. 2012 Jun 3;17(4):190–199. doi: 10.1016/j.rpor.2012.05.001

Table 6.

Clinical standards.

Category	Standard
Conduct of treatment	1. All treatment procedures and related diagnosis shall be performed specializing in oncological radiotherapy or supervised by them (when performed by doctors being trained in this specialty) and radiation technologist. 2. Radiotherapy procedures shall be planned and performed in such a way as to allow for stoppages of therapeutic apparatus causing deviation from accepted treatment standards. 3. The institution shall ensure enough time for a therapeutic session to be performed correctly. 4. One therapeutic apparatus may accommodate the maximum of five radical treatment patients within one hour. 5. Each irradiation fraction shall be preceded with patient identification, including the check-up of name, personal identification number or other identification number, date of birth, patient's photo, irradiation technique, irradiation parameters, irradiated area, tumor location, accessories used, etc. 6. At each stage of treatment, the institution shows full respect for patients’ privacy and personal data protection. 7. Patient's irradiation sheet is available at a given apparatus during each irradiation fraction. 8. First irradiation fraction in radical treatment patients and – in justified cases – in palliative treatment patients is attended by a doctor specializing in oncological radiotherapy to verify patient's positioning and immobilization and provide them with psychological support. 9. Medical physicist participates in the radiation procedure at doctor's or RTT's request. 10. Patients shall be positioned and immobilized by two RTTs. 11. Patients shall be positioned and immobilized as accurately, repetitively and comfortably as possible (in each apparatus used in the treatment process), according to an instruction contained in treatment plan (as a text or diagram). 12. In the case of radical and palliative treatment, doctor specializing in oncological radiotherapy participates in the first irradiation session performed according to a pre-set treatment plan. 13. During radiotherapy, patient shall be monitored by an RTT (audiovisual system). 14. RTT shall confirm the consistence of physical parameters from the irradiation sheet with those actually realized, in particular monitor units (exposure time).

Category

Standard

Conduct of treatment

1. All treatment procedures and related diagnosis shall be performed specializing in oncological radiotherapy or supervised by them (when performed by doctors being trained in this specialty) and radiation technologist.
2. Radiotherapy procedures shall be planned and performed in such a way as to allow for stoppages of therapeutic apparatus causing deviation from accepted treatment standards.
3. The institution shall ensure enough time for a therapeutic session to be performed correctly.
4. One therapeutic apparatus may accommodate the maximum of five radical treatment patients within one hour.
5. Each irradiation fraction shall be preceded with patient identification, including the check-up of name, personal identification number or other identification number, date of birth, patient's photo, irradiation technique, irradiation parameters, irradiated area, tumor location, accessories used, etc.
6. At each stage of treatment, the institution shows full respect for patients’ privacy and personal data protection.
7. Patient's irradiation sheet is available at a given apparatus during each irradiation fraction.
8. First irradiation fraction in radical treatment patients and – in justified cases – in palliative treatment patients is attended by a doctor specializing in oncological radiotherapy to verify patient's positioning and immobilization and provide them with psychological support.
9. Medical physicist participates in the radiation procedure at doctor's or RTT's request.
10. Patients shall be positioned and immobilized by two RTTs.
11. Patients shall be positioned and immobilized as accurately, repetitively and comfortably as possible (in each apparatus used in the treatment process), according to an instruction contained in treatment plan (as a text or diagram).
12. In the case of radical and palliative treatment, doctor specializing in oncological radiotherapy participates in the first irradiation session performed according to a pre-set treatment plan.
13. During radiotherapy, patient shall be monitored by an RTT (audiovisual system).
14. RTT shall confirm the consistence of physical parameters from the irradiation sheet with those actually realized, in particular monitor units (exposure time).