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. 2021 Aug 2;22(9):4–19. doi: 10.1002/acm2.13366

TABLE 10.

Example weekly chart review items for EBRT plans

Recommended Optional
Rx site Daily prior treatment timeout documented
Rx changed or field modified since last check (updated document or added comment) CBCT and portal images approved
Dose delivered to date
Number of fractions delivered Correct tolerance table applied
Plan quality reasonable (applied to the first weekly check for each plan) Bolus fields are indicated in setup note
IMRT QA done and approved (applied to the first weekly check)
Image frequency and modality agree with Rx Treatment calendar is correct
Dose tracking correct Review rejected IGRT images
Overrides with proper comments
In‐vivo measured required and results documented
Review journal entries/patient notes
Treatment breaks documented
Special device or medical condition (pacemakers, etc.)
Secondary setup verification documented and within limits where applicable (eg, SSDs, SGRT, separation)
Couch parameters and IGRT shifts within limits or have a note