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Serving Over 20,000 US Medical Transcriptionists

Your biggest problem will be with OP Notes.

Posted By: SM on 2008-08-26
In Reply to: New to hospital transcription - Amanda

I would buy the newest editions of Stedman's Surgical Word Book, Stedman's Medical Equipment Word Book, and Tessier's Surgical Word Book.  Those three books will be your best friends in hospital transcription.


I would also invest in Stedman's Lab and Pathology Word Book too because you'll run across a lot of lab tests you've never heard of and would probably never hear about in the clinic setting.




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And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
The biggest thing I like is---
They are FLEXIBLE.  They don't call you up if you are in the bathroom to see why you aren't working.  As long as you do your work, they don't bother you or restrict you to a strict schedule.  That was a big turn-off for me when I talked with Spheris.
My biggest issue too. (sm)
Not only that, but I finish the part I wanted bolded, return, return, and use a shortcut for the next heading, and it changes that one to bolded. Grrrrr!
biggest complaint
would anyone else say that the biggest complaint as a Transcriptionist would be leg cramps and back pain?  and what suggestions would you give to help?
Does anyone know what the 3 biggest MT companies are? nm
nm
Biggest Com;pany
Spheris may be #1 because they have a huge Indian work force now.
Biggest pitfall of being an IC
is no guarantee you will get paid. See post below about MTSO not paying.
One of my biggest pet peeves, since most of

The biggest pro for me is the TOTAL flexibility...

As long as I get the work done, I can do it when I want to without being chained to my computer. 


Plus, I don't know why you think ICs net 50% less than if they work on an employee basis.  I've worked as both an IC and employee and, although I don't have benefits, I make much more as an IC.


Thanks. That is encouraging. My biggest concern is
visiting family at holidays and other times.  Do you bring some of your own food or just pick and choose from what is offered?  Or do you go "off the lifestyle" and then make up for the damage later? 
I never understood why NASCAR is the biggest

to watch cars go round and round and round and round for hours, days, weeks, months, years.......I get the gambling side of NASCAR but I don't get that it truly is (and IT TRULY IS!!!) the biggest spectator sport out there.



About $65 a month, but the biggest expense is
You have to purchase the equipment and pay for installation.  The dish weighs about 75 lbs so if you don't want that weight on your roof, you can have it put on a pole in your yard and that's extra.  Plus they charge to bury the line from the pole to your house ($3.25 a foot - I buried it myself).  All total for me, including first month's service over $700.  But, hey, when that's your only option, what do you do?  There may be a company or something where you live that 'rents' the equipment for a small extra monthly fee - that's how we do our satellite TV so we don't pay for repairs.  Satellite internet is not as fast as DSL or cable, but is still much faster than dialup.  Plus, if you're an IC, it's all a tax writeoff.  Hughes Net customer service stinks big-time and if you don't like them taking the monthly charge directly out of your checking account, they charge an extra $5 a month to mail you a bill.  They know you have no other high-speed options and they have you over a barrel - so they stick it to you every way they can. 
But these are hospital reports from one of the biggest
ones here in Atlanta. At 1 time it was no name and change to the patient and now, all 4s, when the dictator dictates their name, you put the name. I know darn good and well they supposedly go along with the HIPPA or whatever the initials are because when it first came out they were given out and we had to read. These are definitely not clinic notes.
That's one of my biggest fears -- my heart goes out to you. sm

I volunteer for a local food back through United Methodist Open Door.  They do not provide money for rent or anything, but they will give you some food and a referral to other agencies that provide assistance. They do ask for proof of income, but if you are experiencing a short-term situation, they will help you.  They never turn anyone away hungry.  I am sure there are such things in your area as well.


I hope you find some help.  I am sure it is very scary right now.  I will keep yo in my prayers.  Good luck to you.  Hope you heal quickly.



How does one distinguish biggest issue

I've been at this a couple of years now and still too slow.  Aside from my own issuse of looking things up, getting my Expanders accumulated, etc., I am wondering how to sort out some of the technical issues.


I hear a lot of talk about platforms, but I think the one I am using is ok (what excactly should I be looking for to determine that?).  Also, I noticed the computer seems fairly slow in general.  I use the Internet for searches, but it seems it takes longer than it should if I put a word into the dictionary search or acronym search, and so on.  (I have some books but just as slow with them and need different glasses right now so have trouble reading them.)


I am certain we need more RAM, but it also seems our connection has slowed down as well.  Connecting to the server takes longer than it used to and the e-mail opens up more slowly.


On top of all that, the data screen slows me down.  There is always something that causes trouble, like, if they don't say a certain thing, then delete something else and check a box ... Or, they will enter a doc's name, but it needs to go in a different field, so we have to move it.


Any thoughts on these things and tips on how to work around it the best I can?  Thanks a bunch!! 


My biggest problem is the babysitting requests...

This is my biggest problem.. Every mother within a 20-mile radius thinks I am their emergency backup babysitter.  I lost a friend over this.  She asked me to babysit, I said no, she showed up at my door anyway and begged me to take her kid, and I refused.  She hasn't spoken to me since.  Several other mothers have expected the same thing, some that I don't even really know, and I have had to be very firm and stand my ground. 


The biggest mistake parents are making...

is the use of Pull-Ups.  Ever since they came out with absorbent (and now humungous sized) disposable diapers and Pull-Ups, kids are training later and later.  What discomfort do they have to endure wearing these wonderful dry feeling comfortable garments?  No more Pull-Ups and no more diapers.  Tell him that the law is that they won't sell diapers to people who don't have children under the age of 3.  That takes care of the visual of diapers in the store. 


Just go cold turkey.  Put him in underwear (and not thick absorbent training pants either) and get ready to do a lot of laundry for a while.  Take him out for some really cute underwear with the character of his choice on them, and just be positive.  If he has an accident just say "uh oh, you forgot to go to the bathroom" and just hand him clean dry clothing to change into.  He'll get REAL TIRED of all the changing after about 2 days.  There is no way on earth that a child of 3-1/2 has no physical control over their toileting, unless there's something wrong with them physically.  So it's just a matter of him taking the initiative.  Good luck.


EMR - Just found out today that one of my biggest accounts has gone to EMR. SM
They have started using an EMR system this week and are phasing out of my service. This is a big chunk of my work. Guess this is a sign of what is coming. Wonder if it is just a matter of time before the rest of the accounts follow suit!!!

Too bad!!
Dictating on a speakerphone: One of my biggest pet peeves!!
It simply should not be allowed.  It is hard enough to understand a lot of these people, and then they sound like they're speaking from the bottom of a pit with the annoying mechanical, buzzing sound quality as they "push to talk".  Not to mention all the extraneous noises on top of that -- drives me nuts!!
one of my biggest fears...will pray for you sister!
;)

WOOOW. You are the biggest idiot i have ever heard...GET A LIFE!
x
Trusting the other side was his biggest mistake. He should have kept himself secure.
x
Great post. The biggest gripe I have heard from available
Wrapping yourself in money will not keep you warm in old age. Just because a middle-aged man is bald or has a bit of a paunch, it is up to a woman to "light that fire". Go to it ladies.
One of the BIGGEST bands of the ྖs! Nothing lately, but HUGE back then. nm
x
My biggest fear of doing my own file or someone else I knew doing it would be to hear

the dreaded words "obese female" and "looks older than stated age!"  UGH!!!!


My biggest irritant is the MT that leaves 20+ blanks in a report... SM

with the majority of the blanks being unnecessary and due to just plain laziness.  They don't want to pick up a reference book or they don't own any reference books and they are too lazy to Google it. 


It's almost as if I've transcribed the entire report myself!


exercise is really important; they stress that on The Biggest Loser.
nm
Biggest Loser - MTSO Edition - next season? (nm)
.
That's because NE has the 2 biggest complainers on this board daily! MQNE and MQMT!
nm
The biggest overrated Idol contestant right now is Kellie Pickler.
c
It's pure luck anymore, Steveo. The biggest bucks
s
Does Dave Navarro have the biggest head in history. So out of proportion. Smart guy though.

His piercings and tattoes are somewhat distracting but........ he's okay.  Bruce?  Back in the day.


ER notes

Don't worry.  It has been my experience being a Transcriptionist for a huge hospital that I loved the ER notes the most.  They are really pretty much abbreviated H&P's and are sometimes the most interesting reports of all.  Not nearly as difficult as some surgeries or discharges notes can be.  Simple and brief and sometimes a really good story.


OP NOTES
I just started doing op notes at the hospital I work in and it is hard as there are so many different instruments they use that I have never even heard of. I use a surgical word book and Google a lot. That's about it.
To me, O.R. notes
get really boring.  I prefer discharges  - just my personal opinion.  Plus once I get used to them, I can go really fast. 
Doc notes

I do two internal medicine Docs, SOAP notes only and minor procedures and love it  I also did other specialities, but all that was lost to outsourcing to INDIA!


op notes
Operative notes.  Perhaps as far a leap from clinic work as is possible.  Not something for you to jump into with no experience. 
Not op notes but
This site has brand names of surgical instruments. You can choose by speciality and manufacturer also.

http://ptiresource.50megs.com/about.html
Even for op notes? sm
I can see where being paid this way would have its advantages when doing DS and work types where there is a lot of paper shuffling, looking for values, etc., but I am concerned about op notes where the dictation is speedier.
OP notes

I love doing OP notes. They are so interesting. Anyway there is a website that I use now and then and it is


www.mt911.com it also has samples.com on it and has alot of different samples.


Also a good reference book is The surgical word book by Saunders.


Hope this helps.


OP notes
I only type OPs. I have done it for 8+years and LOVE IT.  Its a niche that is hard for companies to fill, it seems.  I would say it would be a great move on your part.  Good luck!
Op notes
At my current company, op notes are paid at 9 cents a line for over a year experience. At my previous company, op notes were paid the same as any other type of report; cpl was based on difficulty of the account and ranged from 7.5 to 10 cpl, with op notes being paid the same as other basic 4 reports.
OP notes
If you already work for a service, maybe they have OP accounts. I would tell them you would like to learn. Ask if they could assign you a few each day and have them go to QA for feedback.

I would also buy a few surgical reference books. I feel the books are much easier to use than Google because so many instruments, brand names, etc, sound alike.

Good luck. I love my OP accounts.
RE: OP notes
Some people like OPs and some people like DS. I like DS. They talk too fast on OPs. If you can get them down, they say about the same thing. You can put that in your shortcuts and make more money just by popping it in there.
OP notes

Any good sites for OP notes?


thanks Lori


Op notes

Does anybody have any tips on the best places to specialize in op notes?   I need a place where I can do heavy volume ops -- not interested in basic 4 stuff.


Thanks.


 


me too as far as the notes and sm
standard phrases for certain docs go. It was nice when the docs would come in and talk too or even fuss sometimes! haha Most MTs knew how to come back at them and didn't take a whole lot off them and didn't have to. They respected us (at least most of them) for that. I think there are actually docs now that don't even realize there is a "person" behind all of this doing MT. NEver thought I would see this profession get like this taht's for sure.
And probably her notes look like

Op notes do fit in expander (nm)

x
So if you've never done OP notes,
do they figure 3 out of 4 ain't bad????? 
Would like to exchange notes..sm
I'm thinking along these same lines..email me. I have some questions.