Salary for Scoring records?

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Postby somnus diabolus » Thu Apr 11, 2013 1:58 am

K-sey Complex wrote:I didn't bash your lab one bit. I said it doesn't meet my standards. It doesn't. I said I wouldn't recommend it. I wouldn't. Anyone who wants to know why I feel like that can refer to this thread. It is an opinion based on a fact. That fact is that you don't do something that I feel is a necessary step. That is a fact. If you or anyone else is fine with the way you do it, more power to you. But I assure you, stating how I feel about a fact that you are the source of is not bashing.
And I do not need to see your lab for myself. You just told me how you score records. YOU DID. I trust you are accurate in your description of how you score. I do not find it up to my standards. What the hell would I need to see??

And CPAP compliance rate has absolutely nothing to do with this conversation. It is exclusively about scoring records so I have no idea why that obscure comment flew in out of left field.
it was an excuse to say you we're juvenile. Being juvenile calling you juvenile, you know? It was a joke, dude
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Postby K-sey Complex » Thu Apr 11, 2013 2:13 am

Our philosophies on humor don't seem to match up either. :D
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Postby tiredjohnny1 » Thu Apr 11, 2013 4:47 am

You at least have to give SD credit for sticking around to try to explain his position. ANC and 88 didn't.
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Postby somnonaut » Thu Apr 11, 2013 5:53 am

88 is still checking the receiver.
"...remember the Phil Hendrie Show? The times when an irate caller was on the line giving a preconceived, irrational and nearly delusional speech-not listening to anything Phil has to say...and Phil just puts down the phone and tells jokes with the other "guests", periodically listening in to see if the caller is ready to have an actual converation...[sic]

I put down the phone a few days ago and occasionally check back in to see if the participants are finished with their diatribe."

Striving for "good enough" is not anything I have ever heard 88 even contemplate, let alone implement. There must be some serious pressure to cut expenses to make him allow this. Maybe the pressures are too great on pending downsizing or such. The scoring ends up being the actual product that goes out the door. All other nuances of technical error or technical inaccuracies are buried in the PSG, but inaccurate scoring can be tantamount to diagnosing.
So lets review:
He now wakes patients up at 6hr of recording mark, even if that means it is 4:30 AM.
He allows scorers to blast through the record as fast as the computer will allow them.
He still mandates proper measured 10-20 electrode application.
He still mandates using more expensive collodian for electrode application.
So somethings are still on the chopping block (collodian.) I wonder when that will fall?
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Postby K-sey Complex » Thu Apr 11, 2013 6:17 am

Oh I bet they will be back. My guess is that at least one will return to the conversation to tell us how great they are for not returning to the conversation. :lol: :lol: :lol:
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Postby RPSGT88athome » Fri Apr 12, 2013 4:07 am

somnonaut wrote:88 is still checking the receiver.
"...remember the Phil Hendrie Show? The times when an irate caller was on the line giving a preconceived, irrational and nearly delusional speech-not listening to anything Phil has to say...and Phil just puts down the phone and tells jokes with the other "guests", periodically listening in to see if the caller is ready to have an actual converation...[sic]

I put down the phone a few days ago and occasionally check back in to see if the participants are finished with their diatribe."

Striving for "good enough" is not anything I have ever heard 88 even contemplate, let alone implement. There must be some serious pressure to cut expenses to make him allow this. Maybe the pressures are too great on pending downsizing or such. The scoring ends up being the actual product that goes out the door. All other nuances of technical error or technical inaccuracies are buried in the PSG, but inaccurate scoring can be tantamount to diagnosing.
So lets review:
He now wakes patients up at 6hr of recording mark, even if that means it is 4:30 AM.
He allows scorers to blast through the record as fast as the computer will allow them.
He still mandates proper measured 10-20 electrode application.
He still mandates using more expensive collodian for electrode application.
So somethings are still on the chopping block (collodian.) I wonder when that will fall?


Ahh Somno are you finally ready to have a conversation?

"He now wakes patients up at 6hr of recording mark, even if that means it is 4:30 AM."

Wrong. You added your own interpretation to my answer of a theoretical question asked by another member: I never stated our practice has a policy of now getting patients up at 4:30 at the 6 hr mark. Our policy is to get the patient up when the goals of recording have been met and I've drilled this into my techs for many many years. It may take 8 or even 9 hours to record some things or even perfect a titration. My techs will attest to having to stay late in the mornigns to accomplish these goals.

"He allows scorers to blast through the record as fast as the computer will allow them."

Wrong. Both of my techs writing on here and I have stated we take extra time on difficult records (with more abnormalities) but you have not been able to swallow that fact.

"He still mandates proper measured 10-20 electrode application."

Correct.

"He still mandates using more expensive collodian for electrode application."

Correct but not for every single patient.

"The scoring ends up being the actual product that goes out the door. All other nuances of technical error or technical inaccuracies are buried in the PSG, but inaccurate scoring can be tantamount to diagnosing."

I completely agree.

I am curious why K-sey's lab has two doctors review each study.

RPSGT88
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Postby somnonaut » Fri Apr 12, 2013 6:18 am

No, ANC lamented in the video how Sloooowww the comptuer was, so that means if the computer was fester he would score faster, ergo he can go as fast as the computer will allow him.

You reply is too little too late. You should have chimed in when you put the phone down. But hey, its not my reputation.

Again, its a sad day in Smallville.
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Postby RPSGT88athome » Fri Apr 12, 2013 11:55 am

Once again we are at the same place. Disagreeing over sleep.

Truth be told, my friend, I don't need your approval of the policies and practices of my lab, my techs, or my Medical Director. I respect your opinion for what it is but not more.

As my techs have tried to explain to deaf ears, we take extra time to analyze records that deserve it, that are or even could be abnormal per the history. Perhaps that is why patients come from other US States to our lab, to have our technologists and our specialist adult and pediatric neurologists, all boarded in sleep, interpret their studies.

You guys can throw stones all you want. I do not seek nor require your approval of our practices in conducting SLEEP in our specialist niche.

And K-sey, I hired one of your technologists awhile back, with recommendations from your docs, and had to re-train the person. He or She was actually scoring hypopneas and titrating upwards due to PLMS causing variances in airflow. The person thought the slightly lower airflow between PLMS were hypopneas. Overtitrating over and over. You can say your lab is "all that" but have not proven the point. As for the inner functions of my lab, you have little information on how it works. And you dare to form an entire opinion of my lab on a record my guys posted to show how fast they could score a normal CPAP record.

This is not my first rodeo. I was trained and worked in teaching hospitals with AASM accredited Sleep Disorders Centers. Our doctors demanded perfection and would send back records for rescoring without telling us what was wrong with them. We had to figure all that out. On paper.

So, remain blind as long as it affirms your self-worth. You and Somno are not the "authorities" on how to conduct SLEEP.

RPSGT88
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Postby #42dreamweaver » Fri Apr 12, 2013 11:56 am

RPSGT88athome wrote:
somnonaut wrote:I am curious why K-sey's lab has two doctors review each study.

RPSGT88


Let me answer that one 88, and its a shame you dont know the answer, as my examples clearly show that even a kid can answer that question....

https://www.youtube.com/watch?v=D31q036 ... ata_player

https://www.youtube.com/watch?v=F0FL1Az ... ata_player
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Postby K-sey Complex » Fri Apr 12, 2013 4:58 pm

RPSGT88athome wrote:I am curious why K-sey's lab has two doctors review each study.

RPSGT88


Simple answer. Because we can. We have 19 attending physicians that work at and with my lab and the a fellowship program that trains a group of 7 doctors a year go be sleep certified. All of our studies are reviewed with the attending and one of the sleep fellows at the minimum. Any record could be reviewed by several doctors but always at least two.

All that and we still don't use any of our docs as a safety net as your lab apparently does. We take a precaution that you do not. Not because we have to, not because we need to, because we aren't lazy or cocky and our docs are more than willing to wait for a record allow us to take those safety measures. Even on priority scores. You don't do it because you think it's an unecessary waste of time. Your doc must agree or he wouldn't be ok with you skipping that step. (Unless you are hiding it.)
These are facts my friend and some of them by your own lab employees admissions.

As for a bad tech coming to you from here to there (pay attention, folks..) I bet I know exactly who it is. And if it is them, it was a tech that was less than a month off of their probation period and was NOT a scoring tech. 60 techs at my lab and not all 60 are at the same skill level. Just like your handful of techs aren't. You and your vast experience should know that all techs are not created equal. And it's not a coincidence that they are gone.

My assessment of your lab comes from truths that you and your coworkers have stated. Yours comes from an employee who worked her for what I consider a very brief time and was NOT finished with their training. That or an employee who left years ago. One of the two. No third option.

If it is not the tech I am thinking of, than it was a tech from yeeeeaaaarrrss ago. The last three years our lab has undergone so much change (for the better) from what it was before. So if you have a tech that came to you from before that, you don't know shit about my lab.

\:D/ \:D/ \:D/
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Postby K-sey Complex » Fri Apr 12, 2013 5:07 pm

I'll also add that we staff a minimum of 8 techs for 11 patients where I work. New techs are not thrown to the wolves and our shift coordinators or experienced techs are always their to be sure whatever is done, is done as best as it can be. Another simple answer is this... the inexperienced techs are not left to fly solo if they are not ready.
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Postby K-sey Complex » Fri Apr 12, 2013 5:14 pm

Lastly... my feelings on your methods do not come from that video. They come from what you and your coworkers have written in this thread. What you practices and your defense of what you do. (Or rather don't do.)
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Postby bduce » Fri Apr 12, 2013 10:16 pm

Wow. This whole thread must go down as the ultimate p!ssing contest..... from both sides of this argument. Please PM me all your addresses so I can send out your authentic badges stating "I am so damn good - ask me why!"
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Postby somnus diabolus » Fri Apr 12, 2013 10:18 pm

bduce wrote:Wow. This whole thread must go down as the ultimate p!ssing contest..... from both sides of this argument. Please PM me all your addresses so I can send out your authentic badges stating "I am so damn good - ask me why!"
haha. Yeah, I got carried away, sorry about that
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Postby bduce » Fri Apr 12, 2013 10:18 pm

And the week after I will send you your matching badge stating "Wait don't ask. I shall tell you anyway!"
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