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Oh Look! A FIESA Email! :D - 7th child

Posted: Dec 12, 2013

Don't you love starting your day with a few informative emails with the mistakes you made? It brings such joy to my life. But seriously, I will be giving myself away with this one but COME ON, I got a BMI wrong yesterday because evidently he didn't mean to give me a blah.blah-blah-blah%, he was "stumbling" over his words. The "helpful" note said that I should have consulted a BMI calculator to find the correct BMI. Sigh.... just another clerical duty, part of my job description...?

and if you had made such a decision on your own - you would get a ding for SM

[ In Reply To ..]
being foolish enough to decide to put something in and whatever you put would have been wrong, you'd have been off in your calculations, but protest that you used a calculator or consulted a BMI chart on line, you'd be told your calculations were wrong and you shouldn't trust everything you find on the internet.

Those people are out of their flippin minds. You have to wonder, what in the ever lovin H they are thinking. It's pathetic.

An MT is not qualified to QA a physician - OldMT sm

[ In Reply To ..]
I don't work for Nuance, but I worked for an MTSO who tried this very same thing. My answer was that I am a medical transcriptionist and it is not my job, nor am I qualified, to do QA on a physician. That's what they have peer review for.

I transcribe what is dictated. Period.

If the physician dictates a BMI, I type what is dictated. I do not stop to use my own BMI calculator to ensure that he/she is correct.

If the physician dictates, "This is a 72-year-old...", I do not go back to calculate the patient's date of birth to make sure he/she is correct.

If the physician dictates in the diagnosis that the patient had an "I&D," I do not go back to previous reports to see if I can find out if it was an incision and drainage or an irrigation and drainage.

I will not go back to previous reports to make sure that the physician dictated the correct medication list.

All these things (and much more) are simply not my job. My job is to transcribe what is dictated. I will flag potential errors (i.e, dictates that aspirin is an allergy, but then lists aspirin in the patient's medication list), but that's as far as it goes.

We should all be doctors I guess - TiredMT

[ In Reply To ..]
Unfortunately I was told that it was my responsibility to make sure what the doctor said was correct, as in the labs are not out of the normal parameters, the dosage on meds were not out of line, etc. So basically what they want is for you to research all labs and meds, etc. I agree with you completely. If I am supposed to know all of this then I would have gone to medical school and become a doctor. It is up to the doctor to dictate the correct information. He/She is looking at the meds and labs when they dictate. It is crazy what is expected out of people that they do not want to pay their worth. I also was told not to spend too much time trying to figure out something - so what it is? Research all these meds/labs, old reports, or not? It is crazy.

Re: Aspirin vs. NO aspirin SM - WORKING FOR ZERO

[ In Reply To ..]
I may or may not catch the aspirin discrepancy, then again I might not. I may flag it (on MY time, MY time), then again I might not. With certainty, though, I will not be held responsible for failure to do so.

As MT, for sure no deed goes unpunished. Darned if you do, darned if you don't. Chances are we would get dinged for whatever we did in this situation.

I will sometimes flag meds and lab values - OldMT sm

[ In Reply To ..]
If a medication dosage or lab value is extremely unusual, I will flag those. As an MT, I think it is my job to know normal lab ranges and usual medication dosages. And I think it is my job to flag anything that seems like it may be in error.

But many of the things that my former MTSO was asking for were NOT the job of an MT. Medication dosages and lab values change over time, so it does no good to look those up on an old report.

It is also not my job to verify that the physician is dictating the patient's BMI correctly. In order to calculate the BMI myself, I need the patient's height and weight, and how could I be sure that the physician dictated those correctly? It does no good to look that up on a previous report since a patient will often either lose or gain weight. So, I'll either type it as dictated or flag it.

When they start paying for that knowledge SM - UNPAID IDIOT

[ In Reply To ..]
Let them PAY for my time for flagging, let them put me through a course in Pharmacology or Lab Technology, maybe then I'll flag/QA. MDs & nurses are making the bucks, not us. Medical Transcription means exactly what it says- NOT Medical Second Guessing (MSG)or Medical Flagging (MF).

Too much, too many sacrifices are already being required of us. Next, MTs will be sued for NOT catching the dictator's error...medical knowledge which we are not required to know.

Not an MTs job sm - SamMT

[ In Reply To ..]
In the past, whenever I have pointed out that all this crap, verifying, flagging discrepancies, demographic research is uncompensated, I was told by the MTSO.. "It's part of the job". No, it's not part of my job.

You cannot be legally be consistently required to do anything not paid for as "part of the job".

I'm sure they may find a loophole or a way to get around this; think of the $$$s they'd lose, if they actually had to PAY us for this "required part of your job".

One issue, however, should be nonnegotiable: Dinging/docking your pay for perceived errors or omissions for UNPAID WORK.

We are hired/paid PER TRANSCRIBED LINE sm - UNPAID SLAVE

[ In Reply To ..]
As an hourly employee, O.K... but as a Per Line employee? I don't see how they have been getting by with this for so long.

We all need to keep a daily log with all the unpaid work we do, both on a minute by minute as well as how many characters/lines we do UNPAID ... even if only a conservative estimate and SAVE THAT LOG. They are forcing us to do all this unpaid work under the threat of termination, so we won't actually be able to use this log until we are no longer with the company, but it's worth a try.

So now we have to second guess - NOT MY ****ING JOB

[ In Reply To ..]
the mumbling, moron MDs? We're not presumed to have medical knowledge, only to understand and spell it. That's why they get the big bucks while we get pennies. Same goes for lab values, common/standard doses of medications...I type what I hear, end of story. It may sound harsh, but so does losing my home, car, food stamps or my family doing without.

Ah, but if you second guess... - please sm.

[ In Reply To ..]
...you may get hit with a major error. If you leave a blank, you should have looked it up on google or previous report (per a few QA--not all) so points off for "invalid blank," and if you blank it and QA cannot get it, then the MT may get points taken off for an "invalid blank." Seeing a pattern here? Blame the MT regardless. Don't rock the boat asking the dictators to enunciate and double-check their data.

Do yourself a favor and SM - Save all those e-mails

[ In Reply To ..]
Having saved them may come in mighty handy when trying to dock your pay for not using knowledge required only of MDS.

Also, if the issue of termination due to quality issues ever came up in the event of an Unemployment hearing, you will pat yourself on the back after that first UE check for your family comes in.

Just IMHO.

Is that QA person sending you a calculator? sm - LMAO

[ In Reply To ..]
I would have gotten a reversal & SENT HER/HIS STUPID E-MAIL TO MGMT'S LEGAL DEPARTMENT. Required to use a calculator now? What next - use your imagination!

Save that e-mail, if for no other reason than to establish a pattern of stupidity.

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