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---Varian Brigham 6 ex

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 and is comfortable with the procedure.

1. Turn monitors on by flipping switches (located under open door cabinets)

2. Press F2 on the Clinac console and execute a self-test

3. Insert keys into the Clinac computer and console. Turn Clinac from standby to on. This will initiate the 12-minute time delay

4. Inside room, move Gantry & collimator to zero degrees. Read temp. pressure of room, and water temp, water & gas pressure of Clinac

5. Turn on the MLC computer, IMPAC Computer, and Portal Vision Computer

6. Turn on MLC Contoller when HyperTerminal program is up

7. Program IMPAC once HyperTerminal indicates MLC leafs are moving

8. Ask therapist to log into IMPAC. A new screen should appear showing the leafs in Red moving in/out

9. Log in to the Portal Vision Computer at this time:

  • Username: therapist

  • Password: therapist

10. Ask Therapist to put IMPAC into standby

11. Bring up the “Millennium MLC Workstation”, and park the mlc

12. On Console load “Morning Checkout”, check that Opening Door and turning Key shut machine off. Also test backup counter

13. Exit out of Morning Checkout and record water temperature, water & gass pressure of Clinac

14. Bring up Clinical Mode

15. Setup the Argus system inside room to measure beam output

  • 25 X 25 field size

  • 100 FSD

  • Place lcm build up plate onto tracker

16. Have therapist log into Argus system outside of room. Run 100 MU’s. Measure & record Beam output. Save data and exit

17. Perform IMRT QA test

18. Close MLC program that is in Park and then exit standby in IMPAC


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


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


Student’s Signature:
Clinical Supervisor’s Signature:


STUDENT:____________________________ DATE:___________

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