HSC 3409-30<br />Treatment Procedures<br />
Treatment Tasks<br />Review of the chart (signature??)<br />Preparation of room<br />Identify and greet<br />Assist onto t...
RadOnc record<br />Separate from hospital chart<br />Contains:<br /> Diagnosis to include pathology etc.<br />Consultation...
RadOnc chart cont.<br />EMR<br />Record & Verify<br />Quality Assurance<br />
Treatment Preparation<br />Patient Identification (photo)<br />Signed prescription<br />Detailed positioning and immobiliz...
Radiation Prescription<br />Anatomic site<br />Total radiation dose<br />Fractionation<br />Protraction<br />Treatment tec...
Radiation Prescription cont.<br />Be aware of changes:<br />Signature must accompany changes<br />Fractionation<br />Total...
Treatment Plan Description and Reference<br />Treatment field syn. With field portal or port<br />Each field has a differe...
Treatment Record<br />Documents implementation of treatment<br />Should be able to tell:<br />Last treatment<br />How far ...
Verification Images<br />Hard film<br />Electronic Image<br />Usually weekly<br />Graticule (BB tray)<br />
Treatment Room<br />Isocenter (3 axes of rotation)<br />Lasers<br />Lighting<br />Treatment couch<br />Cleaning supplies<b...
Patient Transfers<br />Wheelchair transfer<br />Gurney transfer<br />
Patient position, isocenter, and field placement<br />Patient positioning<br />Localization<br />Isocenter positioning<br ...
Beam Positioning and Shape<br />MLC<br />Blocks<br />
MLC<br />
Blocks<br />
Beam Modifying Devices<br />Bolus<br />Compensators<br />Wedge<br />Transmission Filters<br />
Bolus<br />
Compensators<br />
Wedges<br />YouTube - Wedge It<br />
Electron beam modifiers<br />Collimation<br />Internal Shielding<br />Bolus<br />Shaping<br />
Assessment and acceptance of treatment parameters<br />Patient monitoring systems<br />Console<br />
Treatment Delivery<br />Beam on/off<br />Interruptions<br />
Common treatment techniques<br />Multiple fields<br />Adjacent fields<br />IMRT<br />IGRT<br />
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Hsc 340 9 30

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Hsc 340 9 30

  1. 1. HSC 3409-30<br />Treatment Procedures<br />
  2. 2. Treatment Tasks<br />Review of the chart (signature??)<br />Preparation of room<br />Identify and greet<br />Assist onto table into position<br />Locate marks<br />Raise couch<br />Move patient into position<br />Rotate gantry & collimator<br />Position beam modifiers and shapers<br />Leave room<br />Monitor the patient<br />Set controls<br />Beam on<br />Record treatment<br />Assist patient out of room<br />
  3. 3. RadOnc record<br />Separate from hospital chart<br />Contains:<br /> Diagnosis to include pathology etc.<br />Consultation <br />Consent<br />Response to treatment<br />Monitoring of treatment<br />
  4. 4. RadOnc chart cont.<br />EMR<br />Record & Verify<br />Quality Assurance<br />
  5. 5. Treatment Preparation<br />Patient Identification (photo)<br />Signed prescription<br />Detailed positioning and immobilization information<br />Dosimetry plans<br />Calculations<br />Treatment record<br />Documents delivery<br />Records fractional and cumulative doses<br />Machine settings<br />Verification imaging<br />Any rx. change<br />
  6. 6. Radiation Prescription<br />Anatomic site<br />Total radiation dose<br />Fractionation<br />Protraction<br />Treatment technique<br />May have:<br />Energy<br />Port size and angles<br />Beam modifiers<br />
  7. 7. Radiation Prescription cont.<br />Be aware of changes:<br />Signature must accompany changes<br />Fractionation<br />Total dose<br />Addition/deletion of blocks/bolus<br />
  8. 8. Treatment Plan Description and Reference<br />Treatment field syn. With field portal or port<br />Each field has a different name<br />Changes are denoted with a subscript, numbers or prime marks<br />Specifies field size (w X l), orientation and beam modifiers<br />Images<br />
  9. 9. Treatment Record<br />Documents implementation of treatment<br />Should be able to tell:<br />Last treatment<br />How far along<br />Films needed<br />Changes to rx.<br />Treatment date, number, elapsed days, fractional and total dose delivered, notations, initials<br />
  10. 10. Verification Images<br />Hard film<br />Electronic Image<br />Usually weekly<br />Graticule (BB tray)<br />
  11. 11. Treatment Room<br />Isocenter (3 axes of rotation)<br />Lasers<br />Lighting<br />Treatment couch<br />Cleaning supplies<br />Treatment accessories/devices<br />
  12. 12. Patient Transfers<br />Wheelchair transfer<br />Gurney transfer<br />
  13. 13. Patient position, isocenter, and field placement<br />Patient positioning<br />Localization<br />Isocenter positioning<br />Verification Imaging<br />
  14. 14. Beam Positioning and Shape<br />MLC<br />Blocks<br />
  15. 15. MLC<br />
  16. 16. Blocks<br />
  17. 17. Beam Modifying Devices<br />Bolus<br />Compensators<br />Wedge<br />Transmission Filters<br />
  18. 18. Bolus<br />
  19. 19. Compensators<br />
  20. 20. Wedges<br />YouTube - Wedge It<br />
  21. 21. Electron beam modifiers<br />Collimation<br />Internal Shielding<br />Bolus<br />Shaping<br />
  22. 22. Assessment and acceptance of treatment parameters<br />Patient monitoring systems<br />Console<br />
  23. 23. Treatment Delivery<br />Beam on/off<br />Interruptions<br />
  24. 24. Common treatment techniques<br />Multiple fields<br />Adjacent fields<br />IMRT<br />IGRT<br />

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