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You are supposed to transcribe exactly as the doctor dictates. sm

Posted By: searching on 2007-06-09
In Reply to: Do you not transcribe as spelled? - verbatin account ?

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.


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If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
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.
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. 
If the doctor says it, I transcribe it. It is his/her report, not mine.
x
we transcribe for the high paying doctor.
nm
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.
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.

Resident dictates at end of report...

"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!


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.
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.
Female Elmer Fudd dictates! (sm)

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



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
..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. ;-)
Formatting of the document dictates the line count, not a different computer.
xx
Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
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. 
Yes, they are supposed to, but
and it is our responsibility to do the VERY best we can with what we are given. I KNOW there are crappy dictators;I do way more than my share 'cause cherrypickers don't get called on the carpet(but that's another story). I don't earn much at this and it stinks, but I just can't believe that you think we do not contribute to patient care and are merely "typists". No wonder we can't get any respect in the form of better pay, etc. Just because the doctors make the big bucks we should do sloppy work? I don't think so. Don't you want your records or your family's to be accurate? I would hope so.
wow! are we supposed to be seeing this?
?
Well, how are they supposed to get the
they don't know where to send them? Considering that a lot of these people are refusing donations of clothing, food, toys, personal necessities, etc., because they just want the money, I'm sure they'll stay put somewhere for two weeks.
What's that supposed to mean? nm
xxx
What was it supposed to be?
t
Well, that's supposed to say 70s up there......
x
Actually, I would just like them to sit where they are supposed to. sm
Since my kids and breastfeeding, they hang down to my bellybutton so to speak. I would just like them firmed ang tightened back up and sit on my chest where God put them and not hang so much. I even tried standing on my head for 5 minutes at a time 3x day - and that didn't help any!! LOL.

You are actually supposed to be doing that as an IC. SM
You almost must have a commercial line counter. I use Sylcount.
not supposed to put looking for job ads--sm
on the job seekers board...you are supposed to post your resume on the resume site. If you post looking for a job on the job board, they will remove it. just letting you know. That is for company's looking for employees, not employees looking for jobs.
That is supposed to be *Looks*. nm
.
What is that supposed to mean?
x
This is supposed to be 0, not whatever that
x
We are supposed to either have our
e-mail open or be signed in to IM while we are working so we can be contacted quickly.  It's very helpful because we can see who is available if we have a question that perhaps another MT can answer or if we have an addendum somebody can pick up, that kind of thing. 
If you don't know that MTs are supposed
to be accurate 100% of the time, then why are you doing this to start with? None of us are 100% accurate, however, most companies expect a 98% accuracy rate, some even higher. Either you are not using a spellcheck/grammar check or just being careless.

Editors/QA only check reports that are sent in because of questions unless you are on 100% QA, or if they are assigned to do audits. They are not there to do your job for you.
You are not supposed to ask for help when
x
Its actually supposed to be generalized all over or anywhere
in your abdominal area, and then you know you're in trouble when it "localizes" to the right lower quadrant. 
was that supposed to be coherent? nm
nm
Darn it, was supposed to go under the
x
WHEN is this supposed to go into effect?
I have not received letter.. Is this everyone or just employees or just IC ??? Specific info would be lovely
MQ supposed miscalculation
I worked for MQ yeeeears ago, when they were new, so let me assure you they have been caught before making "miscalculations" in their pay before. This was before the new platform, of course, and they had to send me a check for over $700.


All-around it is supposed to be more efficient...
I understand all that, and I am all for whatever is best for the patient, but I am just hoping I can "hang on" until retirement, which will be in another 15 years or so (unless the government ups that to like 80 or something now!).

Unfortunately, even AAMT seems 'off the mark' - a little too late, with their trying to get everyone certified, etc. All that expense to the MT, and then for what - you will still be without a job.

From now on, I am going to try to figure out some other type of career, which come on, at the age of nearly 50, I do not know how realistic this is.

I appreciate the information someone posted about getting help as a "displaced worker" when jobs are replaced by either foreign countries or technology. Somewhere there will have to be assistance for us. They claim over 400,000 MTs. If you are an 'above average' MT and are willing to change, perhaps 1/4 of that will be able to work for the next 15 years?

Philips is one of the leaders in technology and has outsourcing overseas for a long time...
sorry - this was supposed to go under "Freakin out"
nm