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You left out blank dictations

Posted By: they should pay for those on 2008-01-05
In Reply to: AMEN - Lillybelle

The ones with no dictations - I have a feeling doctors probably pay the MTSO by dictated minutes - but how about MTSO paying the Transcriptionist who has to waste their time listening to them, signing them off and sending them to QA multiple times a day?


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Spell as best you can or blank them and keep going. I've passed many tests when I've left blan
s
Just hit Alt+Shift+left arrow on line 1 and it will go to the left margin. Otherwise,
you need to use a numbered list style to do it every time. Each version is different, but you may already have a numbered list style in yours that stays at the left margin. Just assign a keyboard shortcut to that style.
Missing dictations
I also get a patient list from the doctors office. I check off which ones I got voice files for, i.e. which ones I typed. I don't keep track of which names or not checked off. How do I know if that patient just didn't show up for the appointment, walked out without being seen, or if the doctor put off dictating. That's administrative work that the doctors' secretaries do at my client's office. If they can't find something they think he dictated and ask me to look for something or check on something I'll do it because it only takes a few minutes but I don't do all the stuff you're doing.

Practice dictations
I am at a hiatus in my transcription career, but I do not want to lose what I know, or lose my speed.  Is there somewhere you can purchase practice dictation tapes, or digital downloads?  I would prefer digital downloads of voice files if there is such a thing.  Just wondering.
missed dictations anyone?
Does anyone have any real experiences to share with the missed dictations? I would like to buy them but I don't want to if my accuracy might decrease with them due to missed dication. although, I think any of my background noise would be louder than any dictator. But I guess on the other end is where the problem lies.
STAT dictations

Re:  Stat dictations.  Does anyone out there charge extra for STAT dictations that come in during the day so that we have to put aside what we are working on and type a STAT letter/document and send in?  This sort of thing can keep one behind in Turn Around Time if it happens on a regular basis.  If anyone charges extra for STAT dictations coming in, what would be a good fee to charge for these besides the line count?


 


Ginny


Downloading dictations (sm)

If you key in alt-ctrl-Z while the first one is loading, it will prevent the other two from downloading from the queue.  When you are ready to submit and do another file, you will need to key in that sequence again to allow the next one to come in.


Assigning the dictations............sm
SO RIGHT:
' The Leads (MTs who assign the work) have to get their lines in, too, and no doubt they're not keeping the ESLs for themselves......'

When I got a lot of crappy dictations in my queue, I complained about this and asked WHO assigns the work, who gets the crap and who gets the good ones.
I was told that it is NOT assigned at ALL, the oldest is picked first out of the pool and so on, and that it is all random and nobody is favored.
Now I read in this post that the Leads (team leads ?) distribute the reports. Who are they? The owners, the supervisors or the QAs?
I had once an argument with a QA about grammar and I was right and she was wrong, and from that moment on I got the crappiest crap of the crap into my queue.


but where do all the CRAPPY VR dictations
come from, then?
I guess, crappy dictators are EVERYWHERE !
Thirty minute dictations -...
that are actually about 5 minutes, once you get past the ummms, and ahhhs, and talking to the nurse behind you, and listening to other people's conversation, and changing your mind 5 times before the completion of a sentence.  Other then that, I can't think of a thing....ahhh, ummm, go back and change....no....under ROS put....
LOL If VR could transcribe his dictations it would be a miracle!
:-)
Where to find some Sample Dictations?

Anyone know where I can find a few sample dictations, like WAV files, on the internet, along with the completed typed reports.  Need to test job applicants.  Happy Holidays!


Supposedly these are sample dictations.
http://www.mtbot.com/links/index.php?PHPSESSID=87548e85937eae92e899386c81c6c8e1&PID=10
Noone can send you sample dictations, definitely
a breach of confidentiality. You should have learned this in your course.
Right on, JMO. Also, when I have the ability to choose dictations SM
from a list (which I don't have at my current work, darn), I like to gather up all the dictations I can find for bad dictators and do them together to learn that dictator right up front, instead of struggling over months. I'll also use them to put together a template, which if dictation's really horrible will include a whole pack of phrases he/she has been known to use, a grab bag of possibilities to scan over. May sound like a bother to some, but it's a real serenity-saver.
Things that dry you looney during dictations, for example.

I thought after seeing on television so much could get away from this but just had a dictator say, "drowsy and unable to, you know, respond to questions appropriately."


I thought the you know, you know, you know would not come through on here.


In dictations, I always hear "as well as" when "and" would do. sm
"At this point in time." What does that mean? One says "At this particular point in time." Raises the line count but it is annoying.
Saving dictations on flash drive??
Hi again,  I figured out the settings, and how to recover the files marked done.  Question though on saving the actual dictation.  My files come through email, I was saving in My Wav files and an Archive File; however, the doc tends to send me a lot of duplicates which the Archive obviously does not like. But, also, since I have had a computer crash on me and lost some things, I am thinking of saving my actual dictations on a flash drive and eliminating the Archive file. How long would you suggest I keep them for?  Once typed they go in the Recover folder, how long should I keep those? I found in the help information that we can order foot pedals through Express Scribe and they will be sure that they work with their program, so I ordered one today - figure can't work without a pedal so best have a spare on hand.  Anything I might be missing? Tips or ideas in using the program. 
hosp acute care dictations..please sm
Are hospital dictations difficult to type? I have always typed various specialities for clinics. The company I just started working for lost the account I was hired for. They did offer me a position to type for the hospital dictations. Do you think it will be a rough transition for me? Any advice please! Thanks.
I had one who like to do his dictations with a Donald Duck voice. nm
xxx
Why is it that when I work evening here/there, all reports are 15-min. ESL dictations that no one fe

,,


Legal dictations usually are multiple speakers
But, legal dictations usually have a longer TAT. 
I think doctors in general just don't care about their dictations... sm

I know there are some who are really great and are careful or even just considerate.  But I think for the most part they just think it's a pain to do and want to rush through it and get it done... let the lowly MT deal with whatever garbage comes out the other end.  Maybe I'm a bit bitter, but at this point that's how it feels.


 


Disclaimer: No need to critique spelling, grammar, or punctuation within my posting... this isn't work, it's a message board.


One of my accts is in Baton Rouge and just today getting a few dictations trickling in. nm

:I


wanted to add it was nice of you to positively reinforce MT efforts on difficult dictations...(nm)
`
I learned to put my phones in front of my ears inbetween dictations so I don't get blasted.
s
to blank or not blank
I've taken tests like that before, and, yes, they seem impossible but point is to stick it out and put all the blanks that are needed because that is the point, to see if you will blank it or guess something st*pid.  They know what the dictation is like.  I recently took a test where one voice file was horrendous.  I had a ton of blanks but I got the job.  The other 3 files I still had blanks too.  Then again, on the flip side, I've tested for places that had tests like that too and were indicative of their regular dictation, so you had to just test it out and see for yourself because you might be pleasantly surprised that it's not so bad.
Personally, I would blank it. You should
the spelling and for other reasons, i.e. privacy, I think it would be a good idea. Some tests I've taken have asked me to put in three underscores __ __ __ when items bleeped for confidentiality. Even if not asked to, I think that's the way to go IMHO ...
Since you had a bad ESL did you blank or put what it sounded like?
x
Blank emails-me, too

 I have always used Spybot and Adware SE, but read they sometimes miss things, so I just bought NoAdWare. Was I surprized at the stuff it found compared to the other ones (including Norton AntiVirus, and my server software)!  I had 4 "dangerous" and 92 "severe" the very first day...that have been on my system for quite a while.


Since then, I have also been receiving blank emails. I'm now up to 5 every time I receive my mail. I've been getting a lot of junk mail all of a sudden and have no idea why. My favorites are winning the lotteries. If I believed them, I would have a bankroll of well over $100,000,000,000. The other ones where I am named in someone's will. Love it. Dream on.


Don't know what to say or what else to do about it without changing my email addess again, and I sure don't feel like doing that. I just did change it 3 months ago.


In my experience, if you don't know for sure, blank it. sm

It doesn't happen to often with my line of work as I only do clinic notes.  I do know which drugs are used for what and  the differences between similar sounding drugs. I have reference materials to help if I don't quite understand the pronounciation, as long as I have been given a particular diagnosis for which the drug is used.


If I am completely unsure (i.e. med list for PMH with no given symptoms or diagnosis) I ask or leave a QA note.  That is much safer than putting the wrong med in the patient's record and that is the extent of what MT's should be expected to do.


As far as the doctor dictating the wrong side of the body for any reason whatsoever, there is no way an MT could possibly determine in a case of it being left rather than right.  In the event of a dictator switching between left and right, that is a red flag to leave a note that simply says, "dicatator is indicating left and then right but does not clarify by end of note."


When my son had his mastoidectomy a year ago, the surgeon came in and drew a big blue circle around his left ear and looked at me and said, "This is the ear that I am operating on. This is his left ear.  Are you in agreement with me that I have the correct ear that needs surgery?"  Well, I kind of chuckled a little bit as my son looked rather strange at the moment and the doc said,  very nicely:  "In all seriousness, we are human and we do make mistakes, but I don't wish to make a mistake with your little boy."


 


 


No Blank Accounts sm

I heard about this but it sounds kinda strange.  Anyone ever run into this kind of account?  How do you not leave blanks if you don't know what they are saying?


What about when you leave a blank
and then QA goes in and "guesses" and fills in the blank? I have relistened after QA, and it absolutely sometimes is not what was said, it's just what the dictator "usually says" so QA puts that in. That makes me look dumb for putting so many blanks, and QA look good for knowing the answers.
blank lines also
When I started my surgical/oncology account 6 years ago, the gal that had been doing it charged for blanks, from first line to the last line on letters, consults, etc. All blanks were counted so I just continued, the OM, docs are well aware of it.  Also, that is why my cpl is lower than others also, it usually averages out in the wash. 
Screen blank for me too.
nm
Take out all blank lines
Go through and take out all blank lines and count or put on your line count on your file and see how many blanks there are and subtract.  Remember if you have a header though on pg 2 and 3, it does not count those lines.  Also I think that Sylcount will count lines only and no blanks.  Also when doing your line count in MS word, it gives you the paragraphs and so if it is 20, subtract 20 lines,  date to address is 4,  address to RE is 2,  RE to salutation is 2, etc.  Usually there are ten blanks from date to Dear.    Good luck.
Leave a blank
Definitely an error on the MD's part
Always flag/blank something so odd it is likely
x
Mine will go to QA if I have a blank.....sm
I do sometimes put that in though.
oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


right click anywhere on your desktop that is blank, sm
and go into properties; click on the last tab that says settings and on the bottom left-hand corner is screen resolution. slide that bar left and right until you see what you are used to. FYI mine is on 800x600 pixels.
Either blank it or sound it out--no big deal either way.
Good luck!
Fill in the blank: You know you're getting old when....sm

1.  For me, when a person I used to babysit from infancy until school age has completed his internal medicine residency and is in a private medical practice.


2.  When I get up in the morning my knees and back crack so much that you can hear them at times in the next room (daughter asks "what's that cracking noise" will confirm this!)


 


You charge for blank lines? WOW! That's a first!

charge for blank lines
not my idea, but I'll take it!
When you test they usually blank out the names - sm
since it is confidential information. If they do not give names, leave blank. If they are saying actual names I would look them up. Tons of resources on the internet to look up Dr. names, even nurses. At my job I look up doctors names and addresses regularly, I macro the info. into a folder though so I don't have to look it up more than once, and update accordingly. I also look up hospital names, etc. when necessary, though I work for a local company that works for one of the local hospitals so I am familar with most of the places mentioned, but if I am not, I look it up. A big part of MT is knowing how to research. Good luck in your testing.
If you can't get it, leave a blank. You always have that option. sm

If the MT cannot understand the dictator, they always have the option of sending it upward for clarification.  They are doctors, not English language specialists.  I know you would like them to be, but that is not the way it is.  We listen, we transcribe, and if we don't get it, we send it upward for clarification. 


It isn't easy, no one said it was.  But I hate to see people complaining about foreign doctors all the time.  They give excellent care, and a lot of us can understand them.  It is a knack.  If you don't have it, then send it to your QA.


You could just go through and delete all the blank lines.
Since it is just a test, why not try doing that?
I cant see any replies either. Blank screen ? nm
x