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

How do you find a quiet space to work when you've run out of room?!?!?! - MoMT

Posted: Feb 05, 2010

I recently moved into a small two bedroom house. It's an older house with a very creepy basement that is not finished, is damp, and just gross. Until I can afford to convert the garage or re-do the basement, my teenaged son has one bedroom and my 8yo daughter and I share the the master BR. Meanwhile my husband sleeps in the LR on the couch (our relationship is basically that of friends now who can't afford divorce). Anyway, my desk currently is in the LR. However, no one in the house seems to grasp the concept of mom's working so be quiet. My husband has the TV turned up to near full blast and I have to scream at him five times a day to turn it down (I work 2nd shift). I have to dogs who are very playful and will bark and play very loudly making it difficult to concentrate. Then there are the kids. My son isn't much of a problem because he's pretty self-sufficient. My daughter is constantly hungry, wants to cuddle with me, wants me to take to a friends, etc. I constantly re-direct her to her dad who then takes his sweet time in doing anything. He will sigh, say "on commercial" or plain ignore her until she is screaming DAD!

I'm losing my mind! I need a space that is my own. I've thought about moving my desk into the bedroom, but then I still have my daughter in there to contend with, but won't have to deal with the husband, the TV, and the dogs. And my daughter can still go to her dad for stuff she needs when I can't or don't want to take a break. Plus since I'll be in the room with her, she can watch her shows, play with her toys, and do her thing which never has bothered me because she's pretty quiet when she plays or watches TV.

I thought about moving into the dining room, but there is no door and the dogs have to walk through the dining room to get to the kitchen to eat and drink. Not to mention everyone else in the house has to go through the DR to the kitchen so it's a high traffic area. I just have to do something. It just isn't professional to have work call me looking for a report and I've got Law and Order blaring in the background and the dogs going nuts. It sounds like I'm in the midst of a madhouse!

Any suggestions?

I would definitely move into the bedroom - sm - XXX

[ In Reply To ..]
that sounds to be the best choice. I have similar issues, though a little more space, but lots of noise in this house. I have a backup computer in our dining room (no door, and open wall and doorway to the kitchen) but then I would have to deal with dogs (quiet), and be right by the kitchen/great room where my DH usually has the TV blaring, if not that the radio, or both at the same time. So to avoid all that I have my desk in the MBR which is on the other end of the house. I still have to tell him to turn it down sometimes (he is half deaf from playing the drums in his teenage years). I still have to deal with kids as they watch TV back here but they keep it down to a level I can tune out. Granted I like it better when they go to bed and all is quiet. So I'd say the BR is your best best, and if your DH is not any help then he ought to go, divorce does not have to be costly if you do it yourself. That would help your noise situation a lot if he were to leave for sure!

Yeah, I'm definitely moving to the BR this weekend while I'm off! - MoMT

[ In Reply To ..]
Thanks for helping me decide!

bedroom, YES. - ne

[ In Reply To ..]
It may be inspiring to your daughter to have seen her mother concentrating so well, when she reflects back on her childhood in years to come. You never know what challenges she herself will have to face in the years to come given our economy, etc. In the situation you describe, I think the bedroom and the work, and your daughter since she is basically quiet, are an important kind of refuge. ;)

Solution for half-deaf men watching TV - wireless headphones

[ In Reply To ..]
Cost about $30 if you shop around; has a transmitter to plug into TV and wireless headphones for them to wear. Every time the TV got out of hand, I give him the option of wearing them or turning it down. Eventually he got trained to keep it at a reaonable volume.

BTDT--- bought him a set years ago to combat - sm - XXX

[ In Reply To ..]
this issue, he won't wear them, so short of glueing/stapling them to his head it is not going to happen. He will sometimes wear my spare headphones though to listen to Sirius and Howard Stern, as I won't let him listen to it when the kids are around. He has cut down on the TV and the noise a lot lately so it has been quite nice for the last 2 weeks, just hope it lasts.

He sounds like a jerk! - 2 can play his game

[ In Reply To ..]
So make a lot of noise on his job site, or if he doesn't work, whenever he does ANYTHING requiring concentration.

Why is the world full of jerks like this, but all the considerate guys are unavailable?

Husband needs a JOB. - ;D

[ In Reply To ..]
nm

I moved into the master bedroom closet in the last house we lived in sm - grumpy

[ In Reply To ..]
With the clothes all around the walls, it was REALLY quiet and easy to concentrate! The closet in this house is not large enough, so I have no guest room, having to use the third BR for our office. It does cut down on overnight guests!

home office - MH

[ In Reply To ..]
My office has been in the corner of my bedroom for 9 years. I have to wait until two kids move out before I get my own actual room. I could never work downstairs for the same reason - the noise would drive me batty. At least you can close the door when you want privacy and quiet.

I say move your husband into the basement and take the livring room for an office. nm - sharon

[ In Reply To ..]
nm

Get yourself a tall loft bed, and you can put your - "office" underneath it & close bedroom door,too.

[ In Reply To ..]
My place is very tiny, and a loft bed solved a lot of my space problems. There's room for a desk and a bookshelf underneath it, and the "ceiling" (underside of bed) can be rigged up for storage, as well. You can install hanging shelves, etc. I like it so much, I don't ever plan to go back to an on-the-ground bed! :)

Hope you can get the basement re-done for minimal $ one day. - I have to have my own haven at home nm

[ In Reply To ..]
nm

so, your husband is useless ... throw his lazy a$$ in the basement where he belongs . - n/m

[ In Reply To ..]
..

Make sure your not sharing this info too much - mter

[ In Reply To ..]
When working with medical records and PHI, you have to have a space to work in where your family isn't able to see what you're doing, or if company comes there's no chance of them seeing your computer screen. You're in major violation of HIPAA and when HITECH hits, you can surely be held accountable.

I'd say move to the bedroom and no one gets in till your work is done.

Ohjhh, I am soooooo scaredddd people are coming - Oh for real!

[ In Reply To ..]
into every one's home to make sure they are in compliance with this. Do you not have anything else to do except worry about this?

judging by your post, you seem .... young, at least. OP makes a valid, helpful point. - especially considering your un-husband nearby.

[ In Reply To ..]
..

Young??? Thanks - see inside - Oh for real

[ In Reply To ..]
Am in my 60s, headed fast towards 70s but thanks. I am not paranoid in the least. The people here are just beyond ridiculous. How, are they supposed to go into every home that transcribes these reports? Boo! Scared of your own shadow.

Oh for Real - I agree with you

[ In Reply To ..]
I'm sure the government is going to pay peole to go out and inspect for privacy issues. Get a grip. They're not getting into my home without a warrant....and yeah, I'm 60 too.

so you're in your 60s and you have an 8-year-old? - ..

[ In Reply To ..]
..

What? Where does the 8 year old come in? - Oh for real

[ In Reply To ..]
NM

It's possible to be immature and/or naive at any age - This is business not paranoia

[ In Reply To ..]
If you knew for a fact that nobody would ever know what you were doing, it wouldn't make it right. You may want to consider that you're in the wrong business unless you are willing to take responsibility for the care and confidentiality of the information in your possession.

Not to mention unprofessional (sm) - Long time MT

[ In Reply To ..]
Seriously, if you are in your 60s and have been in this field a long time, how can you possibly have such a blaise attitude about patient confidentiality? It's unethical to be sitting in a self-described "mad house" where anyone walking by can see patient reports.

For clarity, I am the OP. I have the 8yo and I am in my early 40s. - MoMT

[ In Reply To ..]
Now that we've cleared that up. Confidentiality is not something I worry about because my 8yo is not reading over my shoulder nor is she interested in anything I'm typing NOR will she ever go to school and share any protected information with her schoolmates on the playground at recess.

On that same note, my 17yo son could care less what I'm typing. He's not reading my reports nor would he ever have reason to share it with anyone.

When I take a break or leave the room, I password lock my computer so that my kids cannot try to jump on to check facebook or anything like that.

Finally, I'm not at all concerned that I am violating HIPAA or HITECH because first, I do not believe I am in violation and second, when the government can assure me that they can effectively protect an individual's health information with their laws once that information leaves this country and lands in a third-world country in the hands of someone to whom HIPAA means absolutely nothing, then I'm not going to worry about anyone knocking on my door.

Because if the government tries to come into my home to insure I am adhering to HIPAA, you can bet I'm going to start on my crusade about the dangers of the EMR being transmitted outside of the jurisdiction of HIPAA and HITECH laws.

I agree that confidentiality is important and when the government agrees with me and stops the offshoring of protected health information, then they can come into my home and inspect my home office.

A couple of comments on an interesting topic - Linda Andrews

[ In Reply To ..]
You mentioned that your 17-year-old son isn't interested in what you transcribe. I'm sure that's true. LOL. You're also taking the appropriate precautions anyway according to what you wrote. Others should keep in mind though that it isn't what someone wants to do, but you must, as you have already done, fix it so no person entering your work area COULD accidentally or intentionally see that confidential information. Not just if they want to, but if they could, accidentally or intentionally.

You've already done that with the password, which makes me think you understand your own responsibilities regarding confidentiality of the information on the patient record.

I would have a problem with others though who say that confidentiality just is no big deal. Not that anyone has said that here in this thread, but if they did, I would think they are in the wrong business. Just my thoughts on this very relevant topic for medical transcriptionists who want to do the right thing. There is no need to "fear" people marching into your home to investigate whether you're doing the right thing. Just do the right thing and then get on with it, as most have already done.

what is wrong with this post .... - here goes ...

[ In Reply To ..]
first, mter is responding to the original poster, who has an 8-year-old daughter, second, you respond to mter post like she was talking to you and your post, "ohhh I am soooo scareddd", sounds like a 12-year-old wrote it; then in your response you claim to be in your 60s, so you are not the original poster and you just decided to chime in for some reason when the poster was explaining about HIPAA. So the conclusion is ... you are trolling.

So the original poster is in her 60s and has an 8-year-old - Oh for real

[ In Reply To ..]
This is not the first post I have answered that is discussing this.

so what if the poster is 30 or 60 with an 8 yo? - dont get it

[ In Reply To ..]
Yes, it should be understood that MTs keep a maximum amount of privacy when they work, BUT, the age of the MT has nothing to do with one's efforts to control privacy and the age of offspring in the home.

?????

You are not getting it, I am asking where the - Oh for real

[ In Reply To ..]
statement came in in the first place. I have no issue with an 80-year-old having an 8-year-old but I did not see the comment that was made above mine came from in the first place. Now do you understand or not?

Oh For Real barged in with her Ohhh I am Soooo Scarreddddd post and replied to a post that - was written to you, MoMT, and ...

[ In Reply To ..]
not only was her post immature, especially for someone in her 60s, it was unprofessional as an MT. The other poster was making a really good point to you about confidentiality and HIPAA.

For one thing, it's the right thing to do to protect confidential info - Confidentiality is not a suggestion!

[ In Reply To ..]
The confidentiality of the medical record is one of the first things every medical transcriptionist is taught. It's a requirement, not a suggestion. I've never for a moment been afraid that someone would come in and check. That's not the issue. It's just the right thing to do, don't you agree?

Worry? - mter

[ In Reply To ..]
*I* am not worried. I have a compliant office, take PHI seriously, and am a professional who works at home. Obviously, you're not.

This "oh screw that" kind of attitude is what keeps MT from EVER being a truly professional position-- instead it's the whiny MTs who get to work at home in their slippers while their children play peacefully (or as the original poster stated, family is NOT peaceful) in the background.

Children grown and never got into this kind of - Oh, for real

[ In Reply To ..]
job to "work from home" and never work in my PJs nor my slippers. I have been working since the 70s in this same type work and doubt very seriously I would still have a job if I was not professional. Again, just have been around the block several times and not in the least bit worried about someone coming to my home and demanding to see my work place. That is a bunch of malarky.

So if you could murder someone and get away with it - mter

[ In Reply To ..]
Would you? Because you're saying you're willing to BREAK THE LAW as long as you aren't worried about being caught.

This isn't about children and all that other stuff, it's about being PROFESSIONAL and following the ETHICS and LAWS of your profession.

Why do you think you're asked to sign a confidentiality agreement.... so they can have your autograph??

BREAK THE LAW, WHAT ARE YOU TALKING ABOUT? - Are you talking just to be talking?

[ In Reply To ..]
I have no idea where your, oh, yeh I do you are paranoid and so therefore thinking people are breaking laws. You'll be ok, just see your psychiatrist in the morning.

We sign confidentiality agreements to protect the MTSO - and everybody knows it

[ In Reply To ..]
Its all legaleze to stack the odds in their favor and intimidate MTs into agreeing to whatever scam the MTSO is running.

As far as breaking the law, I am not. If you think I am, PROVE it. Thank goodness I have privacy in my own home - it protects me from wack jobs who think I'm not protecting THEIR privacy! For most MTs ethics and common sense go hand in hand - stop accusing us all of lawbreaking, and stop accusing our family and friends of snooping through your records - they couldn't care less about them!

Sharing info - itype2

[ In Reply To ..]
I agree with this. I work for a private clinic and when our MTs went from working on site to working at home, our manager had to come to our house to inspect our work area to make sure that it was a dedicated work space, private and away from prying eyes. It is not that the feds will come to your house and find you in violation of HIPAA, it's that others can read those reports and all it takes is one slip of the lip to reveal confidential information about a patient, grounds for dismissal and maybe a fine if it can be traced back to you. I certainly would not want others seeing/reading my medical records!

So a person shows up 1 day, inspects and leaves - Scratching head at this

[ In Reply To ..]
so could you not move the entire family in that room the very next day? I have for years signed a confidentiality form and what is funny here is the fact if someone actually stood behind us and read, just how much do you think they would actually understand? I would be willing to say most people going to the doctor and having instructions given or being told this and that do not get a full understanding of things. My husband for one told me he is glad to have me accompanying him now to the doctor, before he was not getting about half of what he was told.

What happened to ethics? - Unbelievable!

[ In Reply To ..]
No wonder our country is in trouble. We have our priorities out of place and we've lost our business ethics/conscience. Respect for the personal information of others has to be a given for anyone handling confidential information. Just my opinion. I don't mean to be unkind and maybe I misunderstood some of the comments. The way I read them left me disgusted at the attitude of the people who hold this information in their power. I thought Americans were better than that. Maybe we never were. This whole conversation made me very sad.

Home inspections - itype2

[ In Reply To ..]
No, I think you misunderstood. We are not permitted to work at home unless we have a dedicated work space where no one else can access the computer or indadvertently read the confidential info. Our manager comes to our homes to do our annual reviews to check our set up (also for ergonomic reasons), we also are required to sign a confidentiality pledge. If we are not compliant we are not permitted to work at home. I'm sure it is different working for a large MTSO but people have had their employment terminated for violation of patient confidentiality. It needs to be taken seriously by everyone who deals with patient medical information.

My employer is thousands of miles away - Scratching head

[ In Reply To ..]
I would be willing to say your situation is 1 in a million. I would be willing to say not 10 people would come on here and say the place where they work came out and inspected to see if they were compliant with a dedictated area. It is just not done and not feasible as well. We sign confidentality and that is about as far as my company goes. We have never even been asked if we sit in a room by ourself or if we have the whole neighborhood over. All the above just feeds into the paranoia that people are having this feeding frenzy off of, like a bunch of sharks circling. Lastly, if your person comes over 1 day that does not mean the rest of this year you would have to stay in that 1 shut up room by yourself, only common sense tells me and others the company leaves 1 day and the next you and others can share until the next "visit." No one on this board is lacking in the sense department and yet so many are scared of their own shadow. I do not discuss the people I type on and that is about the end of this discussion.

And there is a good reason for those regulations - You are protecting my privacy

[ In Reply To ..]
It is assumed that medical transcriptionists are aware of and abide by common sense when it comes to protecting private information. You are permitted to see those documents because your job requires it. Your family and friends who enter your work space are not hired are not permitted to view that information. Your lack of concern for privacy issues is inappropriate. It's one reason medical transcriptionists don't receive the professional respect that others HIM professionals do. I hope you reconsider your outlook because it affects all of us.

Home inspections - itype2

[ In Reply To ..]
You are replying to the wrong person as I wholeheartedly agree with these precautions, please re-read my original post.

People are making a mountain out of a mole hill - DO NOT PUT WORDS IN MY MOUTH

[ In Reply To ..]
I go along with the rules set forth. I am not afraid of someone coming in my home to check where I have my own private space (which is my work room alone, nothing else). Where is all this coming from. I know the rules and probably worked longer than before most were born here. Every one of you should get a real life. I am off this posting because too many paranoid folks here.

Nobody wants to see your medical records! - nobody n my house, anyway!

[ In Reply To ..]
What protects your precious privacy even more than a law "not permitting" unauthorized people to see your records is the fact that they don't want to! They DO.NOT.CARE. I am amazed that you are such a paranoid narcissist that you think everyone acquainted with home-based medical workers is panting for a chance to see YOUR medical records, because it just isn't so! And you can be sure that nobody in this profession is going to deliberately pal around with identity thieves or gossip columnists or they would have been fired years ago.

Home based VA employees - Long time MT

[ In Reply To ..]
My husband works as a field examiner with the Veterans Administration. He's home based and handles confidential patient records. Not only does a representative of the govt come to our house every year to be sure that his office is secure (only he has access to it) but he also has to bring in his computer at least once a year for the IT department to scan it for the activity on the computer. Don't think for a minute that such an arrangement can't happen to us.

It cant happen to me because I wont let it - NoWay

[ In Reply To ..]
The minute anyone says they "need" to come and inspect my home and/or computer is the minute I sing them that classic Johnny Paycheck ditty.

My company supplies the computer - as far as it goes

[ In Reply To ..]
My company supplies the computer; they make me sign confidentiality agreements for every account; they spy on me remotely, they require I constantly punch in and out so they can track when I'm working or not; they monitor my production in order to pay me, they randomly QA my work when its completed. I have to use 14 passwords before I lay eyes on a patient's record. The only think they haven't done is put a webcam on it to physically stare at me while I type, or retina/thumbprint scanning technology! There's not a person on the planet that doesn't work for my company AND know my 14 passwords that could get on my computer and figure out how to navigate through all the open software windows to stare at patient records - and anybody that tried it would take them so long I'd catch them in the act! If that's not secure enough, I'll hand the company goons back their computer the day they pound on my door.

MTSO's are not going to spend the money to invade and inspect thousands of MT homes. The feds might have money to burn, but the CEOS aren't giving up their profits to bully a bunch of underpaid slaves - they've already got that down to a science. Certainly if my company demonstrated the hoops I have to jump through just to get to a patient record, the feds would agree its secure enough.

A lot of people would love to have your job - Just saying

[ In Reply To ..]
I know what you're saying. It can be frustrating. Just wanted to remind you though that you have a job when hundreds of thousands of people don't. It makes it less frustrating to me to know that about my own job.

As soon as I find a better job, they can have it! - grateful for now

[ In Reply To ..]
Everybody has their snapping point at any job though. I've had on-site jobs where people quit over picky dress codes, mandatory drug testing, smoking policies, all kinds of things. And some of us feel like a home invasion is where we draw the line.

Whole different thing - MT Bottle

[ In Reply To ..]
Your husband works for the Federal Government. That's a whole different thing.

Most of us don't work locally or type locally - no inspections, no way!

[ In Reply To ..]
Maybe in your case they can justify it. My manager is halfway across the country, and my accounts are from everywhere except where I live. There's no way my family would be the slightest bit interested in boring medical reports of strangers they'll never meet. There's certainly no way they'll gossip about the content, and even if they shouted it down the street, the patient would never know.

This whole thing is pretty ridiculous unless you are typing reports in the same locality where the patients live and they might be someone you know. Otherwise, you're just going to have to deal with the fact that "people" WILL see your records - your doc, his staff, the hospital staff, coders, MTs, insurance claims staff, etc. in order to get your medical care! I'll bet you a zillion bucks that their family members are not going to suddenly become fascinated with YOUR medical paperwork. Its just too boring to most laypeople.

Your statement, boring to most laypeople - Laff

[ In Reply To ..]
It is boring to us most of the time. I am with you on this, my company is thousands of miles away and I just know they wont be showing up anytime soon to see if I am all alone in my private room. Even before all this talk about big brother looking over our shoulder, my family never wanted to come to my desk to look at what was on my monitor.

I know! If we weren't paid to look at reports - we would not either!

[ In Reply To ..]
I can sure find something - ANYTHING - more interesting to do in my spare time!

Home Inspection ? - NoWay

[ In Reply To ..]

I sign my name saying I will keep confidentiality and that is good enough. I would never allow anyone, for any reason, to come in and inspect my private residence. If that were a job requirement, I would not work for that company.

Who in their right mind would allow this kind of intrusion?

Whou would allow, apparently all of the above - Scared little girlies

[ In Reply To ..]
When our work first went on the internet the hospital apparently put into play safeguards that our work would be confidential. There was a big to do about that certain point. Having said that, I never save work, donâ��t need for my particular job and have an office based room for me. I am not worried about all this hoopla. Makes you think about when the year 2000 came around. Everyone and I mean everyone scared because thinking all computers would fail, the world would fall into total silence, airplanes would fall from the sky. Well here it is 2010 and still around. Same scare tactics then.

Quiet space to work - BH

[ In Reply To ..]
I don't know what to say about the other things, but regarding the dogs, I know how you feel. We have 2 dogs. If I shut my door when I type, I hear them wrestling around in the living room and maybe tearing up things. If I keep them in the same room where I type, they bark at each other. Yes, definitely hard to hear the doctors. I am trying to get my daughter to supervise them while I work, yet not come into my bedroom while I type, because then I would have to stop typing.

Third shift option - Theresa

[ In Reply To ..]
I always worked 3rd shift. Worked great when my kids were small. By the time I started work they were in bed. I got them up for school, then I went to bed. I was up by the time they came in from school and had time to spend with them and cook supper, do homework, etc. Now, my kids are grown. Office in the bedroom is a great idea too. My puter is in my bedroom. My husband works in the oilfield and is gone away a lot; so when he is home, if he wakes up, he can see me. It was his idea to put the puter in the bedroom.

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crickets.... ...

May 26, 2013

So I just took a HIPAA course regarding the "new rules" regarding our liabilities and obligations under the law. I often get dictations by doctors who are obviously working at home with their kids running freely (and loudly) through the room, and perhaps a caretaker's voice now and then. If its a HIPAA violation for ME to have other people listening to dictation, isn't the doctor dictating in the presence of others who obviously have no business hearing that dictation a rep ...

Apr 12, 2015

Can a transcriptionist be in other room typing. What type of equipment would be needed. ...

Mar 18, 2010

I am currently using a Microsoft Natural 7000 keyboard. The space bar is getting more and more difficult to press (sticking), so I am looking to purchase a new one. I would prefer something where the keys type a little quieter and also one that is a lighter color (not black). Does anyone have any recommendations that are not extremely high priced? Thanks! ...

Sep 24, 2014

more than usual ...

Oct 20, 2010

Is emergency room transcription considered acute care or is just doing surgicals acute care? ...

Dec 20, 2011

TIA ...

Dec 16, 2009

nm. I am new to MQ but all my 30 years, I have never seen q. a.m. Is this in the BOS? ...