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in hospitals it seems always ASAP - SM

Posted By: rad mt tn on 2006-11-14
In Reply to: Anyone with their or Rad accounts?sm - tpmt

I work rad (employee) in a hospital, and they are always ALWAYS working to improve TAT. From the time the exam is done to complete dictation, they want 3-4 hours. That means if your doc delays the dictation, they want transcription NOW because the doc took so long.

However, in the situation you describe, checking back in 1-2 hours should not matter that much. You should just let them know the deal - they probably know how that radiologist is as much (or better) than you. Maybe they/he could call or email when he is done?

My hospital has a contract with a sister hospital to do their radiology - they have radiologists that do this exact same thing. We told them when our staffing is available. If they do not dictate during that time, then their reports are delayed -- no question. they have to deal with it.

Doing it yourself, your situation is different, of course, but hopefully they would work with you to let you know when the work is available so that you don't have to be "on call" for them.

As far as line rates, I can't say an average. I have another rad account that I do at $.15/line, but this is 3 days a week for a mobile service (TAT is 1-3 DAYS here...) I would charge more if they needed it "now", especially if they wouldn't work with me as to when "now" might be!

Long answer - hope it helps.
Feel free to email with any more questions if you want.


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Tater was 5 when my friend (S) and her boyfriend (D) started with the custody proceedings.  Every time Tater would come for visitations, she was full of these wild stories that were quite alarming to S and D.  She would come and tell them how her mom walks around the house naked all the time with all of these different boyfriends, how one of those boyfriends held a pillow over her (Tater) face one time, and how Tater and her baby brother were often left alone for hours at a time and sometimes overnight while her mom was out "getting drunk" with her boyfriends.


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Less than a day or so after she moved in, she started telling them how one of her mom's boyfriends "did things to her" so S and D were once again in an emotional fit because they thought someone had molested Tater.   They called a psychologist and the police.  Had her evaluated, everything.  Even had Tater talk to a detective that works child abuse cases.  His findings and the psychologist's findings were the same.  She had not been abused and, in fact, had a severe problem with delineating fact from fantasy. 


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I have looked online for any kind of research or specialists that can deal with this but it's very difficult to find information even on pre-adolescents that are out of control. 


I am asking for your help.  If anyone knows of a professional or group that can help S and D with Tater, PLEASE post here ASAP.  At this point, I'm very concerned about THEIR well being. This kid is a serious danger.  There is much more but I think I have told you enough already.   We are in Washington State too, just in case anyone has any ideas where to go for help.


Thank you so very much if any of you can help.


 


 


 


 


 


 


 


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Most hospitals have ......

contracted their work out to the national service, a practice I hope comes full circle eventually and hospitals reopen their own departments in the name of confidentiality and quality control.  I only know of 2 hospitals out of about 8 in my area that have their own department (I work for one of them).  It is by far the best MT job there is, or that I have ever had.  I am at home, but a regular employee.  The hospital is only 20 min from my house (we have to live local).  I have worked for the big nationals and saw nothing but a decline in pay.  Now I get regular raises, good hourly pay, production incentive pay, benefits, and vacation time.  I wish more MTs could find my situation.  I have hopes for the future once the industry figures out that they are cutting off their nose in spite of their face.


Do All Hospitals
In Tennessee pay that well? I have been considering moving to Tennessee to try to get away from the hurricanes.
VA Hospitals

I did the VA Hospital dictation here in Portland and it was all contracted out to companies, no employees.   But you might contact your local VA Hospital but if it is as an employee 95% chance you will have to go into work and not do it at home, if it is at home it will be as an IC and no benefits.    Just what I know about it.  If you think your ESL's are bad at a regular hospital, this is worse as there is a lot of ESL's there on their rotation and they could care less how they dictate as they are only there for 6 to 8 weeks.   Changes that often.   


 


The hospitals are not going to get
dial into.  They'd be better off hiring MTs and paying benefits than doing that.  And if you dial directly into the hospital, instead of into the MTSO's dictation system, then the MTSO has no say in 800 lines.  The truth is, hospitals usually do not want to just turn all of their dictation over to a service and they certainly aren't going to pay for long distance incoming calls in addition to what they pay the service.
just sometimes it is the hospitals...
they are actually told to hold back dictation at times, due to costs. sometimes the hospitals sneak around and try other services, or voice recognition.

in the future, there will not even be any voice dictation...just templates where information is added, like data entry...
Not that many hospitals.......
still have their own dept.  That's how Medquist and Spheris and all those huge nationals exist... They have whole hospital accounts.  Out of the 3 large hospitals in my vicinity, only 1 still has their own department.  I trolled their website for months before I found an opening, but I eventually got in.  Some  hospitals don't have their MTs at home, mine does.  It all depends.  Most hospitals have a website, so fine the one you're interested in and check out their job opportunities, and then check it almost every day and if they do have a dept, they'll eventually have an opening.
Well - believe it. Hospitals pay that. I can tell you
at least hospitals in the Philadelphia area pay up to 24 cpl. MQ charges 23 cpl. I have one small department of a hospital at 17 cpl. It is out there - pull your head out of the sand and go looking.
I wonder if hospitals know
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hospitals

do hospitals now go by minutes instead of lines in regards to productivity?  if so, what is the usual they are asking for an 8 hour day? 


thanx!


All hospitals are different. Concerning
your "past," if it has been exspunged from your record, then basically it never happened. This happened to my BFs son and his attorney told him that since his record was exspunged, nothing ever took place, so he does not have to mention it on any job application. You might want to call your local court house or your attorney on that particular question.

I would say go ahead and apply. Good luck.
All hospitals are different. when I sm
first started, ERs did their own stuff too. But as the years went on, ER combined with the MR departments and was considered part of acute care. It is not as detailed but you get some of the same language in an abbreviated from by doing ERs, even some OP reports. I don't like ERs either though simply because the docs are usually in a hurry and they are motor mouths. I do think though that MTs now should consider ERs as part of acute care especially if they don't like ERs.

Some MT companies do split them up though and hire folks for just ERs.
SM hospitals
It's been years since I have heard of any hospital that has ANYbody working in-house.
What hospitals?? I'm soooo there


No, even the hospitals don't want to hire new MTs.
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Hospitals being sued
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i am sure you are aware that there are still hospitals out there
that have not yet adopted these rules. I type for one major hospital that still wants the patient's name typed in the report. Another still wants cc instead of mL. Had this person tested and changed it to the "correct" form, who is to say that she wouldn't have gotten marked off for changed verbatim. Nervous MT2, hang in there, and if you test again make sure you ask up front whether they want you to follow BOS or type it verbatim that way you know ahead of time.
but what percentage of hospitals allow that?

From what I've been reading ... the home-based service MT is averaging 8 cpl, for those dictators which make you run screaming from the room. And, I don't forsee things improving. Then again, some are lucky enough to make a line rate worthy of their skills, without worry about the dictators from Hades.

This is a bit out of date:   http://www.bls.gov/oco/pdf/ocos271.pdf


My nearby hospitals pay around $10 as well (sm)
I make 22-25$/hr at home. I live in an area where average pay is low, but likewise cost of living is reasonable.
I miss the hospitals too.
But things are so different there now that the online companies exist. It changed the way transcription is handled in most places. When I went back to working for a hospital last year, the supervisor wanted a certain amount of lines per day versus minutes per day like the old days. It was an outrageous number and with no Expander or medical speller or anything.


Hospitals oursourcing
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Nationals: Sometimes the hospitals have their own MTs sm
and pull the MTSO off the account when work is low to keep the hospital employees busy.  This probably happens more often than one might think these days.  IMHO