Table 1.
Task # | Task | Personnel | Resources | Pre-requisite task # |
---|---|---|---|---|
1 | Pre-procedure evaluation | AU, RN, Anesthesia | Lab work, patient chart | None |
2 | Pre-insertion preparations | AU, RN, RT, TA | Brachy suite | #1 |
3 | Applicator insertion | AU, RN, RT, TA | Brachy suite, applicator, ultrasound | #2 |
4 | Imaging | AU, RT, AMP | Brachy suite, CT scanner | #3 |
5 | Contouring | AU | TPS | #3, #4 |
6 | Standard plan | AMP | TPS | #3 |
7 | Prior radiation EQD2 | AMP, AU | EQD2 Spreadsheet, prior dose information | None |
8 | Plan optimization | AU, AMP | TPS, EQD2 spreadsheet | #5, #6, #7 |
9 | QA preparation | AMP | TPS, R&V | #8 |
10 | Independent Check | AMP (not same of tasks #6 to #9) | Secondary calculation software, TPS, R&V, TPS | #9 |
11 | Treatment | AU, AMP, RT | Brachy suite, TCS, plan printout | #10 |
12 | Post-treatment | AU, RN, TA | Brachy suite | #11 |
Key: AU = Authorized User; RN = Registered Nurse; RT = Radiation Therapist; TA = Technical Assistant; Brachy = brachytherapy; AMP = Authorized Medical Physicist; CT = Computed Tomography; TPS = Treatment Planning System; EQD2 = Equivalent Dose in 2-Gy fractions; R&V = Record & Verify; TCS = Treatment Console System.