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Irritated today! - Can I rant pretty please?

Posted: May 16, 2013

On my job (VR) the account specifics say to do headings a certain way, using certain terms, even if the doctor doesn't dictate them that way, change them to what the hospital prefers. Well, the thing is NONE of the doctors dictate them the way the hospital prefers, so I have to go in and change every single heading on every single report!!!! Wouldn't it make so much sense to tell the doctors, "LOOK, THIS IS WHAT HEADINGS WE USE, NOW SAY THEM!!" Why in the world should I be required to waste so much time changing them? This is like borderline disrespectful, in my opinion. I know that may sound ridiculous, but I feel that way. Stopping and changing headings slows ME down, makes my production lower and makes me make less money when they could just tell the doctors to say them that way. I wonder why they won't just do that!

Okay, my rant session for Thursday morning.

Agree 100% - Alice

[ In Reply To ..]
This is one of my pet peeves. For some reason that I don't understand, doctors and other dictating clinicians apparently cannot be taught anything, or the managers feel intimidated and so awestruck by them that they are afraid to approach/correct them. At some point in our history, doctors were put on a pedestal and given the status of godhood. I don't get it.

Untouchable - MT

[ In Reply To ..]
For years, I have put on QA notes if the dictator were difficult so that QA knows why the blanks went through, and also a heads up on the dept. being aware of some major possible issues with legal. The other day I was told by my sup to no longer put that as it may be seen by the dictator and could...
"hurt their feelings."

poor baby. Dangerous to the patient/medical record, but so touchy feeling of own feelings.
That is sooo wrong and SO codependent!

The client services people at my company - will not approach the practice about this

[ In Reply To ..]
I have one account that is HORRIBLE about putting the patient list in some kind of reasonable order (by doctor or alphabetical - something). I was told that we just take whatever they send and make it pretty (kiss their rear basically) or else they might go somewhere else.

Now, I've been on the other side of this fence. I worked for a practice that sent work to one of these companies and I was very glad when they gave us feedback on what we could do to make their job easier (and get the work back faster and better quality as a result).

Makes no sense to me.

Well it is starting to really make me mad - OP

[ In Reply To ..]
When I was trained and they told me about the headings, she said "We have tried to tell the doctors, but you know how they are" chuckle, chuckle. My thoughts though are that the HOSPITAL is the one that requires the headings like that, so if the doctor dictates them incorrectly, they should go in the report incorrectly and the hospital can take that up with them. I spend over half of my time on the reports changing these settings around and it is crazy!

If an MTSO is paying its MTs on a production basis - it makes perfect sense

[ In Reply To ..]
Why would they go out of their way to talk to the client about the way they're dictating when it could possibly irritate the client? The MTSO is still only paying the MT a fixed amount for so many lines and receiving a fixed amount for those lines. An MTSO owner/manager who will not contact the client about a real dictation issue is only concerned about his or her pocketbook. It's plain selfishness. If the MTSO is paying its MTs hourly, they would be more likely to tell the client there was a problem with the dictation because the longer the MT takes to do the job, the more the MTSO has to pay that MT, and the less the MTSO will profit.

I wish people would just do the right thing. I hate greed, cowardice, and trickle-down crap.

borderline (?) disrespectful... - Susan

[ In Reply To ..]
Yes, completely - but....my experience is that very few dictators (any level of education) are as OCD as transcriptionists... they don't get it, and even if they have enough logical/sequential thinking going on, it disappears with the first word dictated.. I'm just saying....

In case you're changing them by deletion, reinsertion... - sm

[ In Reply To ..]
I do have a little trick that might help speed that up some (not by much, but any is a help) if you use an expander. You can just make a shortcut that adds a letter to the end of the old heading in order to have it expand to the new heading. For example, procedure:n expands to NAME OF PROCEDURE:

So, obviously, you just go to the end of the heading PROCEDURE: and type 'n'. It also adds an extra space that needs to be deleted, unfortunately, but for me, at least, it's still faster than highlighting PROCEDURE:, deleting it, reinserting the new header with "noph" for NAME OF PROCEDURE: and then deleting a space. If I had to do it as constantly as you do, I'd actually make a Word macro (since I work in a Word-based platform) to find/replace the most common ones and run it at the beginning of each report.

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