Massachusetts college of pharmacy & health sciences radiation therapy program school of Medical Imaging & Therapeutics Contact Information



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CLINICAL SITE:______________________




COMPETENCY 4: Warm-up Procedures---Siemens Primus


The student will demonstrate the morning warm-up procedure for each treatment unit. To be performed after the student has performed the procedure under the direction of a clinical supervisor.

EQUIPMENT UTILIZED:
PROCEDURE: S US

1. Boot-up Windows







2. Place key in stand-by, turn to PGM/RDY (type in date and time).







3. Place the 25x25 electron cone into the collimator







  1. Select correct number of MU and beam energy for assigned treatment unit, turn key to “ON” and press beam on. Repeat procedure.







5. Perform morning dosimeter readings

a. Set 10 X 10 to check for field size QA

b. Place PROTEA on table, align crosshairs, set correct SSD

c. Select and run separately MU of 6, 7, 9, 10, 12, 15MeV energies.

Record all six channels after each energy is run.

d. Repeat “b” with each photon energy (6MV-X and 10MV-X)



























6. Report to physics if readings are outside standard limits.







7. Record values in “Morning Checkout” for Pulse tank pressure,

Pulse tank oil level, SF6 pressure, Water level, Water purity light, Water

pressure, Water temperature, Filament hours, HV hours, Meters, Room .

temperature, air pressure and relative humidity.



Describe radiation therapist responsibilities when readings are unacceptable.







8. Initialize table.







9. Turn on patient monitoring devices.








IN PERFORMING THIS PROCEDURE THE STUDENT: S US

Was obviously satisfied with an unsuccessful or incomplete result







Was awkward and lacked a coordinated approach to the procedure







Proceeded rapidly but exhibited a lack of attention to detail







Was slow and deliberate







Was well paced and thorough







Exhibited dexterity, precision, and coordination







Proceeded rapidly and skillfully








STUDENT:___________________________


CONCEPT COMPREHENSION:

Comprehension of concepts necessary for completing this task was: (Check one)

Inadequate for even basic concepts




Limited understanding of essential concepts




Adequate understanding of basic concepts




Above average understanding of basic concepts




Comprehensive knowledge of basic and advanced concepts





ADDITIONAL COMMENTS:

Student’s Signature:
Clinical Supervisor’s Signature:

3/00


Reviewed: 8/01


STUDENT:____________________________ DATE:___________________

CLINICAL SITE:______________________




COMPETENCY 4: Warm-up Procedures---Trilogy


The student will demonstrate the morning warm-up procedure for each treatment unit. To be performed after the student has performed the procedure under the direction of a clinical supervisor.

EQUIPMENT UTILIZED:
PROCEDURE:

S US

1. With key in standby, turn on console monitor







2. Place key in machine and turn “ON”----time delay appears.







3. Activate MLC by turning on the power coordinator. Turn on MLC computer/Hyperterminal already on







4. Turn on 4DCT







5. Hit F1 and select morning checkout







6. Check Lasers and ODI, Set 10x10 field Size







7. Bring Gantry to desired Angle. Check if crosshairs intersect the dosimeter @ the angle.







8. At completion of time delay, select correct number of MU and beam energy

for assigned treatment unit, turn key to “ON” and press beam on.









9.







10. Perform morning dosimeter readings

a. Bring Gantry to desired Angle. Check if crosshairs intersect the dosimeter @ the angle.

b. Select and run separately: MU of 6, 9 and 12 MEV energies.

Record all five channels after each energy is run.

c. Repeat “b” with each photon energy

d. Record dosimeter readings

e. Check if readings are within tolerance





















11. Report to physics if readings are outside standard limits







12. Record Room temperature, room pressure, check water level, water pressure, water temperature and gas pressure.







13. Adjust gas pressure and water level accordingly







14. Record values in “Morning Checkout” for water pressure, water temperature,

and gas pressure. Describe radiation therapist responsibilities when readings

are unacceptable.








15. Check jaw sizes.







16. Turn on patient monitoring devices.







17. Explain the flatness and symmetry of the beam you are checking.

18. Warm Up SBRT Cameras

a. Set 20x20 field size

b. Place SBRT PROTEA on table, set SSD and Align Cross hairs

c. Turn on mobile SBRT computer unit

d. Check CAX on PROTEA @ 270 and 90 degrees

e. Record mag factor @270 degrees from mobile SBRT uit
19. Warm up OBI

a. Turn OBI console on and select OBI application

b. warm up tube with 20 second exposure
20. Print out necessary forms









IN PERFORMING THIS PROCEDURE THE STUDENT: S US

Was obviously satisfied with an unsuccessful or incomplete result







Was awkward and lacked a coordinated approach to the procedure







Proceeded rapidly but exhibited a lack of attention to detail







Was slow and deliberate







Was well paced and thorough







Exhibited dexterity, precision, and coordination







Proceeded rapidly and skillfully









6/08

MASSACHUSETTS COLLEGE OF PHARMACY & HEALTH SCIENCES

RADIATION THERAPY PROGRAM




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