Louisiana State University
Health Sciences Center
Radiology Department
Shreveport, La
(318) 675 - 6200

 

19.0 Radiology Oncology
19.1 Scope of Services
19.1.1 Staffing Plan
19.1.1a Verification of License
19.1.2 Continuum of Care
19.1.3 Managed Care Program
19.1.4 Use of Outside Facilities
19.1.5 After Hours Emergency Procedures
19.1.6 Medical Records Documentation
19.1.7

Formal Quality Assurance and Improvement Program
19.1.8

RADIATION ONCOLOGY DRESS CODE GUIDELINES

19.1.9 Misadministration of Radiation Treatment
19.1.10 Radiation Therapy Time Out Protocol
19.2 Radiation Oncology Consultations
19.2.1 Pathology Documentation
19.2.2 Radiation Oncology Chart Documentation
19.3 Nurses General Duties
19.3.1 Patient Assessment
19.3.1.1 Nutritional Assessment and Care
19.3.1.2

Weekly Assessment of Patients under Treatment
19.3.2 Patient Education and Handouts
19.3.2.1 Skin Care for treatment Area
19.3.2.1A

Skin and Wound Dressing in Radiation Oncology
19.3.2.2 Nutritional Guidelines
19.3.2.3 Radiation Therapy and You Handbook
19.3.2.4 Site Specific Total body
19.3.2.5 Site Specific Central Nervous System
19.3.2.6 Site Specific Extremities
19.3.2.7 Site specific Skin
19.3.2.8 Site Specific Thorax
19.3.2.9 Site Specific Head and Neck
19.3.2.10 Site Specific Abdomen
19.3.2.11 Site Specific Breast
19.3.2.12 Site Specific Male Pelvis
19.3.2.13 Fatigue During Rad Treatments
19.3.2.14 Diarrhea During Rad Treatments
19.3.2.15 Nutritional Support Supplement
19.3.2.16 Hair loss during Rad Treatments
19.3.2.17

Skin Care for Open Skin Lesions
19.3.2.18 What to expect during Rad Treatments
19.3.2.19 Cesium Implants Patient Education
19.3.2.20 Radiation Therapy to Head and Neck
19.3.3 Management of Neutropenia
19.3.4 Management of Thrombocytopenia
19.3.5 Pacemaker Protocol
19.3.6 Pregnancy of Rad Onco Patient
19.3.7 Follow Up Appointments
19.3.7.1 Missed follow up appointments
19.3.8 Nursing Documentation
19.3.9 Nasopharynoscopy nursing procedure
19.3.10 Laryngeal scope Processing Gluderaldehyde
19.4 ACQSIM CT Warm-Up
19.4.1 ACQSIM BB QA
19.4.2 ACQSIM Water Phantom
19.4.3 ACQSIM Scanning Procedure
19.4.4 ACQSIM3 Pinnacle Simulation Scannings
19.4.5 ACQSIM CT Image Transfer to pinnacle
19.4.6 ACQSIM Printing Film
19.4.7 ACQSIM CT scanner Emergency & Safety Procedure
19.4.8 ACQSIM Scheduling and Patient Handout
19.4.9 Extravasation Detection Device
19.4.10 EZEM Empower Injector Basic Operation
19.4.11 Spine Simulation
19.4.12 Abdominal Simulation
19.4.13 Breast Simulation
19.4.14 Craniospinal Axis Simulation
19.4.15 Pituitary Simulation
19.4.16 Mantle Basic Simulation
19.4.17 Prostrate Gold Seed Placement and Simulation
19.4.18 IMRT Set-up Assist
19.5 Aqua Plast Water Bath Warmer
19.5.1 Alpha cradle Immobilization Device
19.5.2 Aqua plast construction Head and Neck
19.5.2.1 Head Fix Immobilization Device
19.5.2.2 Body Fix Immobilization Device
19.5.3 Melting Cerroband
19.5.4 Computerized Block Cutter Operation
19.5.5 Customized Shielding
19.5.6 Customized Shielding Check
19.5.7 Tattooing treatment fields
19.5.8 Use and Care of Skin Marking Ink
19.5.9 Audio Video Pt monitoring
19.6 Linear Accelerator Daily Performance Inspection Check
19.6.0.A Linear Accelerator Daily Performance Inspection Output Check
19.6.1 Linear Accelerator  Daily Warm Up
19.6.1.A Linear Accelerator Daily Warm Up Sheet
19.6.2 Linear Accelerator Emergency and Safety Procedures
19.6.3 Linear Accelerator and Multi-Access Shut Down
19.6.4 Linear Accelerator Impac and Iview Operaton for call
19.6.5 Handling equipment malfunction after hours
19.6.6 Patient Photos Multi Access Procedures
19.6.7 IVIEW Operation
19.6.7.1 Open Air Graticlule
19.6.8 Portal Images - time Intervals
19.6.9 VIDAR Scanner
19.6.10 Printing of Multi Access Records for Chart Doc.
19.7 Radiation Therapist Clinical guidelines
19.7.1 Radiation Therapist Clinical Charting Guidelines
19.7.2.1 Radiation Therapist Patient Scheduling
19.7.2 Head and neck Basic Treatment Guidelines
19.7.3 Lung or Esophagus Treatment guidelines
19.7.4 Pituitary 3 field technique Treatment Guidelines
19.7.5 Craniospinal Axis Basic treatment Guideline
19.7.6 Facial Electron Beam Treatment Guidelines
19.7.7 Lateral ARC Treatment Guidelines
19.7.8 Keloid Electron Beam Treatment Guidelines
19.7.9 Mantle AP PA Treatment Guidelines
19.7.10 Skin Care for open Skin Lesions
19.7.11

Horizon Prone Breastboard  
19.8 Safe handling of Rad Materials
19.8.1 Cesium Implant Procedures for Rad Onc. Nurses
19.8.2 Intracavity Implant Guidelines for Rad Onc Nurses
19.8.3 Intracavity Loading Procedure for Rad Onc Nurses
19.8.4 Procedures prior to loading Radioactive material
19.8.5 Unloading Implants Procedures for Rad. Onc. Nurses
19.8.6 Seed Implants Procedures for Rad. Onc. Nurses
19.8.7 Lost Sources
19.8.8 Emergency Procedure for Damaged Sources
  HDR Afterloader Service Calendar 2008
19.8.9 HDR Operating Policy
19.8.10 HDR Training Form
19.8.11 HDR Pretreatment Equipment Check
19.8.11.A HDR Pretreatment Equipment Check Form
19.8.12 HDR General Safety Guidelines
19.8.13 HDR Emergency Procedures
19.8.13.A HDR Emergency Response Diagram
19.8.14 HDR Quarterly Source Change
19.8.14.A HDR Quarterly Source Change Form
19.8.15 HDR Mammosite Application & Treatment
19.8.15.A HDR Mammosite Treatment Form
19.8.16 HDR Cervical or Endometrial
19.8.17 HDR Endobroncial
19.8.18 HDR GYN Cylinder Application
19.8.18A HDR GYN Cylinder Application Form
19.8.19 Strontrium 90 Treatment Procedures
19.9 Physics Program
19.9.0.A Radiation Oncology Physics Calendar
19.9.0.B Gamma Knife Physics Calendar
19.9.0.C Compresensive QA on HDR Unit and Service Calendar
19.9.1 LINAC Monthly QA
19.9.2 Coincidence of Light Rad. Beam
19.9.3 Leak Test Sources
19.9.4 Inventory of Rad. Material
19.9.5 Rad Safety Training
19.9.6 Radioactive Material Safety
19.9.7 Radioactive Material Safety Storage Access
19.9.8 Receipt Material
19.9.9 Area Survey of Rad materials
19.9.10 Disposal of Radioactive Material
19.9.11 Equipment on Maintenance Contract
19.9.12 Radiation Equipment Safety Department Specific
19.9.13 Emergency Procedure for Suspected Accidental Rad Exposure
19.9.14 Special Physics Consult
19.9.15 Contract Physicist Gamma Knife Services
19.9.16 Chart check
19.9.17 MU Calc. Dose Calculation
19.9.18 Gap Calculations
19.9.19 Treatment Planning
19.9.19.1

Procedural Steps Prior to Initiation of Treatment
19.9.20 Comprehensive QA for Treatment Planning System
19.9.21 Quality Assurance on Digital Image Data Management
19.9.22 Peer Review Process
19.9.23 Commissioning and QA of the Treatment Planning Computer
19.10 Multi-Access System Functions
19.10.1 Multi-Access Operation Requirement
19.10.2 Multi-Access Software Problems and Error Log
19.10.3 Multi-Access Security
19.10.4 Multi-Access New Employee
19.10.4.A Multi-Access New Employee Form
19.10.5 Multi-Access Employee Resign, Retire, terminate
19.10.6 Multi-Access After Hour Contact
19.10.7 Multi-Access Hardware Information
19.10.8 Multi-Access Downtime
19.10.8.A Multi-Access Downtime Log Form
19.10.9 Multi-Access Notification of Unexpected Downtime
19.10.10 Invision Downtime for Rad. Onc
19.10.11 PACS Downtime for Rad. Onc.
19.10.12 Back-up and off site storage
19.11 Medial Transcription
19.11.1 Requisition Orders
19.11.2 Preparing Patient List
19.11.3 Chart Construction
19.11.4 Chart Completion
19.11.5 Typing Admit Orders
19.12.1 Air Exchange for Room Occupied by TB Pts
19.12.2 Electrical, Water, and Air Conditioning Outage
19.12.3 Electric outage Emergency Removal of Patient.
19.13 GAMMA KNIFE Mission Statement
19.13.A GAMMA KNIFE GUIDELINES
19.13.1 Scope of Service
19.13.2 Patient  Referral
19.13.3 Pre-OP Clinic Appointment
  Patient Education Record Form (SN1102)
  Gamma Knife Stereotactic Radiosurgery Consent Form (SN6898)
19.13.4 Pre-Operative Procedure Instructions
  Gamma Knife Brochure
19.13.5 Nursing Assessment
  Medication Assessment History (SN7266)
19.13.6 Patient Throughput
19.13.6.1 Admission Approval
  Downtime Medication Administration Form (SN1287)
  Patient Sedation Monitoring Record Form (SN1207)
19.13.7 GK "Time Out" Procedure
19.13.8 Head Frame Placement
19.13.9 Image Acquisition of GK Patient
19.13.10 MRI Scans
19.13.11 CT Scans
19.13.12 Special Procedures
19.13.13. Skull Geometry
19.13.13.1 Skull Geometry Form
19.13.14 Treatment Plan and Treatment Procedure
19.13.14.a Final “Time Out” in Gamma Knife
19.13.15 Special Physics Consult
19.13.15.1 Special Physics Consultation Form
19.13.16 Post Operative Instructions
19.13.16.1 In Patient Transfer- Discharge
  In-patient Transfer/ Discharge Summary (S/N 1116)
19.13.17 Scheduling Patients for Follow-Up
19.13.18 Closing of Gamma Knife Suite
19.13.19 Treatment Chart Documentation
19.13.20 Infection Control in Gamma Knife
19.13.21 Increased Control for GK Suite
  Increased Control For Radioactive Sources(Hospital Policy 2.39)
19.13.22 Head Frame and Tray Preparation and Sterilization
  Reference Guide Sterilization Methods
19.13.23 Emergency Procedures for GK Unit
19.13.24 Electrical System Failure
19.13.24.1 Electrical Power Failure
19.13.25 Safety Training Procedure
19.13.25.1 Safety Training Form
19.13.26 Overall Physics QA
19.13.26.1 Physics Service Calendar Form
19.13.26.2 Daily QA Guidelines
19.13.26.3 Daily  QA Form
19.13.26.4 Monthly  QA Guidelines
19.13.26.5 Monthly QA Form
19.13.26.5.1 Monthly Output Check
19.13.26.6 Annual/Full QA Guidelines
19.14

Neurosurgery Clinic held in Radiation Oncology

 

 

 

 

 

 

 

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