A community of 30,000 US Transcriptionist serving Medical Transcription Industry

It is bad enough dealing with bad dictators who are doctors BUT (sm) - FrustratedMT

Posted: Feb 13, 2012

it is sickening to have an RN who dictates for MULTIPLE doctors and she has no idea how to pronounce many of the words, cuts her sentences off, flies through the dictation and has no idea how to pronounce medications. She pronounces tachypnea (eash enough word, right?) as tacky P nea, no joke. I am frustrated, angry, fed up and ready to throw my computer out in the yard. This is just sickening!!

Just needed to vent and wished I felt better but sadly I do not because I still have MANY more jobs to do that are HER!!!!

I feel your pain - Be careful what you wish for!

[ In Reply To ..]
Probably not the same one, but I get so crazy when she dictates. The doctors this one dictates for are bad enough, as you say, and I was so happy when they brought this nurse in to dictate, but she is WORSE than they are. And takes longer and can't pronounce JACK SH*T!
I want to reach through the phone and beat her over the head with it!! And she sounds like an aging Valley Girl, all nasal and whiny.

Frustration - JW

[ In Reply To ..]
I went through three ergonomic keyboards and threw my books at the wall out of frustration. That's not the answer. Look for another job. Believe me it can get very expensive. The companies are not worth what they are paying you.

We must have the same one - she is saying

[ In Reply To ..]
orthopenia for orthopnea and talks about smoking sensation. I think they really just scrape the bottom of the barrel for health care anymore.

What makes most "proxy" dictators so awful: - Briana

[ In Reply To ..]
1. Most of them are paid by the dictation - for instance, $25 per discharge summary. They can make a pretty good buck - but much less if they do a good job of analyzing the chart before they dictate.

2. Usually, they have never seen the patient, were not involved in their care, etc., and usually have no particular experience in each of the various specialties that might have been called in on the case, the medications, tests and diagnostic procedures used in those specialties, etc.

3. They're usually not hired for their breadth of experience because none is considered to be required. It's "just a discharge summary, right?". Anyone with a bit of medical knowledge can read some drivel off the chart, right?

It's just my opinion - and nothing for which I have the slightest proof - but I believe that not a few of these "proxy dictators" are:

1. Marking time between clinical jobs.

2. Not able to obtain clinical positions for professional reasons.

3. Might be "impaired" in certain ways. What better place to park a health provider who has a problem, such as substance abuse, etc?

Just a guess, mind you, but it comes from listening to an awful lot of these folks and observing the poor quality of their work.

guess that makes you the expert, you should have a board - nm

[ In Reply To ..]
.

Well, yes she is, DOH! We all should be - or what does MLS mean?

[ In Reply To ..]
We're supposed to be the medical language specialists, or so I thought.

We're all supposed to recognize proper pronunciations and uses of medical terminology.

We're all supposed to be able to recognize nonsensical or erroneous dictation.

We're all supposed to be able to spot logical errors in the document (e.g., contradictions in differing parts of the document).

I'd call that "expert", and if you yourself aren't an expert, what the heck are you doing here?

What's your problem?

Wow, why such a snippy comment? That was not deserved! NM - Dee

[ In Reply To ..]
NM

agree... - ...

[ In Reply To ..]
Careful, though! Yesterday, I had a post deleted for lending support. My inflammatory post - verbatim - was "Yeah, I know. :)"

I was reprimanded and told my attitude was not needed. I guess I went too far. (?)

Unfortunately, Briana posting witty comments - sm

[ In Reply To ..]
earned her, her very own troll. Sad because I enjoy her posts immensely.

smoking sensation! - that one makes me nuts

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Access instead of Axis - in Psych reports

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AK-cess I
AK-cess II
Like fingernails on the blackboard.

GRRR--Doc I'm typing now says SM - mb

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This is a DOCTOR and he SAYS: The patient has blurry vision secondary to CADILLACS! He says it very plainly! So frustrating.

I have one female resident who... - nokidn

[ In Reply To ..]
...says "paragraft" instead of "paragraph" - drives me insane. She's a native English speaker too.

From the doctor's mouth... - ItsLikeThis

[ In Reply To ..]
My husband has a friend who is a doctor who I happened to have the opportunity to talk about dictation with. First I asked him if dictators were ever given any formal training. He said none whatsoever, they have to do it to provide documentation SO THAT THE HOSPITAL GETS PAID. I told him I thought it was for the benefit of the patient and having a correct medical record to which he told me that really had no bearing, it was all about documentation for money. Its all about the money people. I asked him why they were so terrible when they dictate, fast, etc. He said most dictators, especially residents, have no time, they are rushing constantly all day and just try to fit it in to DOCUMENT so they get paid. Its so sad, but that is why we have to deal with the crappy dictations. They do not care, do not have to care, they just have to do it.

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