care?
    We are typists with a specialized vocabulary. If we were doing this for NASA, it would not make us rocket scientists.

    I am neither advocating, nor participating in, low quality - I do the very best I can with the experience, knowledge, and tools that I have. The fact that employers do not want to pay me enough to survive, thus making my trips through *QA* a little more thorough, ensures that I will get through reports as absolutely expeditiously as possible.

    My bottom line is MY survival. Good luck with altruism - it doesn't buy much at Safeway.
    Agree it's the dictator's report and the dictator's call. NM
    nm
    Can you use "patient" where he states male and/or female? nm
    xx
    I'm left handed, guess that makes me dyslectic, so I used to type "patient was raped and prepp
    also....wayyyyy back in the late 60's and early 70's when I actually worked in a doctor's office or hospital, if patient's name was Norman, 75% of the time I typed Normal.  What is really funny....my father's name was Norman Hassell...can you imagine anyone being a "normal hassell"?  Even funnier still, my mother named me Joy....so guess you can say I'm a "happy hassell"!! and a lefty at the same time; people tend to steer clear of me!!!  Have a good day.  Big huge storm moving across our little island right now; got to shut down and unplug everything.  
    No, just what he's responsible for

    Oh, but you/we ARE responsible ... sm
    Whose name/id number goes at the bottom of a report, the MT or QA?  In my company, we do have access to viewing past reports, but only that.  We do not have access to the sound file on that report; QA does.  We cannot change anything on an uploaded report (before it is signed by the dictator); the QA can.  I have looked up past reports I have done for the purpose of reference, maybe, a medication or a doc's name.  I have seen things changed around which I know I did not put in there, which I know is not correct and against the acct. specifics for that account, but its MY id # beside the doc's signature line, not the QAs. 
    The responsible thing to do...
    if you believe in the bad seed (which I do, but not in this case, sounds like abuse/neglect to me) is to place the child in a home for troubled children where she can be treated and kept away from innocent people who she might hurt.  Some of these kids can become homicidal.  I've heard of people waking up to a 6-year-old standing over their bed with a knife, stuff like that.  You can't as a parent just send her back to her mother just to get her out of your hair.  If she's that dysfunctional, she needs to be in a residential facility where she can either receive help or be monitored.  Sounds like her mother will only contribute to the problem.
    I was responsible for BC for years. After having #2 I was
    unable to take BCP and refused to use other methods, which left him in charge.   He didn't like his main option so opted for the vasectomy.  It was $350, a 45 minute procedure done in the doctor's office, a day of pain and a couple more of discomfort, but he never missed a day of work or had any issues afterwards.   The weird thing is that our insurance would not pay for it, but willing to pay 3 times that for me to have my tubes tied. 
    This is very true. They are not responsible
    I know it sounds harsh.  Late checks and no checks at all are two different stories.  I've learned the hard way with direct deposit as well.  This is not a sure thing either.  Sometimes due to holidays or weekend days, it can go in late.
    MTs have been responsible for their own DEMISE. (sm)

    By allowing people to do piecemeal transcription at below livable wages, and them thinking it is a GOOD tradeoff -- it has diluted our profession down to nothing livable.


    When it was considered a livelihood and it was something we did  to have as a job, we were paid decently.


     


    We were taken seriously.  It was a skill that had respect.


    MTs are just a bunch of women working from home (out of sight out of mind), somebody to be ridiculed, with nobody out there representing us to legitimize us.  When we worked in offices and hospitals we were THERE - we were REAL - they had to deal with us.  Now we are a mirage, they can talk bad about us and have no repercussion.  We are not there to defend ourselves.  You yourselves know how much easier it is to talk about somebody who isn't there than it is to talk about them to their face or to talk about your friend. 


    When so many are allowed to just drop in an hour or two a day for spending money, with a second person picking up the overhead expenses (living with hubby, etc) - it messes it up for this ever being able to demand a REALISTIC pay for the skill.


     


    Just a reminder of why we have to accept things like 6.5 cents a line  as an INDEPENDENT CONTRACTOR.


     


    Do you think my son with his PhD and who acts as a consultant has to take a reduction in his fee because he works out of his home.  HECK NO!  A skill is a skill.  He charges and gets paid for his value, not for whether he wears blue jeans or a suit to provide his expertiese which it took him years to learn.


    It took us years to get these skills -- and now we are having to give it away basically because we work in PJs and can go to the store when we want to?????   THAT'S HOGWASH, but it's exactly what is happening.  Think about it the next time you are asked to provide a skill you paid dearly to learn - and you are asked to do it for less than minimum wage.


     


    As an IC do you feel responsible...

    As an IC, is it my responsibility to contact the doctors offices to notify them that I may be gone for half the day due to a personal appointment.  Is this necessary?  Is this something IC's do normally?  I feel obligated, in case someone calls for an urgent report or something else related to a past report.    I somehow feel on the other hand, that I am my own boss, I make my own hours, so I should not have to notify them. 


    What is your perspective?   


    TIA


    Keep in mind QA also is responsible sm
    for 30 or 40 different accounts at a large company.  I get account specifics at mine, but they change at least once a week, constant emails to us about how this facility wants this and this one wants that.  I am getting hammered to produce so many jobs per hour too and 40 accounts is a little much to keep track of.
    Kids might still be responsible...sm
    Something has changed in your computer system to cause this to start happening. I assume you haven't added or removed any hardware, so that leaves software as the potential culprit.

    Among the possibilities for such software changes are:
    1. Malware (viruses, etc.).
    2. Web page scripts and applets.
    3. Operating system updates.
    4. New installs - games and other applications.

    The information you provide is insufficient to offer anything more than very general advice, but that might not matter if you can find out what's changed.

    Check first to make sure that no one has installed anything on the system since before you first noticed this happening. Then, find out what everyone is doing on line that has anything to do with viewing or listening to media (internet radio, etc.), playing games or instant messaging with audio/video features, as these sometimes install their own "players" that have been known to play havoc with sound card drivers.

    The best idea of all, of course, is that no one but you ever touches your work computer. You run a lot of different kinds of risks when kids (and even other adults) use your work system.




    RESPONSIBLE? FEEL SORRY FOR THESE COMPANIES?

    Well, aren't you just grand! Wow! You have three whole years in at your company! Boy!  I have about 20 at mine - does that make me grander than you? Or at least MORE responsible?? Or fabulous? Your post makes no sense - why am I answering?  Who knows!  If conditions are deplorable at a new job, shall MTs stay to cover the cost of our training? Feel sorry for the poor company?  That's what you are saying, and I think you are TOTALLY WRONG. I think most MTs would agree with me. An IC can't try out a job with a doctors' office to see if its a "fit"??? She'll be IRRESPONSIBLE?  Talk about sounding like you're management.  Is this Lee??? Since you are now calling me on my character, I can assure you that the company I was trained for totally misrepresented the job to me on hiring me.  Had I known the truth, I would NEVER have accepted their offer.  You are calling me irresponsible - I assure you, I am the complete opposite, though shall I debate it with you?  I'm so responsible, I'm boring. But I am also learning to stand up for myself, INTERVIEW THESE COMPANIES BACK, asking everything from A-to-Z upfront (which still doesn't help), and NOT stick with a creepy new job more than a few months because it cost THEM $$ to hire/train me.  What about the MTs??? So many of us lose big $$ by trying a new job.  Read the posts on here daily - companies that promise to pay training pay, and then don't. Or they word it ever so cautiously, so you THINK you're gonna get paid X amount, but you don't.  Or the companies like a large national who FAIL to mention that you might not get your computer set up (provided by them) and actually running for a week or two, waiting for techies to get their act together, while the poor MT sits there INCOMELESS.  Or the companies who fail to mention that for the first solid 2 weeks of employ, you will be on 100% QA hold with a maximum of 5 jobs per day. Nothing based on quality or experience - no exceptions - just "the rules".  Wow! I can really feed my kids on that $$!  Or the account they promise will be like 50% ESLs and a "great one" turns out to be the squat account from you-no-where that NOBODY will type.  Or they hire you at 9 cpl, with bennies at certain production, and you find later that NO ONE EVER meets the line counts, thus, no bennies!  Which is why you took the job!!  And, by the way, did you NOT read the fine print that says your cpl rate plummets if you DON'T hit 2000 lines per day? Gee, didn't the recruiter mention that??? Please. I could go on and on, and we're supposed to be RESPONSIBLE and worry about the company's costs?? Give me a break!  Spend the months and months on end literally that I have interviewing, testing, and being hired by several of these companies NOW and then you'll more than understand why my attitude is not sympathetic to those who hire us. I've been told I'm the best thing since apple pie, a shining example of what an MT should be, and offered 6 cpl!! Ha!  Unreal. I am responsible, and would like the same from these potential employers. I also would expect a modicum of respect from my fellow MTs, even those with "fabulous" jobs.  I can assure you - fabulous jobs can disappear literally OVERNIGHT.  Happened to me and about 10,000 other MTs, or rather 9,9999.  Thanks for the support. If you ever hit the job market, save me email and write me.  I can save you the time and effort by steering you clear of at least a dozen companies.









    under a rock....BUSH is responsible....sm

    Your president Bush, whom you *sound* like you voted for...is most definitely responsible for fulfilling his family's nearly 30-year pact with the Saudi's at ALL AMERICAN WORKERS expense.  They had a deal from nearly 30 years ago and now the Bush dynasty is paying them (the Saudi's) back by selling ALL OF US OUT, including our  PORTS!!!  He has jeopardized ALL OF US due to his NEED/WANT for global acceptance of HIM.


    If you cannot *see* this - time for you to get some serious help.


    Responsible? No. Want/intend to? ABSOLUTELY
    JMHO
    Yes very spoiled but very responsible and do chores. sm
    Most kids are "spoiled" in some way or another. I have two teens who do not ask for any material things. They do not care about name brand clothing or shoes, etc. They are leaders - not followers.

    They keep their rooms clean, help out around the house, clean the kitchen, bathrooms, help me do the laundry. Now that school is back in - homework and school work come first. My husband and I spoil our kids on our own just because they are "good kids."
    Wrong. MT wont be responsible for anything.
    x
    executor is responsible for filing the return.
    As far as taxes due, no one else is responsible for those taxes - it should come out of the estate. I don't know how much money is involved, but if it is in any way significant, I would hire myself a tax attorney post haste.


    however, and you didn't hear this from me...I wouldn't give Bush one more red cent.
    Why is this so upsetting to you? He sounds very responsible and aware to me. sm
    I don't think he is "throwing away opportunity" by quitting football, he's just venturing in another direction....his academics! I can't believe you're not happy about him WANTING to focus on his academics, which he obviously already has since he has a 4.0. He's extremely likely to get scholarships for that.  I would be proud that he was mature enough to not only know himself well enough to know when something is not satisfying to him anymore, but to quit it in a responsible way, by telling you about it, by going to his coach about it.  I understand the team mentality, and the importance of being responsible to your team, etc., but you shouldn't be forced to be loyal to something you don't believe in anymore, and certainly not guilted into it. Let the boy concentrate on math and physics! He can be smart for a lifetime, he can only play football for a limited number of years. Academics never gave anyone a concussion.
    People like you are responsible for dumbing-down our "profession". If...sm
    I were hiring and you applied, I would say get lost. As a professional, if you expect a professional's pay per line, you need to be able to transcribe ESLs, period. Suck it up and learn to understand.
    good luck to you!! Do something about that truck..you are responsible for any damages unless you
    it taken without permission (different than stolen).
    Agree wholeheartedly - have to learn to be responsible someday - hopefully already know
    nm
    Sounds fraudulent but the doctor who signs it is responsible.
    dd
    Kinship care versus foster care/adoption
    Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.

    The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.

    If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.

    States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.

    Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
    I am involved, but that
    has never kept me from seeing all sides of any issue.  Getting a CMT may not be for you, but it is worthwhile if you feel you want to do it.  I think that the nastys you see here are only an opinion and that people should research the issue .. whatever it might be .. and make an informed decision.  Having a CMT has worked for me and I know as many MTs who are very proficient at what they do who do not have one for whatever reason they chose not to test.  I do not get in their faces about it nor do I expect them to get in mine.  Some days I think we forget to respect each other as professionals.
    If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
    Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
    Try 12 cpl and no sweating involved. LOL
    I'm happy.

    I'm not allowing myself to be taken advantage of at all.

    What a sucka** attitude you have.
    I don't think much talking is involved, if ya know what I mean.
      Skank-o-rama
    hi, i'm not involved in this argument, not trying to be mean
    in?  Congrats on getting a degree, I think thats wonderful!  A lot of hard work.
    There is no equipment involved.
    I use my own computer. I don't use any of their stuff.
    I wish I could, but it would implicate others who don't want to be involved
    nm
    Ok, she was a parent when she got involved w/ a

    asdf


    There are several factors involved
    I believe the average line rate is anywhere from 100 to 200 lines an hour. The software platform you are using, what type of report you are typing, whether you have templates you can use, whether you have an expander, all factor into this. If you type letters only and have no expanders, for example, expect the lower range. Those with many standard templates and heavy use of Expanders can expect to type much more than that.

    The other poster is correct in that a lot of the national companies expect 150 lines an hour.
    Get him involved in either a hobby, or doing

    volunteer work.  Let him do for those less fortunate and maybe his life will seem pretty good.  If he feels needed that may change his whole attitude and everything else with just fall into place.  


    He might also need some adjustments in his meds.  It s/l there is some depression involved, but it could just be situational and the counseling will help with that.   Meds could possibly diminish his libido and it would be worth talking to his doctor to see if that could be the case in his situation. 


    Maybe you could make him a list of little things to do to help out, or plan the meals and have recipes on index cards so that he can actually prepare the meal.  If he is home all day he needs to at least be doing the daily chores. 


    Because of all the variables involved, sm

    I think it's ridiculous that your team leader would post such a thing.  Every MT's situation is different--different accounts, shifts, work types, hours, etc.--and a team leader should know that.  As far as working for a national goes, I feel less "communication" is better.  Why stir things up?  These companies ought to just let us transcribe and keep their silly emails to themselves.  Don't they know the old saying, "Familiarity breeds contempt?"  Maybe your team leader needs more real work to do.  Don't let it bother you.  Just do your part and forget about it. 


    One time I told a national bigwig (because my opinion was requested) that if I were asked to draw a cartoon which described this company's relationship with its MTs, I would draw the MT in a cage, sitting at her computer, with a (particular) "suit" poking the MT with a big stick, saying "They produce more when they're angry." 


    Fortunately now I am a happy IC with a very nice company that treats its MTs with respect.  Ya have to kiss a lot of toads in this life, ya know? 


     


     


    Just what would be involved in copywriting our
    p
    LOL There is alcohol involved in that
    message. Lucky girl.
    There is a lot of training involved.
    I'm not sure a 16-year-old would want to go through that much training. I know I wouldn't have. Are you a transcriptionist? I could be way off base here, so please don't be offended if I am, but I'm wondering if you believe some of the hype that a person can just sit down and do medical transcription. If you've been misled that way, I apologize, as it is much more difficult than that. It's a very common misconception that it's an easy job.
    There are so many variables involved that you

    really can't compare things.  A lot of the people making that money have their own accounts or are working many hours.   You don't know if the person making 60,000 is an IC and has to pay their own taxes.  IC positions generally pay better than an employee position.  One acccount may not pay for spaces or headers.  You might actually be doing the same amount of lines, but they aren't being counted. 


    At one time it wasn't that difficult for someone to make that amount of money if all the variables were favorable.  These days it is harder because line rates are overall lower and companies are always reconfiguring how to count lines in their favor.


    If you are pleased with the amount of $$ you are making that is all that really matters and I would not feel that you are inadequate. 


    the wifey involved is always, always

    and I mean it.  Every time I've had contact with an office and the wife works there, things are not as they should be.  They like to hole the money up as if they'll miss a shopping spree they could take on that cash or something!  It's sooo true!


    These physicians are loaded, and the wives don't take kindly to the money flying out of the window or at least that is their perception. 


    I'd leave that sucker like he was yesterday's trash....  He deserves nothing and didn't even deserve the cut in rate..  what a jerk!


    Yes,, I know that there is no 'plastic' involved!
    Geez!

    Are you a naive blonde?

    I meant 'plastic' is short for 'plastic surgery'.

    BTW in this 'face lift' the sutures with the 'hooks' are left in place.

    It is very seldom that the surgery or lift or whatever the expected results are achieved.
    Either no results are seen at all or it is so obvious that one can spot the 'plastic' miles away.

    I would NEVER do it.

    Are you so desperate to improve your looks?


    My job for the past 18 months involved this sm

    Worked in a local office for one doctor and took a laptop with me into the room and documented the encounter while he and the patient talked, etc.  I learned a lot and I LOVED that job.  I had to quit due to babysitting issues at the end of May.  He then bought the Dragon Nat. Speaking and told me he was very impressed with it. I heard this week that he now has an ad in the paper for an MT......LOL.   The DNS slows him down and he hates to type so having an MT in the room with him was faster.  I think there is a chance this type of thing will really start becoming the norm.  Every doctor's office here is already using some type of EMR.  Most of the time it's the nurses that do the typing from what I've seen.  I'd love to go back to that job because I always felt I was working in the future of MT.  I still have a hard time thinking that it  will work in  a hospital setting though.  I can't see a doc there taking the time to sit down and log in and do all that, but then if you think about it they're already having to stop and dictate, so who knows.......


    You think there are no responsibilities involved in driving a bus? sm
    What about all the lives they are responsible for in the bus and on the ground?  Most bus drivers are considered "professional" drivers.  They must study for, pass tests (written and driving), and maintain a CDL license (commercial driver), pass regular physicals.  This also entails no drinking, etc., on time off work as they are subject to random testing.  Very insulting.  That is the pay scale in NYC, everybody there makes more money. 
    Maybe get one of your local TV channels involved?
    :+
    There are lots of factors involved. Do you
    use an expander/macros, are you able to be disciplined and work and not up and down or on-line frequently, do you have good quality sound files, do you have good dictators, how does the company count lines, etc.    Most companies require 1200 lpd for FT, so use that figure as a minimum and do the math. 
    Has anyone ever done steno transcription? What is involved? Is it
    most importantly, are there jobs out there available? Toni
    There are lots of factors involved.

    How easy is the platform, how are lines counted, do you have reference books or do you use Google to do all your research?  Do you have lots of normals/macros, do you use an expander, do you spend too much time on-line or are you up and down frequently? 


    I make $40,000/year working 5 to 6 hour days/5 days a week.  I have an easy platform, lots of macros, an expander, multiple reference books.  I do work for a national, but I am also an employee and get paid by gross line, so my $40,000+/year is better than an IC making $40,000/year. 


    I guess I was blessed.  In my entire 20+ year carrier I've only worked for 3 companies and each one has been better than the previous one.  


    Is $40,000 what you think you s/b be making based on the TV commercials say you can make or is that what you need to be making?   If you don't need that much money to live on then don't worry about it.  You have to look at pros and cons of what you are doing versus working in an office and you might come out even by the time you factor in clothing, food, gas, etc.  (I'm assuming you work at home.) 


    Doubt this board would become involved sm
    Anything negative usually gets deleted. I'm surprised your post stayed on this long. I don't think they would offend the service people who place ads here. We shall see!
    Gotta love the attitude. Wonder if it would be the same if it involved

    Most likely not.