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MOSAIQ User's Guide - UCSF Radiation Oncology

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Using the Override Feature<br />

CHAPTER 10: SEQUENCER<br />

You can override the out-of-tolerance interlock and treat a patient with settings different<br />

from those in the prescription. SEQUENCER keeps a record of overrides and the credentials<br />

of the user who approved them. Out of tolerance parameters appear highlighted in red.<br />

Overrides are temporary changes.<br />

1. Double-click the field to treat in the Treatment Delivery Table window.<br />

2. Right-click press F4 in the Verified Treatment window, then click Override….<br />

You can also press CTRL+O to open the Overrides dialog box.<br />

3. Select the out of tolerance parameter that you want to override in the Overrides dialog<br />

box, then press the SPACEBAR to tag it.<br />

4. Type the reason for the override(s) in the Note field.<br />

5. Type your password in the Password field.<br />

6. Click OK.<br />

The out of tolerance values that you overrode appear highlighted in yellow.<br />

Recording Treatments<br />

Temporary field changes, such as changing the couch geometric<br />

parameters, do NOT invalidate the reference image for the selected<br />

treatment field, which you can show behind the treatment geometry<br />

in the Beam's Eye View dialog box.<br />

Always examine all information in the Record Treatment dialog box, Composite Record<br />

dialog box, or Record Port before you save. Make sure that the correct patient and treatment<br />

field shows. Make sure that the correct number of monitor units appears as compared to the<br />

electronic and/or mechanical monitor units readout on the linac.<br />

CAUTION<br />

Record Treatment Dialog Box<br />

If the monitor units value on the linac is not the same as in<br />

SEQUENCER, then type the linac monitor units value in the Notes<br />

field of the Record Treatment dialog box. Contact your<br />

department physicist immediately before continuing treatment.<br />

The Record Treatment dialog box lets you record treatments. Verify that the information<br />

that appears in the Record Treatment dialog box is correct before you click Record. You<br />

can type notes in the Note field if necessary.<br />

Copyright 2010, Elekta Impac Software 273<br />

LUGMSQ0002/4.0/23-Sep-2010

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