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

Feeling lost and alone - Exhausted MT

Posted: Apr 29, 2015

Hi everyone:) Hope some of you can help me out. I am new to the company, and boy am I confused. I have repeatedly asked for some things to help me out, but I rarely hear from my TSM, and I feel I am being avoided. I am totalliy worn out, the dictators are horrible! I have so many blanks in some of the reports, I feel like I am doing a horrible job, and I have a lot of experience. No feedback at all.

don't know if I can help... - mmbop

[ In Reply To ..]
Can you tell us what kinds of things you have questions about? If it's something more general and not account-specific, we might know. Have you phoned or Spark-messaged your TSM (rather than emailing)? Otherwise, make as much use of the written teaching materials they provide as you can, before asking your TSM, because it was fairly thorough. When I started, I had to spend a TON of time studying the instructions about how to use my typing platform, along with things like the AI account rules. I wrote up a personalized set of summary notes and reminders to help myself, which took awhile but was worth it. But I also had a helpful TSM. That was 7 years ago. But if it's important and your TSM really won't respond, I'd talk to your regional manager.

dont know specifically what you need - but

[ In Reply To ..]
What works for me is looking in history at those docs previous reports, looking at other people's templates that might be out there - pop a template into the job then cut & paste to notepad for future reference and revise it to "your way" as you learn. After you finish a difficult job, copy it to notepad even with those blanks (I put s/l blah blah, what it sounded like at the blank) - eventually you will fill in those blanks. I keep all my own templates on word pad, N system too slow!

Any and everything I find on google like devices, catheters, classification and grading systems, etc, I also keep lists of on notepad, a folder for each specialty cardio, onco, etc. I try to make sure I find the ones with TM or R symbols to be certain. I add to these daily, only takes a sec to copy & paste.

Hope this helps! :)

copy and paste not allowed - did you take HIPPA?

[ In Reply To ..]
Also in employee handbook. NO copy/paste allowed. Ever.

No, I did not take HIPPA - but I did take HIPAA

[ In Reply To ..]
and I read emails from TSM that tell me to cut & paste to notepad then cut & paste from there! Just had another one the other day. Where cut & paste is not allowed, it won't let you copy anyway.

You know you are right - if there is a tech problem

[ In Reply To ..]
Going on, they suggest you copy and paste to wordpad so if you lose the report you can paste it in. It's a whole lot of hogwash that you can't copy and paste.

Honestly. She is talking about - normals and they ARE allowed

[ In Reply To ..]
That is a pretty darned stupid rule anyway. It is just to cover their butts. What is a normal if not a copy and paste?

They just don't want anyone to ever figure out a way to go fast enough to do a decent line count is all. It's all about cutting down our profit and maximizing theirs.

Again, I see very little patient safety in not allowing cut and paste, simply covering their butts for HIPAA and cutting our line counts, but I DO make sure I only use my text expander or normals since they would probably arrest me if they caught me cutting or pasting or something.

Still think it's stupid though.

normals are not cut and paste - FG

[ In Reply To ..]
Copy from any word program is not allowed.

basically they are, as poster said, they just don't call them that - for HIPAA purposes

[ In Reply To ..]
xx

normals are created by dictators or hospitals. - xx

[ In Reply To ..]
You can not be sure by copying and pasting what you are calling a normal is correct. The original transcriber may not be correct. True normals are pulled into the document and are created by dictators.

The employee handbook says no copying and pasting and suggesting it to someone seeking advice is irresponsible.

There are heaps of normals created by - transcriptionists too

[ In Reply To ..]
I myself have created a few way back when we were doing a lot of straight typing training the speech engine.

Pulling these MT-authored normals in is NOT illegal in any way or against HIPAA. We have NOT been told we can only use "true" normals.

If that's what you want to do, you do it, but it is perfectly fine to bring in normals that are not official! If I am stuck I try to see what normals are there for the dictator. There are a lot of ones that were developed before the ISR was much good that can really help, so there!

I for one refuse to be "scared" by this claptrap. I find these ominous warnings ridiculous.

anything, no matter who created it, that can be popped - into a report in seconds

[ In Reply To ..]
as a time and quality saver, is definitely a cut & paste, no matter what you call it - template, normal, etc. And, like one poster said, if the system will not allow you to cut or copy, then it cannot be cut or copied!

My TSM frequently reminds us that we CAN cut and paste from notepad, so she must not have the employee handbook memorized.

Further, you can also screen print a report into "paint" format as a sample and hand copy (type) it from there, but not cut & paste, an example of when cut & paste does not work.

When I pop in an MT created normal - I go through it meticulously

[ In Reply To ..]
I don't expect it to be "correct" - it is just a guide.

So (1) it is NOT copying and pasting, it is a normal, no matter who created it, and (b) if you pull a doctor created normal you just pop it in and fill in the blanks, but it goes without saying that the MT normals are just to be used as guides, not used in the way the dictator normals are.

I have to wonder what the difference is anyway between painstakingly entering an entire PE into your text expander (which I have done many a time) and copying and pasting from Wordpad.

I know it's a rule and I do follow it, but it does seem pretty silly, especially when HIPAA does not specify no copying and pasting.

Nuance just has to go that extra mile to cover their butt and it's no skin off their nose (as per usual) that it makes it more difficult for us to get decent line counts.

Exactly! They are 'guides," you still have to - edit/transcribe

[ In Reply To ..]
gotta wonder why some don't get it?

Copying and pasting is not a HIPAA violation - Claptrap is right

[ In Reply To ..]
Sorry, but HIPAA has nothing to do with copying and pasting.

It doesn't even discuss it. HIPAA violations involve DISCLOSURES of PHI/PII to inappropriate entities.

actually hipaa does address this issue - see link

[ In Reply To ..]
http://www.healthcareitnews.com/news/ahima-urges-action-cut-paste

I also keep a long file on wordpad or word - by dictator

[ In Reply To ..]
This way I can search if I get stuck and 9 times out of 10 you can figure out what they are saying, especially in things like ROS and PE, or that unintelligible last line which is usually exactly the same, but sometimes is utterly impossible to hear because they just rush it.

waste of time asking TSM or anyone at N for help - et al

[ In Reply To ..]
They aren't familiar with any doctors anyway.

Think of yourself as Major Tom, sitting in a tin can far above the world. Planet Earth is blue and there's nothing you can do; your circuit's dead, there's something wrong -
Can you hear me, Nuance?
Can you hear me, Nuance?
Can you hear me, Nuance?
Can you....

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