Qa Checklist
Qa Checklist
Please review the tablebelow. For the QA that your clinic performs, you need to at least observe
theprocedure. Ifyouareabletoassistorperformanyofthefollowingprocedures,that'seven
better! At the completion of the Fall QA course, submit the table below leaving an "x" in the
boxes that apply to the procedures that you have observed or participated in and have your
preceptor sign the form. Submit this table to the dropbox by the last day of the course in Fall
Semester. Make sure you mentton this assignment to your preceptor or physicist prior to the
beginning of the QA course, so they are able to help gei you involved in as much QA as possible.
Monthlv Linac
Monthly CT Simulator
IMRT
SRS
Brachytherapy
Respiratory Gating*
IGRT system
j
Treatment Planning System
Preceptor
Ln
signature Date
4 &o
*IfRespiratory gating is not performed in your clinic, research this topic
and provide a short
summary of the QA to be performed along with the cuffent tolerances.